GI Endoscopy

Question 1

Indications for EGD

Answer 1

• GERD/Barrett’s
• Dysphagia
• Upper abdominal pain
• Celiac Dx

Question 2

When are barium studies indicated first before EGD?

Answer 2

Motility disorders like Achalasia

Question 3

Dyspepsia

Answer 3

Abdominal discomfort w/ no alarming S/S. normal include:

• Belching
• bloating
• gurgling
• gas

Question 4

Management of GI hemorrhage

Answer 4

• Volume resuscitation
• Acid suppression
• Endoscopy

Question 5

Diagnostic Conditions via endoscopy

Answer 5

• Esophagitis
• Mallory-Weiss tears
• PUD
• Varices
• Malignancies

Question 6

EUS indications

Answer 6

• Cancer staging
• GIST
• Pancreatic
  Cystic Neoplasms
• Choledocholithiasis
• Liver/spleen masses

Question 7

Which two organs are major limitations for WCE camera?

Answer 7

Stomach + Colon

Question 8

Indications for WCE (camera pill)

Answer 8

• Occult’s GIB
• Abnormal small bowel imaging
• Crohns eval

Question 9

ERCP indications

Answer 9

• Choledocholithiasis
• Obstructive jaundice
• Chronic pancreatitis
• abnormal liver tests
• therapeutics

Question 10

Which is true of ERCP?

 A. It is the easiest of all GI procedures to
perform
 B. It has the ability to image the liver
parenchyma
 C. Rarely fatal pancreatitis is a feared
complication
 D. A forward viewing camera is used to better see the ampulla

Answer 10

C

Question 11

Colonoscopy Indications

Answer 11

• Screening
• Rectal bleeding
• Diahrrea/Bowel habits
• IBS Diagnosis/management

Question 12

Limitations of:
CT Colon
Barium enema
Flexible sigmoidoscopy
FIT/DNA

Answer 12

CT Colon: Not therapeutic
Barium Enema: No fun + Not therapeutic
Sigmoid: limited extent
FIT:sensitive w/ only advanced lesions

Question 13

First teir colon screening

Answer 13

Colonoscopy + FIT

Question 14

2nd tier colon testing

Answer 14

CT Colonography
FIT-fecal DNA test
Sigmoidoscopy

Question 15

3rd tier Colon screening

Answer 15

Capsule Colonoscopy

Question 16

What age should African Americans begin screening for CRC?

Answer 16

45 YO

Question 17

Painful bright red blood in stool

Answer 17

• Fissure
• Colitis
• External hemorrhoids

Question 18

Painless bright red blood in stool

Answer 18

Internal hemorrhoids

Question 19

Hemodynamically unstable painless LGIB

Answer 19

1. Diverticulosis

2. AVM

Question 20

Hemodynamically unstable painful LGIB

Answer 20

Ischemic colitis

Rarely: malignancy

Question 21

Diverticulosis/itis

Answer 21

Diverticulosis: Presence of pockets; painless

Diverticulitis: Infected pockets w/ inflammation; painful

Question 22

The terminal ileum is seen by all of the following modalities EXCEPT:
A.  WCE
B.  ERCP
C.  Colonoscopy
D.  Small bowel series

Answer 22

B. ERCP

Question 23

The most common cause of painless, hemodymanically significant hematochezia in the elderly is:
A.  Ischemic colitis
B.  Colorectal malignancy
C.  Internal hemorrhoids
D.  Diverticulosis

Answer 23

C. Internal hemorrhoids