second-MKSAP

Question 1

First-line treatment for esophageal hypomotility disorder

Answer 1

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

Question 2

Will could be the causes of esophageal hypomotility disorder

Answer 2

Anticholinergics
Smooth muscle relaxants
Estrogen/progesterone/Pregnancy
Scleroderma

Question 3

___Disease suspicion is a good time to do barium esophagram

Answer 3

If suspecting motility issue or proximal lesion likely Zenker diverticulum

Question 4

Dysphagia occurs with food solid-Only, suggests___Disorder

Answer 4

Mechanical Obstruction

Question 5

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

Answer 5

Motility disorder

Question 6

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

Answer 6

Dysphagia with solids and liquids

Motility Disorder suspected

Question 7

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?

Answer 7

EGD with biopsy

Question 8

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

Answer 8

Nothing further, just monitor

Do not give Andexxat alfa or PCC

Question 9

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

Answer 9

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

Question 10

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

Answer 10

1-2 small <10 mm tubular adenomas

Question 11

What are the symptoms of chronic mesenteric ischemia?

Answer 11

Epigastric abdominal pain 30 minutes after food ingestion

Question 12

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

Answer 12

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

Continuation of symptoms despite PPI or other therapy