tx

Question 1

irritation fibroma (traumatic fibroma)

Answer 1

surgery bc benign

Question 2

pyogenic granuloma (preg tumor)

Answer 2

complete surgical excision (bc cld be malig

Question 3

Keratocystic odontogenic tumor

Answer 3

complete surgical excision (60% recur)

Question 4

mucocele

Answer 4

complete surgical excision of cyst + minot saliv gland

Question 5

congenital pyloric stenosis

Answer 5

splitting of muscularis (myotomy) (curative)

Question 6

Hirschprung’s dis

Answer 6

Surgical resection with anastomosis of nml proximal colon to rectum

Question 7

Achalasia

Answer 7

• Laparoscopic myotomy.
• Pneumatic balloon dilation.
• Botox injections to inhibit LES cholinergic neurons

Question 8

GERD

Answer 8

PPIs

Question 9

eosinophilic esophagitis

Answer 9

dietary restriction +/- topical or systemic corticosteroids

Question 10

esophageal varices

Answer 10

Splanchnic vasoconstriction, sclerotherapy (injection of thrombotic drugs), balloon tamponade, variceal ligation

Question 11

H pylori causing chronic gastritis

Answer 11

antb + ppi

Question 12

PUD

Answer 12

• H. Pylori eradication, neutralization of acid via PPI.

- D/c nsaids that prolong mucosal healing

Question 13

Ménétrier disease

Answer 13

• IV albumin + parenteral nutrition (supportive).
• TGFα blocking agents show promise.
• Severe? Gastrectomy

Question 14

Zollinger-Ellison syndrome

Answer 14

• ppi
• PUD to heal
• tx tumor

Question 15

gastric adenocarcinoma

Answer 15

surgical resection

Question 16

MALToma

Answer 16

antb’s if no translocation

Question 17

GI stromal tumor

Answer 17

if KIT, PDGFRA (+) = imatinib tx

Question 18

intussusception

Answer 18

kids: air enema
adults: surgery

Question 19

ischemic bowel dis

Answer 19

surgery if bowel sounds absent or if gualrding/rebound dev

Question 20

cystic fibrosis

Answer 20

oral enzs

Question 21

cholera

Answer 21

oral rehydration

Question 22

shigella

Answer 22

• Antibiotics shorten duration of s/s

- Ø antidrhls: delay clearance

Question 23

salmonella

Answer 23

• Antibiotics are not recommended, prolong carrier state, no effect on duration of drh.
• Vaccination available

Question 24

salmonella enterica (typhoid fever)

Answer 24

antb’s to prevent dis progression

Question 25

EHEC, O157:H7 type

Answer 25

not give antb's bc incrasese amt shiga toxin released --> enhances HUS

Question 26

giardia lamblia

Answer 26

antimicrobial

Question 27

chrons dis

Answer 27

- anti-TNF antb's | - surgial resection of fibrotic strictures

Question 28

colitis-assoc neoplasia (carcinoma)

Answer 28

fecal transplant to repop the colon w nml flora

Question 29

Familial adenomatous polyposis

Answer 29

Prophylactic colectomy to prevent colorectal cancer, but not prevent neoplasia elsewehre

Question 30

hemorrhoids (anal varices)

Answer 30

Sclerotherapy, rubber band ligation, infrared coagulation, surgery

Question 31

HCV

Answer 31

Genotype 2 & 3 have best response to Tx, esp in pts w/IL-28B polymorphisms. --Better response to IFNa and ribavirin. IFNγ = resistance to HCV

Question 32

AI hepatitis

Answer 32

immunosuppression

Question 33

drug/toxin damage to the liver

Answer 33

remove the offending agent

Question 34

NFALD

Answer 34

correct underlying risk factors: obesity, hyperlipidemia, insulin resistance

Question 35

hemochromatosis

Answer 35

removal of excess (regular phelbotomy)--> reversible! -except if neonatal,,, then liver transplant

Question 36

wilsons dis

Answer 36

- Long term chelation therapy or zinc based therapy. | - Liver transplant if unmanageable cirrhosis develops

Question 37

α1-antitrypsin deficiency

Answer 37

liver transplant, and not smoke

Question 38

biliary atresia

Answer 38

♣ dz limited to common duct (type I) or right/left hepatic ducts (type II): correct w/Kasai (surgical) procedure (intestine attached to liver so bile can drain) ♣ Obst above the porta hepatis (type III): not correctable (90%) and need liver transplant

Question 39

obliterative portal venopathy

Answer 39

liver transplant

Question 40

budd-chiari synd

Answer 40

need prompt surgical creation fo of portosystemic shunt to reverse blood flow

Question 41

B-catenin activated adenomas (hepatocellular adenoma)

Answer 41

resected, bc very high risk malig transformation

Question 42

hepatoblastoma

Answer 42

surgical resection and chemo

Question 43

GB adenocarcinoma

Answer 43

surgery, but chemo used too

Question 44

acute pancreatitis

Answer 44

o Restricted oral intake to rest pancreas. o Analgesia. o Nutrition + volume support

Question 45

-AI pancreatitis

Answer 45

steroid therapy