MKSAP GI

Question 1

Patient with choking, coughing of solids and liquids with neurological disorder

Answer 1

Oropharyngeal dysphagia

Question 2

Initial evaluation of oropharyngeal dysphagia

Answer 2

Modified barium swallow and videofluoroscopy

Question 3

Who needs bridging with heparin after stopping warfarin?

Answer 3

High thrombotic risk:
Mechanical prosthetic mitral valve
A fib with prosthetic valve
Mitral stenosis

Question 4

When to start back warfarin after endoscopy/GI bleeding

Answer 4

Within 7 days

Question 5

Treatment for H pylori that failed initial treatment (clarithromycin, amoxicillin, and omeprazole for 10 days)

Answer 5

Bismuth
Metronidazole
Tetracycline
PPI
for 14 days

Question 6

What causes hepatic granulomas? (7)

Answer 6

Hepatic sarcoidosis
TB
Fungal infections
Brucellosis
Q fever
Hodgkin Lymphoma
Drug toxicity

Question 7

Next test after finding suspected hepatic sarcoidosis?

Answer 7

upper endoscopy

to screen for esophageal varicies –> granulomatous inflammation of the liver can result in portal hypertension, even in the absence of hepatic fibrosis.

Question 8

When do you do a HIDA scan?

Answer 8

to look for gallbladder pathology/bile leak

Question 9

Tx of severe flare-up of ulcerative colitis that is unresponsive to glucocorticoids:

Answer 9

tumor necrosis factor (TNF) inhibitor
- infliximab, adalimumab, golimumab
to induce and maintain remission

Question 10

When do you treat acute uncomplicated diverticulitis inpatient with IV abx?

Answer 10

• cannot tolerate an oral diet
• failed Po abx
• severe comorbidities, advanced age, or immunosuppression