PANCE GI 8/14/20 Flashcards
1
Q
what is the MC cause of esophagitis (2)
A
- GERD
2. Immunocompramised
2
Q
small deep ulcers eophagitis cause and Tx
A
HSV acyclovir
3
Q
large shallowd ulcers eophagitis cause and Tx
A
CMV ganciclovir
4
Q
what are the two MC causes for pill induced esophagitis
A
- NASID
- bisphosphanates
5
Q
GERD TX 2
A
- H2
- PPI
6
Q
what is the gold standard for GERD
A
- 24 hr PH
7
Q
dysphagia of both solids and liquids
A
achalasia
8
Q
increased LES pressure
A
achalasia
9
Q
how do you tx nutcracker esophagitis
A
CCB
Botox
10
Q
how do you tx zenkers divericulum
A
diverticulectomy
11
Q
how do you dx zenkers divericulum
A
barium esophagram
12
Q
full thickness rupture of the distal esophagus
A
boerhve syndrome
13
Q
boerhve syndrome dx
A
CT with contrast
14
Q
how do you tx mallory weiss tear
A
epi
band ligation
15
Q
how do you tx esophageal varices
A
- octreotide
- non selective BB (propanolol)
16
Q
esophageal webbs tx
A
endoscopic dialation
17
Q
two types of esophageal cancer
A
- squamous cell WW upper 1/3, smoking, ETOH
- adenocarcinoma US lower 1/3, GERD
18
Q
dyspagia to solids
A
- esopahgeal neoplasms
19
Q
test of choice for esphageal neoplasms
A
upper endoscopy
20
Q
what are the three MCC of gastritis
A
- H pylori
- NASID
- acute stress
21
Q
how do you dx gastritis
A
endoscopy
22
Q
how do you tx gastritis
A
- CAP
23
Q
MC cause of upper GI bleed
A
PUD
24
Q
how do you dx PUD
A
- endoscopy
- upper GI series
25
when should someone take a PPI
30 min before meals
26
what is a SE with a PPI
b12 deficiency
27
what should you give someone if they are on an NSAID to protect their stomach
- Misoprostol
28
what is a SE of cimetidine
gynecomastia
29
gastrin secerting tumor
zollinger ellison
30
what two hormones are increased with zollinger ellison
gastrin
| secritin
31
what is the MCC of gastric carcinoma
- adenocarcinoma
| smoked, fish
32
what type of bili with dubin johnson
direct (conjugated)
33
what type of bili with Gilbert's
unconjugated
34
jaundice with ETOH with normal LFT
Gilbert's
35
tx for Gilbert's
none
36
tx for Dubin Johnson
none
37
what bone hormone is increased with cholestasis
alk phos
38
what is the test of choice for cholelitaisis
US
39
does acute cystitis have jaundice
no
40
does cholelithiasis have jaundice
no
41
what is the primary cause of acute cholecyctitis
ecoli
42
what is the MC cause of acute hepatitis
acetaminophen
43
labs with acute hepatitis 4
- Inc ALT/ AST
- Inc Ammonia
- inc PT/INR
- Hypoglycemia
44
fever
malase
fatigue
decreased smoking
viral hepatitis
45
what hep is spiking fever
hep A
46
what is the triad for hepatic vein obstruction
1. ascites
2. hepatosplenomegaly
3. RUQ pain
47
hepatic vein obstruction what test
ultrasound
48
AFP is associated with what pathology (GI)
HCC
49
what are lactulose and rifamfin used for
cirrhosis
50
autoammune distruction of intrahepatic and small bile ducts
primary biliary cirrhosis
51
autoimmune distruction of intra and extra hepatic ducts
PSC
52
how do you tx PBC
urodeoxucholic
53
how do you tx PSC
liver transplant
54
what autoimmune disease is associated with the gallbladder
PSC
55
what lab value is associated with wilsons disease
- decreased ceruloplasmin
56
how do you tx wilsons disease
- D Pencillamine
57
what bite can cause acute pacreatitis
scorpion
58
what is the triad with chronic pacreatitis
calcifications
steatorrhea
DM
59
what part of the pancreas gets cancer
- head
60
what is courvoisier sign and what is it associated with
palpable non tenxder gallblader
| - associated with pancreatic cancer
61
pancreatic cancer how do you dx
- CT
62
what lab value is associated with pancreatic cancer
CA 19-9
63
how do you tx pancreatic cancer
wipples procedure
64
pain around the umbilicas and painless rectal bleeding
- meckles diverticulum
65
what do you here on PE for SBO
- high pitched tinkles
66
what is the radiograph for SBO
- step ladder pattern
67
what is the name for just a slow moving bowel
paralytic illius
68
how do you dx a lactulose intolerance
hydrogen breath test
69
MCC of lower GI bleeding
diverticulits
70
what is the Tx for diverticulitis
cipro+Flagyl
71
what do you call a twisting of the colon
volvulus
72
what labs are associated with CUC
P anca
73
when is CI contraindicated
acute colitis
74
how do you dx crohns
upper GI series
75
how do you dx UC
barium enema
76
how often for a colonoscopy if they have a history of colon cancer
- > 60: start at 40 Q10
| - < 60: start at 40 Q5
77
how often for the cologuard
anually
78
how often for the flex sig
Q5
79
severe pain with bowel movements
anal fissure
80
tx for anorectal abcess or fistula
- sitz bath
81
tx for anal fissure 2
- nitro, CCB
82
infectious esophagitis linear white plaques
candida
83
infectious esophagitis candida tx
PO fluconazole
84
urea breath test is associated with what pathology
PUD
85
gold standard DX for PUD
endoscopy
86
what do you replace ammoxacillin with in CAP for PUD of they are allergic to penacillin
metronightazole
87
what is the ending for a PPI
azole
88
what PUD is almost always benign
duodeneal
89
location of zollinger ellison syndrome 2
duodoneal wall
| pancreacus
90
best screening test for zollinger ellison syndrome
fasting gastrin levels
91
zollinger ellison syndrome tx
local resection
92
what type of cancer is gastric carcinoma
adenocarcinoma
93
what is the MC risk factor to gastric carcinoma
Hpylori
94
dx for gastric carcinoma
upper endoscopy
95
what type of bili for crigler nagiar
indirect
96
what is charcots triad associated with
acute cholangitis
97
what is murpy's sign associated with
acute cholecyctitis
98
PSC tx
liver transplant
99
tx for wilsons
D penicillamine
100
what may you see on X ray for acute pancreatitis
sentinal loop
101
what is the lab for acute pancreatitis
lipase
102
what is the triad for chronic pancreatitis
calcifications
steatorrhea
DM
103
what is the tx for chronic pancreatitis
pacreatic enzyme replacemnet
104
calcified pancreas think what
chronic pancreatitis
105
pancreatic carcinoma what tx
whipples procedure
106
painless rectal bleeding
mackles diverticulum
107
what is the stovepipe sign associated with
UC
108
what is P ANCA associated with
UC
109
tx for crohn and CUC
sulfasalazine
| mesaamine
110
what are the three main types of polyps
- psudo
- hyperpastic
- adenomatous
111
3 types of adenomatous polyps
- tubular adenoma
- tubulovillious
- villious
112
what is CEA associated with
Colon cancer
113
what type of hernias can go into scrotum
indirect
114
what are the boarders for a direct hernia
Rectus abdominous: medial
Inferior epigastric: lateral
Piuoart's ligamnet: inferior
115
what type of hemorrhoids hurt
external
116
3 tx for hemorrhoids 3
higher fiber
sits bath
band ligation
117
what is the location for anorectal abcess and fistula
posterior rectal wall
118
what is the tx for anorectal abcess and fistula 2
```
1. I and D
Warm water
Analgesic
Sits bath
High fiber
```
119
"severe pain with pooping"
anal fissure
120
skin tag poterior midline of anus
anal fissure
121
what anal pathology gets nitro
anal fissure
122
urine has a musty odor and the child is blond hair and blue eyes what pathology
phenylketonuria
123
night blindness is associated what vit
A
124
who gets a thymine diffecency
ETOH
125
what are
wernicke's enchalopathy
Korsakoff demenia
associated with
ETOH
126
what class is odansetron
antiemetic
127
what class is kaopectate
antiemeric
128
what is a GI benefit of an anticholenergic
antidiarrheal
129
what is the MC cause of gatroenteritis in adults
norovirus
130
what is the MC cause of gatroenteritis in kids
rotovirus
131
what general class of diarrhea
vomiting
watery diarrhea no WBC of blood
noninvasive infectious diarrhea
132
what general class of diarrhea
fever
vomiting
diarrhea blood + leukocytes
invasive infectious diarrhea
133
invasive infectious diarrhea tx what do you not do
antimotility agents
134
what are the 5 types of noninvasive infectious diarrhea
- staphylococcus aureus
- bacillus cereus
- vibrocholerae
- exterotoxic e coli
- clostridium difficil
135
staphylococcus aureus diarrhea cause 4
diary
mayonnaise
meats
eggs
136
bacillus cereus cause
rice
137
noninvasive infectious diarrhea tx
supportive
138
rice water stools
vibro choleare
139
vibro choleare tx
supportive
| tetracycline
140
what is travelers diarrhea that is trasmitted via water
enterotoxogenic e coli
141
enterotoxogenic e coli tx 2
fluids
| fluorquinolones
142
diarrhea with high lymphocytes and psudomembranous colitis
C diff
143
Cdiff tx
metronidazole
144
what are the 5 types of invasive infectious diarrhea
- Campylobactor enteritis
- shigella
- salmonella
- enterohemorragic ecoli E 0157H7
- yersina
145
Campylobactor enteritis tx
erythromycin
146
Campylobactor enteritis transmitted
undercooked poultry
147
how is salmonella transmitted 2
poultry products
| exotic animals
148
salmonella diarrhea tx
cipro
149
enterohemorragic ecoli E 0157H7
| primary transmission
undercooked beef
150
how does someone get giardia
contaminated water such as backpacking
151
frothy greasy diarrhea
Giardia lamblia
152
Giardia lamblia tx
metronidazole
153
what is a risk factor for pancreatic carcinoma
smoking
154
pancreatic carcinoma type
adenocarcinoma
155
what is courvoisirs sign associated with
pancreatic carcinoma
156
what are the two tumor markers associated with
- CEA
| - CA 19-9
