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Julie W: Module 9 - GI > Rapid Fire > Flashcards

Rapid Fire Flashcards

1
Q

Diagnosis & Treatment for Choldocholithiasis

A

ERCP

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2
Q

Diagnostic Test for Cholelithialiasis

A

Ultrasound

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3
Q

Charcot’s Triad (Fever, Jaundice, RUQ Pain)

A

Acute Cholangitis

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4
Q

Best test for Acute Cholecystitis

A

HIDA Scan (but usually NOT necessary)

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5
Q

Where do Gallbladder D/O radiate to?

A

Right Shoulder/Scapula

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6
Q

Charcot’s Triad + Altered Mental Status + Hypotension

A

Reynold’s Pentad

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7
Q

MCC = fecalith

A

Appendicitis

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8
Q

+ Psoas sign, +Obturator Sign; + Leukocytosis (10-20K)

A

Appendicitis

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9
Q

Lipase vs. Amylase… which is more sensitive for Pancreatitis?

A

Lipase

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10
Q

2 Most Common Causes of Acute Pancreatitis

A

Gallstones & Alcohol

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11
Q

Where does Pancreatic pain radiate to?

A

The back

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12
Q

Cullen’s Sign & Grey Turner’s Sign

A

Hemorrhagic Pancreatitis

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13
Q

MCC of Chronic Pancreatitis

A

Alcohol

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14
Q

Examination Feature Pathognomonic for Chronic Pancreatitis

A

Plain radiographs:

Show pancreatic calcification in 25-59% of patients

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15
Q

Ranson Criteria

A

Acute Pancreatitis:

Higher score = More severe disease & increased chance of death

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16
Q

ALT >150 suggests

A

Gallstone Pancreatitis

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17
Q

Imaging of Choice for Pancreatitis

A

CT Scan

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18
Q

Do Gallstones cause Chronic Pancreatitis?

A

NO!

19
Q

PE: Palpable Gallbladder (Courvoisier Sign)
Txt: Whipple procedure

A

Pancreatic Neoplasm/CA

20
Q

CA19-9

A

Pancreas

21
Q

Secretin Stimulation Test

A

Gold Standard test of pancreatic function in early diagnosis of Chronic Pancreatitis

22
Q

Most Specific Test to Dx Celiacs

A

Intestinal Biopsy

23
Q

Pellagra

A

Niacin deficiency

Pellagra = diarrhea, dementia, dermatitis

24
Q

Dermatitis Herpetiformis

A

Celiac Dz

25
Q

AST > ALT (2:1)

A

Alcoholic Hepatitis

26
Q

Hemorrhoids.. painful? painless?

A

Both - Internal = painless; External = painful

27
Q

Painless Jaundice until proven otherwise =’s

A

Pancreatic CA

28
Q

Virchow’s Nodes & Trouseau’s Sign

A

Pancreatic CA

4th Leading cause of CA Death

29
Q

Most Common Cause of Painful Rectal Bleeding

A

Anal Fissure

30
Q

How do you determine if there’s a fistula involved w/ an anorectal abscess?

A

CT Scan

31
Q

Goodsall’s Rule for anal fistulas

A

Posterior Fistula = curved tracts; Anterior fistula = straight tracts

32
Q

Most common anorectal problems in adults >50yo

A

Hemorrhoids

33
Q

What Stage(s) of Internal Hemorrhoids are candidates for Surgery?

A

3rd + 4th

34
Q

Villous Adenomas vs. Tubular Adenomas… which has higher risk of Colon CA?

A

Villous Adenomas (sessile)

35
Q

TOXIC MEGACOLON & Bowel Sounds

A

Loss of Bowel Sounds!!

36
Q

A child presents with tearing pain during bowel movements & bright red blood on toilet paper?

A

Anal Fissure

37
Q

Anorectal Fistula – How do you want it to heal?

A

Secondary Intention

38
Q

Best Diagnostic Tool for PUD

A

Endoscopy - EGD

*Able to visualize & Biopsy

39
Q

2 Good noninvasive H. pylori tests

A

Fecal Antigen Test

C-urea breath test

40
Q

Major difference between GU & DU

A

Gastric Ulcers may be malignant

41
Q

Preferred Rx for PUD

A

PPIs

42
Q

Triple Drug Rx for H. pylori

A

Omeprazole, Clarithromycin, Amoxicillin

43
Q

Quadruple Drug Rx for H. pylori

A

Tetracycline, Omeprazole, Metronidazole, Bismuth

Julie W: Module 9 - GI (8 decks)

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