MKSAP GI III Flashcards
Name 4 osmotic laxatives?
- Magnesium hydroxide
- Lactulose
- Sorbitol
- Polyethylene glycol (PEG)
Indication for using tenofovir to treat chronic HBV in a pregnant woman?
HBV DNA levels >200,000 at 24-28 weeks
Note: c-section does not help
Pancreatic neoplasm must be considered as a cause of acute pancreatitis in patients older than age ______ when no other cause has been identified and/or when worrisome features, such as weight loss or new onset of diabetes mellitus, are present.
40 years
Once endoscopic hemostasis has been achieved in a patient with gastrointestinal bleeding, anticoagulation should be ____________.
Reinitiated immediately, and in most cases, this can be done on the same day as the procedure
How soon after treatment of CRC should patients get another surveillance colonoscopy?
1 year later, if this is normal then repeat in 3-5 and then every 5 years
How are Main-duct IPMNs (intraductal papillary mucinous neoplasms) can be diagnosed based on _____.
Diffuse dilation of the main pancreatic duct and the characteristic feature of mucin exuding from the ampulla during endoscopic visualization
(Treatment: surgical resection is the only option for treatment of these high-risk cystic lesions of the pancreas in patients who are appropriate surgical candidates.)
What are the categories of chronic diarrhea?
- Secretory
- Osmotic
and also
- Chronic infection
- Inflammatory condition
Patients with _____ diarrhea may pass liters of stool daily, causing severe dehydration and electrolyte disturbances, with persistent stooling despite fasting.
Secretory
Patients with uncomplicated diverticulitis should undergo colonoscopy __________ after the episode of acute diverticulitis, when colonic inflammation has resolved.
1 to 2 months
Patients with newly diagnosed pernicious anemia should be evaluated for gastric adenocarcinoma and gastric carcinoid with _______.
EGD and gastric biopsy
Positive testing for serum antiparietal antibodies indicates:
Pernicious anemia (Ab to B12 absorbing things)
What does a glucose breath test test for?
SIBO
______ to rule out FAP (familial adenomatous polyposis) is recommended in patients younger than age 40 years with dysplastic or numerous (usually > 30)fundic gland polyps
Colonoscopy
Overall though, fundic gland polyps rarely become cancerous.
Antimitochondrial Ab test looks for:
primary biliary cholangitis
What is the biliary disease associated wtih IBD?
PSC (primary sclerosing cholangitis)
Usually presents as cholestatic liver injury with a characteristic imaging study showing bile duct strictures and dilations “string of beads” (but is not always present)
