Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Paige: GI > quickies > Flashcards

quickies Flashcards

1
Q

obstruction of biliary tract leading to infx

A

cholangitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

stone in CBD

A

choledocholithiasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

dilated submucosal veins in pts with portal HTN

A

esophageal varices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

how do you treat an anorectal abcess

A

surgical drainage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

decreased intestinal peristalsis assoc with surgery or trauma

A

paralytic ileus

(type of bowel obstruction)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

a tear in the anoderm (MC posterior) that causes hematachezia and feels like a tear w/ BMs?

A

anal fissure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

when is f/u for h pylori tx

A

4 weeks after tx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

a tumor that hypersecretes gastrin and causes recurrent duodenal ulcers

A

zollinger-ellison syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

on Ba swallow, esophageal body looks like a “bird’s beak”

A

achalasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

GB issues assoc. with fever and chills

A

cholecystitis

cholangitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

“coffee grounds” in poop or vom should make you think

A

ulcer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what causes 50% of all UGI bleeds?

A

ulcers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

screening guidelines for colon cancer

A

occult blood test q1y

colonoscopy q10y

nobody does flex sig but that’s q5y

ages 50-75

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

procedure for achalasia that cuts the LES surrounding muscles

A

myotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

dx and tx of choledocholithiasis and cholangitis

A

ERCP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

when is ALT elevated

A

in chronic inflam/damage

specific to liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

on endoscopy you see vesicles

A

HSV esophagitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what differentiates the pain of a PUD from GERD?

A

gnawing, hunger-like

nocturnal awakening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

procedure that uses an endoscope and a balloon to widen the esophageal muscles

A

pneumatic dialtion

(for achalasia + webs + rings)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

procedure where the gastric fundus is wrapped around the lower end of the esophagus

for GERD/hiatal hernia

A

nissen fundoplication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

low ceruloplasmin

A

wilson’s disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

autosomal recessive

pt is male and 50y with systemic problems (heart and joint, DM) and gray skin

A

hemachromatosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

lab value indicative of:

POSThepatic obstruction

(e.g. cholestasis)

A

direct bilirubin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

thin membranes of squamous mucosa in mid to upper esophagus that causes dysphagia to solid food

A

esophageal web

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

esoph web + Fe def + glossitis

A

Plummer-Vinson syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

ERCP can induce:

A

pancreatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what sx would make you suspect gastritis

A

it’s often asx

go by history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

treating mallory-weiss syndrome

A

maybe self-limiting

endoscope to control bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

preferred way to screen/prevent colon cancer

A

colonoscopy q10y

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

what type of esophageal motility d/o is hypercontractility?

A

nutcracker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

gold standard for treating anal fissures

(after sitz and softeners and HC)

A

internal anal sphincterectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

doc for pud?

A

PPIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

dx of diverticular dz

A

CT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

life-threatening GB disorder

A

cholangitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

MRCP shows beading of the bile ducts

A

primary biliary cirrhosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

also has a lung disorder

A

alpha1 antitrypsin deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

man comes in with severe rectal pain that is worse with straining and sitting and on DRE you feel a palpable fluctuant mass

A

anorectal abcess + fistula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

dx of exclusion characterized by abd pain, bloating, changing bowel habits MC seen in females before age 45

A

IBS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

female

fat

forty

fair

fertile

A

risks for GB disorders

e.g. cholelithiasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

a) bright red in color, painless hemorrhoids
b) bluish in color, painful hemorrhoids

A

a) internal
b) external

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

colon d/os that can be an emergency

A

bowel obstruction

ischemic bowel

toxic megacolon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

AST greater than ALT

A

alcohol (2:1)

drug toxicity

(think S is larger = Substance problem)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

occurs in infants and elderly, twisting of the intestines

A

volvulus

(type of bowel obstruction)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

swollen, fragile vessels in the colon caused by aging and degeneration that is a common cause of maroonish blood in the stool in the elderly

A

angiodysplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

MC cause of esoph varices?

A

liver cirrhosis

47
Q

caused by leakage of cecum contents which leads to a blockage

treated with surgery

A

appendicitis

48
Q

lab value

if elevated with alk phos is specific to liver obstruction

A

GGTP

49
Q

s/s of esoph varices rupture?

A

hematemesis + pt looks like death

50
Q

gall stones are composed of either:

A

cholesterol (75%)

Ca salts

51
Q

apple core lesion on contrast XR

A

colon cancer

52
Q

what is the MC esopheageal d/o

A

GERD

53
Q

4 drug tx for h pylori?

A

PPI 2x daily

tetracycline

metronidazole

bismuth

54
Q

5 things causing gastritis

A

stress

NSAIDs

alcohol

h pylori

z-e syndrome

55
Q

autoimmune d/o of the small intestine

when in babies causes irritability, anxiety, anorexia and distension

A

celiac disease

56
Q

1st line tx for GERD

2nd line tx for GERD

A

h2r blockers

PPIs

57
Q

what’s goodsall’s rule

A

with fistula in ano

if it’s anterior, it’s straight

if it’s posterior, it’s curved

58
Q

lab value indicative of:

PREhepatic obstruction

(e.g. RBC hemolysis)

A

indirect bilirubin

59
Q

gold standard dx test for ischemic bowel

A

mesenteric angiogram

60
Q

autosomal recessive related to Cu overload

A

wilson’s disease

61
Q

caused by congenital causes or chronic GERD scarring

A

esophageal ring

62
Q

a patient with IBD has abd pain and no bowel sounds are heard on PE

A

toxic megacolon

63
Q

no s/s

ALT greater than AST

lots of liver texture on US

A

non-alcoholic fatty liver disease

64
Q

which type of ulcer is 5x more common

A

duodenal

65
Q

MC cause of rectal bleeding

A

anal fissure

66
Q

s/s: early bowel sounds heard early, decreased bowel sounds heard late, cramping, no stool or liquidy stool, dull to percussion

A

bowel obstruction

67
Q

after some event, the distal esophagus gets an intraluminal mucosal tear caused by increased intraabdominal pressure

A

mallory-weiss syndrome

68
Q

occurs when the cystic duct becomes blocked

A

cholecystitis

69
Q

alcoholic with jaundice, HSM, ascites

A

alcoholic hepatitis

70
Q

what is a polyp that is benign but premalignant and can be sessile or pedunculated?

A

adenoma

71
Q

CHARCOT’S TRIAD

A

abd pain

jaundice

fever

(seen in cholangitis)

72
Q

is chrons or UC more common?

A

UC

73
Q

man with ulcerative colitis is likely to develop this liver disease

A

primary biliary cirrhosis

74
Q

dx/tx of esophageal varices rupture?

A

emergent endoscopy

variceal ligation

75
Q

3 common steps for diagnosing things in the colon

A
  1. colonoscopy
  2. CT
  3. angio
76
Q

s/s: odynophagia, dysphagia, chest pain

cause: 50% of the time caused by GERD

A

esophagitis

77
Q

fluctuant mass with erythematous base and purulent d/c at the gluteal cleft

A

pilonidal cyst

78
Q

what hepatocytes look like if they are damaged

A

fibrotic + oval cells

79
Q

painless hematemesis after trauma, straining, seizures

A

mallory-weiss syndrome

80
Q

how do you dx an esophageal spasm

A

barium swallow

81
Q

anal crypts that have been obstructed by glands and may become infected

A

anorectal abcess +/- fistula

82
Q

difficulty passing stool in more than 25% of poop events for more than 3 months

A

constipation

83
Q

smoking causes _____ esoph cancer and alcohol causes _____ esoph cancer

A

smoke: adenocarcinoma
etoh: SCC

84
Q

what type of esopheageal motility d/o is no LES relaxation/aperistalsis?

A

achalasia

85
Q

hereditary cause of indirect bilirubin

causes icteric sclera, jaundice, and acute illness at birth

A

Gilbert’s disease

86
Q

what’s the MC anorectal problem at age 50+

A

hemorrhoids

87
Q

what are the 2 h pylori dx tests

A

fecal antigen test

c-urea breath test

88
Q

pt with lupus has high liver enzymes and a + ANA

how do you dx

A

prob autoimmune hepatitis

bx

89
Q

3 drug tx for h pylori?

A

PPI 2x daily

amox

clarithromycin

90
Q

when the LES and part of stomach move up into the chest

A

hiatal hernia

91
Q

obesity puts you at an increased risk for what esoph cancer

A

AC

92
Q

“telescoping” of the intestine (folds in on itself)

A

intussusception

(type of bowel obstruction)

93
Q

Barrett’s esophagus puts you at an increased risk for what type of cancer

A

adenocarcinoma

94
Q

ALT greater than AST

A

viral

fatty liver

(think L is larger = Long-term)

95
Q

dx cholelithiasis and cholecystitis

A

US

96
Q

preferred way to screen/detect polyps

A

immunochemical based fecal occult blood test

97
Q

lab test pathognomonic for hemochromatosis

A

HFE gene analysis

98
Q

causes 50% of lower GI bleeds/BRBPR

A

diverticulosis

99
Q

how do you manage a barrett’s esophagus

A

endoscopy with bx q 2y

100
Q

what is another name for an esophageal ring

A

Schatzki’s ring

101
Q

chron’s vs UC:

a) causes loose, bloody stool
b) causes massive amounts of lg diarrhea +/- mucus and blood

A

a) UC
b) chron’s

102
Q

tx for tylenol OD

A

N-acetylcysteine

103
Q

2 reasons a PUD happens

A
  1. impaired mucosal defense factors (e.g. nsaids)
  2. overwhelmed defense factors (e.g. infx)
104
Q

what lab value do you order that is unique to IBD?

A

ASCA

105
Q

caused by high cholesterol, nucleation of cholesterol, or gall bladder hypomotility

A

cholelithiasis

106
Q

esophageal cancer is most often this type

A

adenocarcinoma

107
Q

chron’s vs UC:

a) causes full GI lesions
b) causes colonic lesions

A

a) chron’s
b) UC

108
Q

when is AST elevated

A

in acute inflammation/damage

not specific to liver

109
Q

skin manifestation of some people with celiac disease*

A

dermatitis herpetiformis

110
Q

pt with a fatty diet who looks thin and reports colic pain and has elevated alk phos.. suspect?

A

colon cancer

111
Q

Kayser-Fleischer rings around iris are pathognomonic for

A

wilson’s disease

112
Q

ring of tissue at junction of esoph + stomach that causes dysphagia to large bolus

A

esophageal ring

113
Q

dxing mallory-weiss syndrome

A

endoscopy

Paige: GI (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions