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PANCE PREP > PANCE GI 8/14/20 > Flashcards

PANCE GI 8/14/20 Flashcards

1
Q

what is the MC cause of esophagitis (2)

A
  1. GERD

2. Immunocompramised

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2
Q

small deep ulcers eophagitis cause and Tx

A

HSV acyclovir

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3
Q

large shallowd ulcers eophagitis cause and Tx

A

CMV ganciclovir

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4
Q

what are the two MC causes for pill induced esophagitis

A
  • NASID

- bisphosphanates

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5
Q

GERD TX 2

A
  • H2

- PPI

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6
Q

what is the gold standard for GERD

A
  • 24 hr PH
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7
Q

dysphagia of both solids and liquids

A

achalasia

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8
Q

increased LES pressure

A

achalasia

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9
Q

how do you tx nutcracker esophagitis

A

CCB

Botox

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10
Q

how do you tx zenkers divericulum

A

diverticulectomy

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11
Q

how do you dx zenkers divericulum

A

barium esophagram

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12
Q

full thickness rupture of the distal esophagus

A

boerhve syndrome

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13
Q

boerhve syndrome dx

A

CT with contrast

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14
Q

how do you tx mallory weiss tear

A

epi

band ligation

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15
Q

how do you tx esophageal varices

A
  • octreotide

- non selective BB (propanolol)

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16
Q

esophageal webbs tx

A

endoscopic dialation

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17
Q

two types of esophageal cancer

A
  • squamous cell WW upper 1/3, smoking, ETOH

- adenocarcinoma US lower 1/3, GERD

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18
Q

dyspagia to solids

A
  • esopahgeal neoplasms
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19
Q

test of choice for esphageal neoplasms

A

upper endoscopy

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20
Q

what are the three MCC of gastritis

A
  • H pylori
  • NASID
  • acute stress
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21
Q

how do you dx gastritis

A

endoscopy

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22
Q

how do you tx gastritis

A
  • CAP
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23
Q

MC cause of upper GI bleed

A

PUD

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24
Q

how do you dx PUD

A
  • endoscopy

- upper GI series

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25
Q

when should someone take a PPI

A

30 min before meals

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26
Q

what is a SE with a PPI

A

b12 deficiency

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27
Q

what should you give someone if they are on an NSAID to protect their stomach

A
  • Misoprostol
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28
Q

what is a SE of cimetidine

A

gynecomastia

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29
Q

gastrin secerting tumor

A

zollinger ellison

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30
Q

what two hormones are increased with zollinger ellison

A

gastrin

secritin

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31
Q

what is the MCC of gastric carcinoma

A
  • adenocarcinoma

smoked, fish

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32
Q

what type of bili with dubin johnson

A

direct (conjugated)

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33
Q

what type of bili with Gilbert’s

A

unconjugated

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34
Q

jaundice with ETOH with normal LFT

A

Gilbert’s

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35
Q

tx for Gilbert’s

A

none

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36
Q

tx for Dubin Johnson

A

none

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37
Q

what bone hormone is increased with cholestasis

A

alk phos

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38
Q

what is the test of choice for cholelitaisis

A

US

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39
Q

does acute cystitis have jaundice

A

no

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40
Q

does cholelithiasis have jaundice

A

no

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41
Q

what is the primary cause of acute cholecyctitis

A

ecoli

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42
Q

what is the MC cause of acute hepatitis

A

acetaminophen

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43
Q

labs with acute hepatitis 4

A
  • Inc ALT/ AST
  • Inc Ammonia
  • inc PT/INR
  • Hypoglycemia
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44
Q

fever
malase
fatigue
decreased smoking

A

viral hepatitis

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45
Q

what hep is spiking fever

A

hep A

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46
Q

what is the triad for hepatic vein obstruction

A
  1. ascites
  2. hepatosplenomegaly
  3. RUQ pain
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47
Q

hepatic vein obstruction what test

A

ultrasound

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48
Q

AFP is associated with what pathology (GI)

A

HCC

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49
Q

what are lactulose and rifamfin used for

A

cirrhosis

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50
Q

autoammune distruction of intrahepatic and small bile ducts

A

primary biliary cirrhosis

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51
Q

autoimmune distruction of intra and extra hepatic ducts

A

PSC

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52
Q

how do you tx PBC

A

urodeoxucholic

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53
Q

how do you tx PSC

A

liver transplant

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54
Q

what autoimmune disease is associated with the gallbladder

A

PSC

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55
Q

what lab value is associated with wilsons disease

A
  • decreased ceruloplasmin
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56
Q

how do you tx wilsons disease

A
  • D Pencillamine
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57
Q

what bite can cause acute pacreatitis

A

scorpion

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58
Q

what is the triad with chronic pacreatitis

A

calcifications
steatorrhea
DM

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59
Q

what part of the pancreas gets cancer

A
  • head
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60
Q

what is courvoisier sign and what is it associated with

A

palpable non tenxder gallblader

- associated with pancreatic cancer

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61
Q

pancreatic cancer how do you dx

A
  • CT
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62
Q

what lab value is associated with pancreatic cancer

A

CA 19-9

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63
Q

how do you tx pancreatic cancer

A

wipples procedure

64
Q

pain around the umbilicas and painless rectal bleeding

A
  • meckles diverticulum
65
Q

what do you here on PE for SBO

A
  • high pitched tinkles
66
Q

what is the radiograph for SBO

A
  • step ladder pattern
67
Q

what is the name for just a slow moving bowel

A

paralytic illius

68
Q

how do you dx a lactulose intolerance

A

hydrogen breath test

69
Q

MCC of lower GI bleeding

A

diverticulits

70
Q

what is the Tx for diverticulitis

A

cipro+Flagyl

71
Q

what do you call a twisting of the colon

A

volvulus

72
Q

what labs are associated with CUC

A

P anca

73
Q

when is CI contraindicated

A

acute colitis

74
Q

how do you dx crohns

A

upper GI series

75
Q

how do you dx UC

A

barium enema

76
Q

how often for a colonoscopy if they have a history of colon cancer

A
  • > 60: start at 40 Q10

- < 60: start at 40 Q5

77
Q

how often for the cologuard

A

anually

78
Q

how often for the flex sig

A

Q5

79
Q

severe pain with bowel movements

A

anal fissure

80
Q

tx for anorectal abcess or fistula

A
  • sitz bath
81
Q

tx for anal fissure 2

A
  • nitro, CCB
82
Q

infectious esophagitis linear white plaques

A

candida

83
Q

infectious esophagitis candida tx

A

PO fluconazole

84
Q

urea breath test is associated with what pathology

A

PUD

85
Q

gold standard DX for PUD

A

endoscopy

86
Q

what do you replace ammoxacillin with in CAP for PUD of they are allergic to penacillin

A

metronightazole

87
Q

what is the ending for a PPI

A

azole

88
Q

what PUD is almost always benign

A

duodeneal

89
Q

location of zollinger ellison syndrome 2

A

duodoneal wall

pancreacus

90
Q

best screening test for zollinger ellison syndrome

A

fasting gastrin levels

91
Q

zollinger ellison syndrome tx

A

local resection

92
Q

what type of cancer is gastric carcinoma

A

adenocarcinoma

93
Q

what is the MC risk factor to gastric carcinoma

A

Hpylori

94
Q

dx for gastric carcinoma

A

upper endoscopy

95
Q

what type of bili for crigler nagiar

A

indirect

96
Q

what is charcots triad associated with

A

acute cholangitis

97
Q

what is murpy’s sign associated with

A

acute cholecyctitis

98
Q

PSC tx

A

liver transplant

99
Q

tx for wilsons

A

D penicillamine

100
Q

what may you see on X ray for acute pancreatitis

A

sentinal loop

101
Q

what is the lab for acute pancreatitis

A

lipase

102
Q

what is the triad for chronic pancreatitis

A

calcifications
steatorrhea
DM

103
Q

what is the tx for chronic pancreatitis

A

pacreatic enzyme replacemnet

104
Q

calcified pancreas think what

A

chronic pancreatitis

105
Q

pancreatic carcinoma what tx

A

whipples procedure

106
Q

painless rectal bleeding

A

mackles diverticulum

107
Q

what is the stovepipe sign associated with

A

UC

108
Q

what is P ANCA associated with

A

UC

109
Q

tx for crohn and CUC

A

sulfasalazine

mesaamine

110
Q

what are the three main types of polyps

A
  • psudo
  • hyperpastic
  • adenomatous
111
Q

3 types of adenomatous polyps

A
  • tubular adenoma
  • tubulovillious
  • villious
112
Q

what is CEA associated with

A

Colon cancer

113
Q

what type of hernias can go into scrotum

A

indirect

114
Q

what are the boarders for a direct hernia

A

Rectus abdominous: medial
Inferior epigastric: lateral
Piuoart’s ligamnet: inferior

115
Q

what type of hemorrhoids hurt

A

external

116
Q

3 tx for hemorrhoids 3

A

higher fiber
sits bath
band ligation

117
Q

what is the location for anorectal abcess and fistula

A

posterior rectal wall

118
Q

what is the tx for anorectal abcess and fistula 2

A 
1. I and D 
Warm water 
Analgesic 
Sits bath
High fiber
119
Q

“severe pain with pooping”

A

anal fissure

120
Q

skin tag poterior midline of anus

A

anal fissure

121
Q

what anal pathology gets nitro

A

anal fissure

122
Q

urine has a musty odor and the child is blond hair and blue eyes what pathology

A

phenylketonuria

123
Q

night blindness is associated what vit

A

A

124
Q

who gets a thymine diffecency

A

ETOH

125
Q

what are
wernicke’s enchalopathy
Korsakoff demenia
associated with

A

ETOH

126
Q

what class is odansetron

A

antiemetic

127
Q

what class is kaopectate

A

antiemeric

128
Q

what is a GI benefit of an anticholenergic

A

antidiarrheal

129
Q

what is the MC cause of gatroenteritis in adults

A

norovirus

130
Q

what is the MC cause of gatroenteritis in kids

A

rotovirus

131
Q

what general class of diarrhea
vomiting
watery diarrhea no WBC of blood

A

noninvasive infectious diarrhea

132
Q

what general class of diarrhea
fever
vomiting
diarrhea blood + leukocytes

A

invasive infectious diarrhea

133
Q

invasive infectious diarrhea tx what do you not do

A

antimotility agents

134
Q

what are the 5 types of noninvasive infectious diarrhea

A
  • staphylococcus aureus
  • bacillus cereus
  • vibrocholerae
  • exterotoxic e coli
  • clostridium difficil
135
Q

staphylococcus aureus diarrhea cause 4

A

diary
mayonnaise
meats
eggs

136
Q

bacillus cereus cause

A

rice

137
Q

noninvasive infectious diarrhea tx

A

supportive

138
Q

rice water stools

A

vibro choleare

139
Q

vibro choleare tx

A

supportive

tetracycline

140
Q

what is travelers diarrhea that is trasmitted via water

A

enterotoxogenic e coli

141
Q

enterotoxogenic e coli tx 2

A

fluids

fluorquinolones

142
Q

diarrhea with high lymphocytes and psudomembranous colitis

A

C diff

143
Q

Cdiff tx

A

metronidazole

144
Q

what are the 5 types of invasive infectious diarrhea

A
  • Campylobactor enteritis
  • shigella
  • salmonella
  • enterohemorragic ecoli E 0157H7
  • yersina
145
Q

Campylobactor enteritis tx

A

erythromycin

146
Q

Campylobactor enteritis transmitted

A

undercooked poultry

147
Q

how is salmonella transmitted 2

A

poultry products

exotic animals

148
Q

salmonella diarrhea tx

A

cipro

149
Q

enterohemorragic ecoli E 0157H7

primary transmission

A

undercooked beef

150
Q

how does someone get giardia

A

contaminated water such as backpacking

151
Q

frothy greasy diarrhea

A

Giardia lamblia

152
Q

Giardia lamblia tx

A

metronidazole

153
Q

what is a risk factor for pancreatic carcinoma

A

smoking

154
Q

pancreatic carcinoma type

A

adenocarcinoma

155
Q

what is courvoisirs sign associated with

A

pancreatic carcinoma

156
Q

what are the two tumor markers associated with

A
  • CEA

- CA 19-9

PANCE PREP (27 decks)

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