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PANCE > GI > Flashcards

GI Flashcards

1
Q

what type of cancer results from Barrett’s esophagus

A

Adenocarcinoma

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2
Q

hat type of esophageal cancer results from etoh/tobacco?

A

squamous

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3
Q

chrons disease

A

-transmural
-strictures, fistulas
-anterior uveitis, PSC, pyoderma gangrenosum
a/w erythema nodosum

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4
Q

signs of pancreatic cancer

A

painless jaundice, depression, weight loss
PE shows palpable nontender gallbladder (courvoisier sign) and migratory thrombophlebitis (trousseau syndrome)
palpable left supraclavicular lymph node (virchow) and palpable umbilical nodule (sister mary joseph)

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5
Q

Vit A

A

night blindness, dry skin

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6
Q

Vit C

A

scurvy (poor wound healing, petechiae, bleeding gums)

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7
Q

Vid D

A

rickets

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8
Q

B1 (thiamine)

A

beriberi (tingling, poor coordination, edema)

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9
Q

B3 (niacin)

A

pellagra (diarrhea, dermatitis, dementia)

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10
Q

B6 (pyridoxine)

A

atrophic glossitis,

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11
Q

B12 (cobalamin)

A

seizures, nerve

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12
Q

shigellosis

A

fever, bloody mucoid diarrhea, seizure in children

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13
Q

GBS

A

increased CSF protein, tx with IVIG or plasmapharesis

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14
Q

anaphylaxis epi dose vs

cardiac arrest

A

1: 1000
1: 10000

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15
Q

SIRS

A

t<38 or <36
HR>90
RR>20 or PaCO2 <32
WBC>12K or <4K

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16
Q

sepsis vs shock

A

SIRS + infectin

sepsis + hypotension

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17
Q

Hypersensitivities

A

I-anaphylaxsis
II-AI hemolytic anemia, erythroblastalis fatalis
III-serum sickness (drugs)
IV-contact dermatitis, organ transplant

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18
Q

MC brain tumor

A

metastatic disease
meningioma beningn
glioma is MC malignant

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19
Q

first line option for constipation

A

psylium

then polyethelene glycol

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20
Q

how to tx internal hemorrhoids

A

rubber band ligation

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21
Q

Pancreatitis mcc

A

gallstones

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22
Q

MC colorectal cancer

A

adenocarcinoma

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23
Q

achalasia tx

A

nifedipine, nitro, botox, pneumatic dilation

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24
Q

IBS dx

A

Rome Criteria

pain or discomfort relieved by defacation

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25
Q

esophageal webs + Fe def anemia + dysphagia

A

Plummer Vinson

26
Q

most GI cancers are

A

adeno

27
Q

when does jaundice occur?

A

> 2.5 mg/dl

28
Q

gilbert vs

dubin johnson

A

increased indirect billi

increased direct billi

29
Q

wilson disease

A

decreased ceruloplasmin, copper, keyser fleisher

30
Q

how to tx varices

A

BB

31
Q

primary biliary cirrhosis

A

women, fatigue/pruritis

+antimitochondrial

32
Q

best lab for pancreatitis

A

lipase

33
Q

MC pancreatic cancer

A

ductal adeno

34
Q

chrones

A

fistulas/fissures, transmural

35
Q

toxic megacolon

A

colon dilation >6 cm + toxicity

bloody diarrhea, NH + bowel rest

36
Q

pseudomembranous colitis

A

C dif infection in large bowel
h/o recent clinda use
give vanco/fidaxomicin

37
Q

when to screen for PKU

A

24 hours after birth

38
Q

MCC ascending chloangitis

A

ampulla gallstone

39
Q

primary biliary cirhhosis

A

middle aged woman
fatigue, jaundice, pruritus,
antimitochondrial antibodies

40
Q

refeeding syndrome lab abnormality

A

hypophophatemia

41
Q

types of colon polyps

A

hyperplastic-no risk of malignancy
adenomatous-MC, possibly malignant, remoe and repeat colonoscopy in 5-10 years
malignant

42
Q

yersinia enterocloitis

A

diarrhea that is initially profuse and watery and later becomes bloody
may appear as pseudoappendicitis

43
Q

how to workup achalasia

A

barium xray shows birds beak
esophagela manometry
EGD

44
Q

travelers diarrhea

A

enterotoxigenic e coli

45
Q

anti smooth muscle antibody

A

AI hepatitis

46
Q

CMV esophagitis findings

A

enlarged nuclei, cytoplasmic and nuclear viral inclusions

47
Q

UC is a/w

A

pyoderma gangrenosum
crypt abscesses
goblet cells
P-ANCA

48
Q

gold standard GERD test

A

24 pH monitor

49
Q

hep b is a () virus

A

DNA

50
Q

how to tx anal fissure

A

nitro cream, sitz, fiber
posterior midline
lateral sphincterotomy

51
Q

SBO lab abnormalities

A

hypochloremia and hypokalemic metabolic acidosis

52
Q

chronic pancreatitis can lead to decreases in

A

B12

53
Q

hypercalcemia can lead to

A

pancreatitis

54
Q

excess Vit C can lead to

A

calcium stones

55
Q

hepatocellular carcinoma tumor marker

A

AFP

56
Q

thumbprinting on barium enema

A

mesenteric ischemia

57
Q

test of cure for H.Pylori?

A

urea breath test or stool antigen test

Wait 4 weeks after completion of antibiotics and d/c PPI for 2 weeks

58
Q

hemochromatosis

A

AR

liver disease, skin hyperpigmentation, arthropathy, cardiac enlargement

59
Q

ischemic colitis

A

acute ab pain, lower GI bleed

CT shows thickened bowel

60
Q

indirect hernia

A

patent processus vaginalis
lateral to inferior epigastric vessels
may extend into scrotum

61
Q

direct hernia

A

weakness of transversalis fascia
medial to inf epigastric vessels
may pass through superficial inguinal ring

62
Q

NAFLD

A

hepatic steatosis in absence of etoh
mildly elevated AST/ALT that are close
increased alk phos

PANCE (15 decks)

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