GI highlights

Question 1

What is the key symptom of esophageal neoplasms?

Answer 1

Progressive dysphagia, first with solids then including liquids

Question 2

What are the 4 main groups of constipation Txs? Which should not be used for opioid induced constipation?

Answer 2

1) Bulk laxatives
2) Osmotic laxatives
3) Stimulant laxatives (don’t use for opioids)
4) Emollient laxatives (stool softeners)

Question 3

Name a main symptom of IBS (important; test question clue)

Answer 3

Abdominal pain relieved by defecation

Question 4

Mesenteric edema and stranding on angiography indicate?

Answer 4

Ischemic Bowel Disease

Question 5

Colonic Polyps:
2) Which is lowest risk and how often do you f/u?
3) Which type has increased risk? When should you f/u?
4) What is highest risk? When should you f/u?

Answer 5

1) Hyperplastic
-Single: q10y. Multiple: q5y.
2) Tubular polyps; q5y
3) Villous polyps; q3y

Question 6

Descr the general presentation of acute pancreatitis

Answer 6

Varies widely from epigastric pain to shock
Common: epigastric pain with nausea and vomiting
>Radiates to back and lessens when leaning forward or in fetal position

Question 7

What may be seen on CT w chronic pancreatitis?

Answer 7

Calcifications

Question 8

What are Charcot’s triad and Reynold’s pentad for cholangitis? (important)

Answer 8

1) Charcot’s triad: RUQ tenderness, jaundice, fever
2) Reynolds’ pentad: above + AMS and hypotension. Indicates sepsis.

Question 9

1) Which 2 types of viral hepatitis are transmitted by fecal-oral contamination?
2) Which are transmitted parenterally or by mucous membrane contact?

Answer 9

1) A & E
2) B, C, D