Miscellaneous

Question 1

Extraintestinal manifestation of IBD

Answer 1

Pyoderma gangrenosum

Question 2

Xray findings consistent with mesenteric vascular insufficiency

Answer 2

Pneumatosis intestinalis
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Free air in the peritoneal cavity

Question 3

Crucial colonic ischemia areas

Answer 3

Griffith’s point: Splenic flexure

Sudeck’s point: Rectosigmoid

Question 4

Gold standard for diagnosisnof mesenteric vascular insufficiency

Answer 4

Laparotomy

Question 5

Mainstay of therapy for mild/moderate UC or CD

Answer 5

Sulfasalazine

Question 6

Steatorrhea is an increase in stool fat excretion by

Answer 6

> 6% of dietary fat

Question 7

Gold standard for establishing presence of steatorrhea

Answer 7

Quantitative stool fat determination

Question 8

Malabsorption disorder characterized by chronic diarrhea, steatorrhea and weight loss

Answer 8

Tropical sprue

Question 9

Nutritional deficiency associated with tropical sprue

Answer 9

Folate and cobalamin

Question 10

Diagnosis of tropical sprue

Answer 10

Small intestinal mucosal biopsy

Question 11

Diarrhea + Steatorrhea + MACROCYTIC anemia + proliferation of colonic-type bacteria

Answer 11

Bacterial overgrowth syndrome

Question 12

Macrolide antibiotic with immunomodulatory properties effective in refractory IBD

Answer 12

Tacrolimus

Question 13

MC location of colonic diverticula

Answer 13

Sigmoid colon

Question 14

MC form of acute intestinal ischemia and most prevalent disease complicating cardiovascular surgery

Answer 14

Ischemic colitis

Question 15

Most feared complication of acute intestinal obstruction

Answer 15

Closed loop

Question 16

Hallmark of all forms of intestinal obstruction

Answer 16

Abdominal distention

Question 17

Presence of palpable abdominal mass in the setting of acute intestinal obstruction

Answer 17

Closed loop strangulation

Question 18

Stepladder pattern and absence of paucity of colonic gas are pathognomonic

Answer 18

SI obstruction

Question 19

Bird beak on abdominal radio series

Answer 19

Volvulus

Question 20

First indication of worsening fibrosis in chronic liver disease

Answer 20

Mild thrombocytopenia

Question 21

Single most reliable lab finding in liver abscess

Answer 21

Elevated alk phos

Question 22

Inherited disorder of bilirubin metabolism characterized by low grade, conjugated hyperbilirubinemia, usually asymptomatic but worsened by pregnancy or OCPs

Answer 22

Dublin Johnson syndrome

Question 23

Occasional prodromal serum sickness-like syndrome seen with acute hepatitis B is due to

Answer 23

Immune complex formation and deposition

Question 24

Most important risk factor for ultimate development of cirrhosis and HCC in both HBeAg reactive and HBeAg-negative chronic Hep B

Answer 24

Level of HBV replication

Question 25

antiLKM1 positive

Answer 25

Autoimmune hepatitis

Question 26

Presinusoidal portal hypertension

Answer 26

Schistosomiasis

Question 27

Frequent, dreaded complication of transjugular intrahepatic portosystemic shunt (TIPS)

Answer 27

Hepatic encephalopathy

Question 28

Hepatorenal syndrome with worse prognosis

Answer 28

HRS 1

Question 29

Most important mecanism in the formation of lithogenic bile

Answer 29

Increased biliary secretion of cholesterol

Question 30

Low levels of pancreatic enzymes in acute pancreatitis may be seen with

Answer 30

Hypertriglyceridemia

Question 31

Unusual complication of acute pancreatitis manifested by sudden and severe loss of vision

Answer 31

Purtscher’s retinopathy

Question 32

Watermelon stomach

Answer 32

Antral vascular ectasias

Question 33

Risk of cecal perforation in colonic pseudoobstruction

Answer 33

Cecal diameter >12cm

Question 34

Symptomatic hypopharyngeal webs + iron deficiency anemia

Answer 34

Plummer Vinson

Question 35

Epigastric pain + protein-losing enteropathy +/- occult bleeding + large gadtric mucosal folds

Answer 35

Menetrier’s disease