UPPER GI

Question 1

Esophageal motility disorder with increased risk of SCC.

Answer 1

Achalasia

Question 2

3 Complications of GERD

Answer 2

Erosive esophagitis, Stricture, Barrett’s

Question 3

3 side effects of long-term PPI use

Answer 3

Osteoporosis, CAP (short term), C. diff

Question 4

GERD –> Barrett’s –> ? Cancer

Answer 4

Adenocarcinoma

Question 5

Who should you consider screening for Barrett’s?

Answer 5

Men, >50, hiatal hernia, obese, long standing GERD>5yrs

Question 6

HIV + Viral Esophagitis =

Answer 6

CMV

Question 7

Esophagitis + Antihistamine use =

Answer 7

Eusinophilic Esophagitis

Question 8

Most common cause of esophageal cancer?

Answer 8

Squamous Cell Carcinoma

Question 9

Test of cure for H. pylori

Answer 9

Stool Antigen

Question 10

No previous Hx of H.pylori, patient on PPI, best test?

Answer 10

Serology for IgG

Question 11

Tx of H.pylori- triple vs quadruple vs bismuth therapy?

Answer 11

Amox+PPI+Clarithro/Metro, Quadruple better for high resistance, bismuth 2nd line

Question 12

Risk factors for NSAID induced ulcers

Answer 12

Age >60, High dose nsaids, steroids, anticoagulants, prior ulcer

Question 13

High risk GI, Low CV risk, what NSAID?

Answer 13

cox2- celecoxib + PPI

Question 14

High CV risk, low GI risk

Answer 14

Naproxen lowest dose possible + PPI

Question 15

Cancers associated with H.Pylori

Answer 15

MALT lymphoma and gastric adenocarcinoma

Question 16

Dysphagia + rosary bead appearance on barium

Answer 16

Diffuse Esophageal Spasm

Question 17

Leading cause of Oropharyngeal Dysphagia

Answer 17

STROKE

Question 18

Best follow-up test in someone with intermittent dysphagia with normal EGD and Barium study

Answer 18

Manometry assessing for neuromuscular issue