Trigger GI

Question 1

Bile in emesis suggests what

Answer 1

SBO

Question 2

CF, TEF, Asthma and developmental delay are all risk factors for what diagnosis

Answer 2

GERD

Question 3

How do you confirm GERD

Answer 3

UGI after clinical presentation

Question 4

what are the indications for Nissen fundoplication

Answer 4

persisitent or life threatening GERD such as with:

FTT
Esophagitis
apneic spells

Question 5

WBC elevation of about 15k, ANC >7500, CRP elevation

Answer 5

appendicitis

Question 6

prophylactic treatment using Cefoxitin or cefotetan is for what

Answer 6

prior to appendectomy

Question 7

olive shaped RUQ abdominal mass
projectile vomiting

Answer 7

pyloric stenosis

Question 8

Macrolide use in children under 2 increases the risk of which GI diagnosis

Answer 8

pyloric stenosis

Question 9

string sign on UGI w barium

Answer 9

pyloric stenosis

Question 10

hepatic dysfunction with ecephalopathy should immediately make you think what for this exam

Answer 10

reyes

also look for URI and aspirin use

Question 11

managed with IVF, diuretics and coagulants

Answer 11

reyes syndrome.

reducing ICP

Question 12

in eosinophilic esophagitis, what cells infiltrate the esophageal mucosa?

Answer 12

Tcells
Bcells
eosinophils
IgE mast cells

Question 13

can be treated with inhaled fluticasone or budesonide or with esophageal dilation

Answer 13

eosinophilic esophagitis

Question 14

go look at this cuz idk

Question 15

diarhea with no WBCs or blood is usually

Answer 15

viral etiology

Question 16

draws up legs due to colicky pain and has current jelly stool.

what PE finding might you see

Answer 16

intussusception

sausage shaped abdominal mass in mid right abdomen

Question 17

diarrhea during waking hours only

Answer 17

juice induced/toddler diarrhea

Question 18

Flecks of bright red blood in stool (heme positive) could be what etiology

Answer 18

milk protein allergy

could also be IBD

Question 19

tissue transglutimase is used for what diagnosis

Answer 19

celiac disease (confirmed w SI biopsy)

Question 20

Acute treatment of encopresis is via…(5)

Answer 20

I refuse to learn this so ill just put it right here

Question 21

failure to pass meconium in the first 24-48hrs of life is the first sign of what diagnosis

Answer 21

hirschsprungs disease

Question 22

Rectal biopsy showing no ganglion cells is definitive for what diagnosis

Answer 22

hirschsprung disease

Question 23

tx for this diagnosis is diverting colostomy or ileostomy

Answer 23

hirschsprung disease

Question 24

pain w defecation and blood on toilet paper

Answer 24

anal fissures

Question 25

ribbon like stool

Answer 25

imperforate anus or anal stenosis

Question 26

what is mild, moderate and severe volume loss? (%)

Answer 26

mild - 3-5%
mod - 6-9%
severe - 10%