Radiology UGI Pathology

Question 1

T/F GERD is a consequence of sustained decreased LES pressure.

Answer 1

F –> from multiple transient relaxations, especially at night

Question 2

Most common cause of ulcers in esophagus.

Answer 2

Reflux esophagitis

Question 3

Most common cause of opportunistic esophagitis.

Answer 3

candida esophagitis

Question 4

Tx of candida esophagitis

Answer 4

fluconazole

Question 5

Tx of herpes esophagitis

Answer 5

acyclovir

Question 6

Multiple plaque like lesions in linear arrangement on double contrast study with areas of healthy tissue between them

Answer 6

candida esophagitishe most

Question 7

Florid, shaggy esophagus

Answer 7

fulminant candida esophagitis (usually in AIDS patients)

Question 8

Multiple punctate ulcers with mounds of damaged mucosa

Answer 8

herpes esophagitis

Question 9

One ore more giant ulcers that are several cm in size

Answer 9

CMV esophagitis or HIV

Question 10

HIV esophagitis tx

Answer 10

steroids

Question 11

HIV esophagitis clinical features

Answer 11

palatal ulcers, odynophagia, maculopapular rash

Question 12

Most common cause of drug-induced esophagitis

Answer 12

tetracycline/doxycycline

Question 13

Where do drug-induced esophagitis tend to occur?

Answer 13

level of aortic arch or left main bronchus

Question 14

Appearance of drug-induced esophagitis

Answer 14

multiple punctate ulcers that could be confused with herpes encephalitis

Question 15

Ringed esophagus

Answer 15

eosinophilic esophagitis

Question 16

Small caliber esophagus

Answer 16

eosinophilic esophagitis

Question 17

irregular luminal narrowing, nodularity, ulcerations, abrupt/shelflike proximal and distal borders

Answer 17

squamous cell carcinoma (upper/mid esophagus vs. lower esophagus in adenocarcinoma)

Question 18

irregular luminal narrowing in distal esophagus extending into hiatal hernia

Answer 18

BE/adenocarcinoma

Question 19

T/F most gastric ulcers are benign

Answer 19

T –> 95% benign

Question 20

round ovoid crater with smooth mound of edema, symmetric radiating folds, projections outside contour

Answer 20

benign gastric ulcer

Question 21

irregular crater in tumor mass with nodularity/clubbing of radiating folds, projects inside lumen

Answer 21

malignant gastric ulcer

Question 22

innumerable tiny erosions in stomach with radioluminescent mounds around them

Answer 22

benign erosive gastritis (PUD, NSAIDs, etc.)

Question 23

T/F most ulcers on the lesser curvature of the stomach are due to NSAIDs

Answer 23

F –> on the greater curvature

Question 24

What proportion of gu’s can be differentiated on double contrast ba studies?

Answer 24

2/3 can be differentiated: benign vs malignant

Question 25

Tx of benign appearing GU

Answer 25

repeat ba study in 8 weeks and non invasive hpylori test

Question 26

Tx of equivocal malignant appearing GU

Answer 26

endoscopy

Question 27

Tx of gastritis/duodenitis

Answer 27

ppi