GI Exam review

Which of the following diseases is a malabsorptive diarrhea that can affect multiple organs + migratory arthritis?

If PT is elevated or prolonged, a deficiency in which vitamin is suspected?

What is the only known precursor to esophageal adenocarcinoma?

Multiple air fluid levels on X-ray can be indicative of

Which cancer is associated with elevated alpha-fetoprotein (AFP)?

You have a 60 y/o F you want to not strain during bowel movements due to her hemorrhoids. Which is the best med for her?

Hernia that is more common in women and found in upper thigh area?

A patient who is a resident of a nursing home presents with diarrhea. Recent antibiotics. What is patient at risk for?

Which are colonoscopy findings for Crohn's Disease?

What is a contraindication for placing an NG tube?

Pt with gnawing epigastric pain boring to back with peritoneal signs present. Hx of PUD. Dx?

Your patient has been diagnosed with liver scarring and inflammation. How would you educate your patient?

Test to evaluate steatorrhea?

Pt with 2 week hx of non bloody diarrhea, recent travel to Honduras. Diagnosis?

A patient comes in to the ER with LLQ pain , fever and a left shift on their CBC. What imaging study is CONTRAINDICATED?

Which medication may help a patient with IBS?

Which of the following is true about ostomies?

The most common cause of lower GI bleed is

Your patient has bleeding gums, what vitamin is likely deficient?

Hyperbilirubinemia can cause what symptom

Which of the following tests would best evaluate a lesion near the hepatic flexure?

Abdominal bloating, nausea, frequent vomiting, and early satiety in a pt with type 1 DM is most likely what?

A patient comes in with a non painful , reducible hernia. What activities do you want to advise him to avoid?

On endoscopy, you find that your patient has a spurting arterial bleed. What is your course of action?

Which of the following may have these physical exam findings? Sentinel pile at anal verge with small tear.

What is the treatment for a perianal abscess?

What is a common vitamin deficiency seen in alcoholics?

Approximately what size NG tube would you use in a 45 year old female

Pt with significant diarrhea and vomiting with orthostatic vital signs and signs of dehydration. What do you do?

If your patient has Hepatitis D, they also have

On imaging you find the presence of diverticulosis in the descending colon, what is your next step?

Which of the following organ is involved in protein and carbohydrate metabolism?

Ranson’s criteria is used to assess the prognosis what disease?

You order a hepatitis panel. The results come back positive for HBsAb and HbcAb. What can you deduce from this result?

pt with itching around anus x 7days. mild erythema and few papules on anus. source of itching?

What causes "shouldering" aka apple core lesion in esophagus on esophogram/barium swallow?

While working in ped surg you notice your patient's intestines have a telescopic folding. What is this called?

A patient presents to your ED with abdominal pain, fever, chills, nausea. What is the BEST imaging choice?

Pancreatic pseudocysts may be a complication of which procedure?

You see "bruising" on the flank of your patient. What is this sign called?

What food is considered a thickening food for those with an ostomy

What is the only definitive treatment for cirrhosis?

Testing for diagnosis of Zollinger Ellison syndrome?

Which of the following would be a potential cause of elevated amino-transferase?

Pt on PPI and s/p ileostomy with paresthesias, depressed mood, memory problems. What vitamin deficiency?

Which allergens are part of the "Big 8"?

Extreme elevations in GGT is commonly associated with what?

Disease with an excess build up of iron in the organs is called?

A patient with an allergy to aspirin should not be given

Recommended vaccine sequence for Hepatitis B?

An 8 year old female comes in with RLQ pain, fever and nausea. Psoas sign is positive. What is the likely diagnosis?

A 60 year old male has a form of IBD. His entire colon is removed, as a result he is cured. What did he suffer from?

Elevated ammonia is very indicative of what?

How long is the average duration of treatment for hep C?

In pt with hx of portal HTN and cirrhosis presenting hematemesis, what is most likely cause of upper GI bleeding?

The BEST and most reliable method for checking NG tube placement that is gold standard is?

Epigastric pain that improves with food and can awaken patient from sleep is associated with what?

A patient w/ hx of multiple abdominal surgeries presents with abd pain, vomiting, distention. Tinkling bowel sounds. Tx?

The most common type of calculous disease is

Pt with abdominal pain, jaundice, Kayser-Fleischer rings, low ceruloplasmin, elevated serum copper has what?

A bloody diarrhea with fever indicates:

40 year old with 1 day hx of diarrhea with mild abd pain. No blood in stool, fever, or recent antibiotic use. Tx?

Please identify this radiological finding

Patient with profuse watery diarrhea, fever, "rice water" stools and comma shaped organisms on stool microscopy. Cause?

Patient with dysphagia and abnormal CXR and barium swallow. What is next best diagnostic test?

condition is associated with long standing GERD and noted to have intestinal metaplasia with Goblet cells on endoscopy?

Gold standard for diagnosing cirrhosis of the liver?

Atypical manifestations of GERD?

Mallory Weiss tears are associated with which of the following?

Which of the following has quick onset of GI symptoms due to pre-formed toxins?