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Pediatric boards > Pediatrics GI > Flashcards

Pediatrics GI Flashcards

1
Q

Causes of Hydrops of gallbladder

A

Kawasaki disease.Strep pharyngitis. TPN, HSP, Prolonged fasting

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2
Q

Patient with Ulcerative colitis presents with elevated LFTs?

Diagnosis?

A

Primary sclerosis cholangitis

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3
Q

Cholangitis

A

Bacterial infection of gall bladder

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4
Q

When to operate acute cholangitis

A

When having calculous cholengitis

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5
Q

Most common malignant liver tumors in children

A

Hepatobladstoma

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6
Q

Common causes of hepatoblastoma

A

Beckwith weidelmlan and familiar adenomatous pilyposis

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7
Q

What is Kasai procedure

A

piece of intestine to drain liver, bypassing malformed bile ducts

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8
Q

Best screening test for Wilson disease

A

Serum Ceruloplasmin

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9
Q

Confirmatory test for Wilson disease

A

24 Hour urinary copper levels

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10
Q

Screening family members with proven Wilson’s disease with elevated 24 hour urinary copper. Next step?

A

Liver biopsy

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11
Q

Inheritance of Wilson disease

A

Autosomal recessive

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12
Q

Most common presentation of Wilson disease

A

Hemolytic anemia

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13
Q

Disease related with Type 1 DM

A

Celiac disease, autoimmune thyroiditis, Sjogren syndrome, Ig A nephropathy

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14
Q

Best screening test for Celiac disease

A

Tissue transglutaminase antibodies (tTG IgA) is a sensitive and specific test often used as the 1st line of screening. and Total Ig A level to differentiate form Ig A deficiency.

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15
Q

Guttate psoriasis relates to which infection

A

Streptococcal pharyngitis

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16
Q

Erythema nodosum related to which disease

A

Ulcerative colitis, Strep pharyngitis, Sarcoidosis, Tuberculosis, Behcet syndrome, Histoplamsosis, Hodgkin’s lymphoma.

17
Q

Crohn’s disease vs ulcerative colitis

A

Crohn’s disease

  • Presents with:failure to thrive, diarrhea, rectal bleeding, low-grade fever, perianal abscesses, and fistulae
  • Involves all three layers of the intestine
  • “Skipped areas” in intestine
  • Superficial to deep ulcers
  • Anal fissures common
  • Biopsy: Noncaseating granulomas that contain multinucleated giant cells and epithelioid cells
  • Short stature more common
  • Gold standard for diagnosis: Biopsy

Ulcerative colitis

Presentation: Abdominal pain and bloody diarrhea
Clubbing is common
Arthritis is migratory and asymmetrical
Small bowel not involved
Colonoscopy: Involves Terminal ileum and colon

18
Q

Autoimmune Hepatitis is related with which lab abnormality

A

Hypergammaglobulinemia

19
Q

Which skin condition is related to Celiac disease?

A

dermatitis herpetiformis

20
Q

Peutz-Jeghers syndrome

A

mucocutaneous lentiginous macules +intestinal hamartomas

Pigmented lips + abdominal pain

21
Q

Shwachman-Diamond Syndrome (SDS)

A

Autosomal recessive

Abnormal exocrine pancreas+ cyclic neutropenia+ abnormal femoral metaphysis

Pediatric boards (2 decks)

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