Stomach

Question 1

Characterized by epigastric burning, early satiety or postprandial fullness

Answer 1

dyspepsia

Question 2

What is the most common cause of adenocarcinoma?

Answer 2

Chronic H. pylori infection

Question 3

What is a risk factor for hiatal hernia?

Answer 3

GERD or esophageal webs/rings

Question 4

When would you suspect Zollinger-Ellison?

Answer 4

Reflux symptoms + diarrhea that are refractory to PPI’s

Question 5

How do you measure for Zollinger-Ellison?

Answer 5

fasting gastrin level

Question 6

This is a diabetic who is vomiting after meals , has early satiety, reflux and malnutrition

Answer 6

gastroparesis–> don’t eat too much fiber! eat small meals

Question 7

Who gets erosive gastritis?

Answer 7

alcoholics, critically ill patients, people taking NSAIDs

Question 8

Who gets nonerosize gastritis?

Answer 8

H. pylori infection, pernicious anemia, eosinophillic anemia

Question 9

This anemia is strongly associated with poor B12 absorption

Answer 9

pernicious anemia

Question 10

What is a complication of pernicious anemia?

Answer 10

adenocarcinoma

Question 11

In duodenal ulcers, pain is ____by meals

Answer 11

relieved

Question 12

What causes duodenal ulcers?

Answer 12

H. pylori and NSAIDs

Question 13

Are diet modifications helpful with duodenal ulcers

Answer 13

no

Question 14

This kind of ulcer is WORSE with eating

Answer 14

gastric (usually caused by NSAIDs)

Question 15

This disorder is relieved by defecation and is characterized by changes in frequency, and changes in stool appearance

Answer 15

IBS

Question 16

What kind of disorder is IBS?

Answer 16

functional

Question 17

What are some risk factors for colon cancer?

Answer 17

IBD: Crohn or ulcerative colitis, smoking, meats, fats

Question 18

What is the tumor marker for colon cancer?

Answer 18

CEA

Question 19

What often do you screen after resection?

Answer 19

every 3-6 months

Question 20

What symptoms would you have with a proximal vs distal colon tumor?

Answer 20

proximal: anemia

distal colon: change in bowel habits

Question 21

How do you diagnosis ulcerative colitis?

Answer 21

sigmoidoscopy

Question 22

What will happen if patients stop smoking and they have ulcerative colitis?

Answer 22

symptoms may worsen

Question 23

what is a serious complication of ulcerative colitis?

Answer 23

toxic megacolon

Question 24

What disease is characterized by intermittent RLQ, fever and diarrhea?

Answer 24

Crohn

Question 25

What are some extraintestinal manifestations of crohn?

Answer 25

erythema nodosum, gallstones, kidney stones, arthralgias, pyoderma gangrenosum, perianal disease

Question 26

What does biopsy reveal in crohn?

Answer 26

granulomas

Question 27

WHo gets diverticulosis?

Answer 27

someone not eating enough fiber, Marfan syndrome, scleroderma

Question 28

What is a complication of diverticulosis?

Answer 28

fistula with bladder

Question 29

This disorder primarily causes malabsorption. Weight loss, diarrhea and joint pain are common. Most common in white men in their fourth to sixth decade

Answer 29

Whipple disease; "foamy appearing infiltrate" on biopsy

Question 30

Most common cause of upper GI bleed

Answer 30

peptic ulcer