mksap

Question 1

chronic hep b treatment

Answer 1

tenofovir or entecavir

Question 2

ASA discontinuation before colonoscopy?

Answer 2

never indicated

Question 3

Pseudoachlasia

Answer 3

tumor at the gastroesophageal junction infiltrating the myenteric plexus causing esophageal motor abnormalities

Question 4

Alosetron

Answer 4

IBS-D treatment after first line treatment has failed

serotonin-3 receptor

Question 5

Zenker diverticulum

Answer 5

esophageal dysphagia
halitosis, aspiration, and gurgling in the chest
type of diverticulum is located in the cervical esophagus

Question 6

sausage shaped pancreas

Answer 6

autoimmune pancreatitis

Question 7

gallbladder polyp

Answer 7

CCY/remove if >1cm or presence of stones

Question 8

Medications to DISCONTINUE in those with ASCITES

Answer 8

Medicines that DECREASE kidney perfusion

• ACEI
• NSAIDS
• ARBs

Question 9

Treatment of Ascites in Cirrhosis

Answer 9

First- Sodium Restriction to 2000mg a day
Second- Loop + Thiazide
Third- Paracentesis

Question 10

When to test for H pylori

Answer 10

Dyspepsia in those less than 60

Question 11

Types of Liver Abscesses

Answer 11

Pyogenic: common in US, polymicrobial, GI flora
Amebic: developing world, E histolytica

Question 12

Achalasia Treatment

Answer 12

Surgery
Botox
CCB 3rd line, not shown to be super useful

Question 13

Hereditary Hemochromatosis initial testing

Answer 13

elevated transferrin saturation

can also see elevated ferritin

Question 14

Wilson disease testing

Answer 14

low levels of ceruloplasmin

Question 15

Primary Biliary Cholangitis Testing

Answer 15

elevated ALP, at least 1.5 ULN

anti-mitochondrial antibody

Question 16

Primary Schlerosing Cholangitis carries risk for

Answer 16

cholangiocarcinoma

Question 17

olmesartan AE

Answer 17

celiac like syndrome