OME - Day 16 Flashcards

1
Q

Anemia in a gastric bypass patient, what’s the diagnosis?

A

B12 deficiency

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2
Q

Best test for celiac sprue?

A

EGD with biopsy showing blunting of intestinal villi

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3
Q

Caribbean farmer, negative antibodies, and blunting of intestinal villi, diagnosis?

A

Tropical Sprue

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4
Q

Foul flatulence, diarrhea with dairy products, diagnosis?

A

Lactase deficiency, give lactase or avoid dairy

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5
Q

Palpable rash on buttocks and legs, related to malabsorption, diagnosis?

A

Dermatitis Herpetiforme

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6
Q

You see a picture of an electron microscopy on a malabsorption question. What is the diagnosis?

A

Whipple’s disease

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7
Q

You suspect Celiac Sprue, what is the first test to perform?

A

Anti-endomysial antibody (not anti-gliadin)

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8
Q

Px with diverticulitis and a CT scan shows an abscess, what is the next step?

A

Antibiotics and drainage

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9
Q

LLQ abdominal pain, fever, leukocytosis, >50 years old, diagnosis?

A

Diverticulitis

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10
Q

Painless rectal bleeding in a patient >50 years old, diagnosis?

A

Diverticular hemorrhage

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11
Q

Refractory Diverticulitis (more than one episode), what do you do?

A

Resection

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12
Q

What antibiotics do you use for diverticulitis?

A

Ciprofloxacin+Metronidazole or Ampicillin+Gentamicin+Metronidazole for gram negative rods and anaerobes

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13
Q

When do you do a colonoscopy for diverticulitis?

A

2-6 weeks after resolution

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14
Q

“Apple-core” lesion on a barium enema, diagnosis?

A

Colon cancer

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15
Q

3 cancers, 2 generations, 1 premature, diagnosis?

A

HNPCC (Hereditary Non-polyposis Colorectal Cancer)

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16
Q

Alternate bowel habits with pencil thin stools, diagnosis?, what is the next best step?

A

Colon cancer. Start with colonoscopy

17
Q

Colon cancer and Brain tumor, diagnosis?

A

Turcot’s syndrome

18
Q

Colon cancer and jaw bone cancer, diagnosis?

A

Gardner’s syndrome

19
Q

When does colon cancer screening start?

A

Everyone starting at 50 years of age, or 10 years from diagnosis of any first degree relative

20
Q

Familial Adenomatous Polyposis progression? Treatment?

A

1000’s of polyps at 18, cancer at 28, dead at 38. Treat with prophylactic colectomy.

21
Q

Iron deficiency in a man or post-menopausal woman, diagnosis and next step?

A

Colon cancer, start with colonoscopy

22
Q

Picture of pigmented dots ion their lips and vignette is about colon cancer, what’s the diagnosis?

A

Peutz-Jegherz

23
Q

What are the screening options for colon cancer?

A
  • Colonoscopy every 10 years
  • FOBT every year
  • FOBT + Sigmoidoscopy every 3 years and 5 years respectively
24
Q

Bloody diarrhea and weight loss in a young man, diagnosis?

A

Ulcerative colitis

25
Q

Continuous lesions, crypt abscesses, diagnosis?

A

Ulcerative colitis

26
Q

How do you treat a Crohn’s flare?

A

Steroids

27
Q

How do you treat severe refractory Crohn’s?

A

Rituximab

28
Q

How do you treat severe refractory Ulcerative Colitis?

A

Colectomy

29
Q

Skipped lesions, transmural inflammation, and non-caseating granulomas, diagnosis?

A

Crohn’s Disease

30
Q

Watery diarrhea, weight loss, fistula formation, diagnosis?

A

Crohn’s Disease

31
Q

What is special about Rectal Ulcerative Colitis?

A

No risk of colon cancer, so it doesn’t need the screening colonoscopy or colectomy

32
Q

When do you start colon cancer screening for Ulcerative Colitis?

A

8 years from diagnosis