SAGES Reviews

Question 1

Increased risk of bleeding on endoscopy.

Answer 1

History of CHF (renal, cardiac, or hepatic failure) outranks anemia, blood on endoscopy, Mallory-Weiss tears, and low BP.

Question 2

UGIB w/ ulcer controlled on endoscopy. What to do next?

Answer 2

Biopsy and start PPI drip.

Question 3

Stress gastritis shows what on biopsy?

Answer 3

areas of coagulation necrosis

Question 4

Pediatric patient is drooling and XR show FB. Next step?

Answer 4

upper endoscopy

Question 5

Exclusion for bariatric surgery?

Answer 5

psychologic instability, active drug use

Question 6

Strong contraindication for PEG?

Answer 6

ascites

Question 7

Late dumping syndrome management?

Answer 7

diet modification, then somatostatin analogue

Question 8

Treatment for reflux gastritis after antrectomy and B1?

Answer 8

Roux-en-Y

Question 9

S/p upper GI bypass what is most common presentation for leak?

Answer 9

tachycardia, can be only presenting sign, do upper GI next

Question 10

BII not tolerated w/ gastroparesis (dx by gastric emptying study), what is next?

Answer 10

near total gastrectomy w/ roux-en-y

Question 11

1st test for dysphagia?

Answer 11

upper-Gi swallow/ esophagram

Question 12

hiatal hernia most likely association?

Answer 12

obesity

Question 13

what does severe osteoporosis mean for someone with reflux?

Answer 13

PPI is contraindicated - impairs acid content of stomach and calcium absorption

Question 14

s/p fundoplication most common way to fail?

Answer 14

intrathoracic migration of wrap

Question 15

most common hernia in females?

Answer 15

indirect inguinal

Question 16

most common complication after hernia repair?

Answer 16

pain

Question 17

lap inguinal hernia repair pain 2/2 what?

Answer 17

entrapment of lateral femoral cutaneous nerve

Question 18

Unlikely to respond to splenectomy?

Answer 18

sideroblastic anemia (bone marrow problem, not spleen removal problem)

Question 19

direct lap inguinal hernia repair - where is hernia located?

Answer 19

medial inguinal fossa

Question 20

does inguinal approach to femoral hernia require incision of inguinal floor?

Answer 20

yes - transverse fascia;

repair w/ McVay or mesh

Question 21

most common location for accessory spleen?

Answer 21

hilar region

Question 22

cirrhotic w/ hernia and slow ooze of ascites

Answer 22

bedrest, IV abx, medical diuresis, hernia repair

Question 23

testicular atrophy s/p inguinal hernia repair 2/2 what?

Answer 23

thrombosis of the veins in the spermatic cord 2/2 overly aggressive dissection

Question 24

chlamydial proctitis tx

Answer 24

tetracycline or doxycycline

Question 25

signet ring components in pathology for colon cancer genetic marker?

Answer 25

MSI

Question 26

anal canal cancer tx?

Answer 26

primary chemoradiation

Question 27

what is treatment for severe-to-fulminant chronic ulcerative colitis?

Answer 27

severe/fulminant - total colectomy w/ preservation of the superior rectal artery

Question 28

rectovaginal fistula tx

Answer 28

endorectal advancement anorectal flap

Question 29

ileal resection can cause what?

Answer 29

megaloblastic anemia, nephrolithiasis, cholelithiasis, bile salt diarrhea

Question 30

most sensitive test for cholecystitis

Answer 30

HIDA, can also help w/ biliary dyskinesia

Question 31

what percentage of adults w/ intussusception have a lead point?

Answer 31

90%; adults require an operation, the opposite is true for children

Question 32

what agent has been shown to decrease the severity of nausea/vomiting and discomfort in patients w/ malignant bowel obstruction?

Answer 32

octreotide