Random From Book Notes

Question 1

used to visualize jejunum or ileum. Must make an incision in pts. abdomen

Answer 1

Enteroscopy

Question 2

what is the gold standard for visualizing the small bowel and to investigate obscure GI bleeding

Answer 2

video capsule endoscopy

Question 3

What is an ERCP used to visualize?

Answer 3

Biliary and pancreatic ducts

Question 4

Presents with progressive dysphagia, weight loss, chest pain and regurg. Due to a tonically contracted LES.

Answer 4

Achalsia

Question 5

what is fibrous tissue in the proximal part of the esophagus known as? What is is associated with?

Answer 5

Web

iron-deficiency anemia

Question 6

has cardinal symptoms of urgency, tenesmus, bloody diarrhea

Answer 6

ulcerative colitis

Question 7

abdominal pain that radiates to back (worse when supine), guarding, high blood glucose

Answer 7

acute pancreatitis

Question 8

gold standard for diagnosis of chronic pancreatitis

Answer 8

Secretin stimulation

Question 9

tx for Hep B

Answer 9

lamivudine

Question 10

tx for Hep C

Answer 10

interferon – alpha + ribavirin

Question 11

is jaundice common with fatty liver?

Answer 11

No

Question 12

commonly have mallory bodies, fever, anorexia, weight loss, N/V, hepatomegaly, jaundice.
Gynecomastia
parotid gland enlargement
testicular atrophy

Answer 12

alcoholic hepatitis

Question 13

what is the most frequent cause of chronic hepatitis?

Answer 13

Nonalcoholic steatohepatitis (NASH)

Question 14

dull/achy postprandial pain (“abdominal angina”) – epigastrum or mid-abdomen within one hour of eating. Also have abdominal bruits or extra-abdominal signs of atherosclerotic vascular dz.

Answer 14

Chronic messenteric insufficiency

Question 15

subtle/nonspecific, include episodes of nocturnal diarrhea, flatulence, and weight loss w/iron deficiency
• Bloating, fatigue, vague abdominal discomfort common

Answer 15

Celiac dz

Question 16

what is urine coproporphyrin used for?

Answer 16

To lead for lead poisoning

Question 17

o Present with fever and peritoneal signs + oligoarthritis and/or pleuritis

Answer 17

Familial Mediterranean fever

Question 18

Very high amplitude contractions in distal esophagus
Principal sx – chest pain
Supersensitivity to gastrin and cholinergic agents

Answer 18

nutcracker esophagus

Question 19

test of choice of nutcracker esophagus

Answer 19

manometry

Question 20

what will an endoscopy show with celiac sprue?

Answer 20

broad and flattened villi

Question 21

tx for celiac spure

Answer 21

gluten free diet

Question 22

what does secretory diet produce a fluid rich in?

Answer 22

Cl- and bicarb ions

Question 23

in what type diarrhea will there be an elevated osmotic gap?

Answer 23

osmotic diarrhea

Question 24

presents with relatively painless but brisk rectal bleeding

Answer 24

Diverticulosis

Question 25

Steady ache in epigastrium or RUQ, sudden onset, reaching plateau of intensity over a few minutes, subsides gradually over 30 min to several hours

Answer 25

Biliary colic

Question 26

Often seen in young males with UC. Will prsent wil jaundice, abdominal pain, fever chills. Idiopathic condition nonmalignant, nonbacterial, chronic inflammatory fibrosis and obliteration of intrahepatic/extrahepatic bile ducts

Answer 26

Primary sclerosing cholangitis

Question 27

onset of encephalopathy occurring within 8 wks of onset of jaundice in pt w/hepatic injury and no prior hx of liver disease

Answer 27

Fulminant Hepatic failure

Question 28

irreversible, end result of a variety of inflammatory, toxic, metabolic, and congestive insults to liver

Answer 28

Cirrhosis

Question 29

pt. presents with jaundice, abnormal liver span, splenomegaly, ascites, spider angiomas, nail changes, caput medusae, asterixis, testicular atrophy

Answer 29

cirrhosis of the liver

Question 30

Ascities tx

Answer 30

Spironolactone (aldosterone antagonist), supplemented w/loop diuretic

Question 31

Pt. presents with RUQ pain, hepatomegaly, ascities and jaundice. they have occlusion of the major hepatic veins or inferior vena cava (especially intra/extrahepatic segments)

Answer 31

Budd Chiari Syndrome

Question 32

how do you diagnose Budd Chiari syndrome?

Answer 32

Doppler US