second-MKSAP Flashcards

1
Q

First-line treatment for esophageal hypomotility disorder

A

Lifestyle changes, eating upright, consuming liquid/Semiliquid >solid diet
+
PPI

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2
Q

Will could be the causes of esophageal hypomotility disorder

A

Anticholinergics
Smooth muscle relaxants
Estrogen/progesterone/Pregnancy
Scleroderma

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3
Q

___Disease suspicion is a good time to do barium esophagram

A

If suspecting motility issue or proximal lesion likely Zenker diverticulum

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4
Q

Dysphagia occurs with food solid-Only, suggests___Disorder

A

Mechanical Obstruction

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5
Q

Dysphagia that occurs with liquids alone or liquids and solids, suggests___Disorder

A

Motility disorder

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6
Q

Esophageal motility study should be done if you see clinical signs of___and are suspicious of___disorder

A

Dysphagia with solids and liquids

Motility Disorder suspected

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7
Q

Patient has a history of GERD, has some issues with dysphagia, some red flag signs exist like weight loss or anemia, what is the next diagnostic step?

A

EGD with biopsy

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8
Q

Patient who has some bleed after getting a colonoscopy polyp removal, is on Eliquis, in addition to holding Eliquis what should you do next?

Vitals are stable, hemoglobin 9

A

Nothing further, just monitor

Do not give Andexxat alfa or PCC

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9
Q

3-year follow-up colonoscopy is warranted for these kinds of polyps

A
  • > 10 mm adenoma
  • 5-10 mm tubular adenomas <10 mm
  • Any adenoma with tubulovillous or villous histology Or high-grade dysplasia
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10
Q

7 to 10-year Colonoscopy follow-up is warranted for these kinds of polyps

A

1-2 small <10 mm tubular adenomas

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11
Q

What are the symptoms of chronic mesenteric ischemia?

A

Epigastric abdominal pain 30 minutes after food ingestion

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12
Q

Repeat upper endoscopy for a gastric ulcer should be done for___type of ulcer or in situation such as ____ symptom

A

Suspicious of malignant ulcer-Otherwise routine upper endoscopy for gastric ulcer is not recommended

Continuation of symptoms despite PPI or other therapy

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13
Q
  • What is the treatment for autoimmune hepatitis? And what is the duration?
A

treatment with immunosuppression combined with prednisone and immunomodulator-azathioprine
Duration of 2 to 3 years because it has a high rate of relapse

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14
Q
  • ___Is most likely diagnosis if you have symptoms of abrupt onset lower abdominal discomfort/cramping, followed by hematochezia within 24 hours
A

Colonic ischemia

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15
Q
  • Acute diverticulitis present with rectal bleed?
A

No according to MKSAP

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16
Q
  • Colicky lower abdominal pain, think___diagnosis
A

Acute diverticulitis

17
Q
  • Patient comes with abdominal pain, there is thickening of “watershed” areas of the colon, think___diagnosis
A

Ischemic colitis/colonic ischemia

18
Q
  • When the histological finding of colon shows crypt architectural distortion, think___diagnosis
A

Ulcerative colitis

19
Q
  • This medication___is a good option for mild to moderate ulcerative colitis whereas___medication is better for moderate to severe ulcerative colitis
A

5-amino salicylate
Glucocorticoid for severe

20
Q
  • Patient has a mild UC flareup, and it is mostly located near the rectum/descending colon area, should you give them p.o. or topical/suppository 5-aminosalicylate?
A

Give them the topical suppository unless patient refuses then give p.o.