Peptic Ulcer Disease
Esophageal diseases
Inflammatory Bowel Disease
Liver diseases
Miscellaneous
100

What complication of peptic ulcer disease is associated with peritoneal signs and shock?

Perforation

100

What is the likely diagnosis in a young male with asthma presenting with dysphagia?

 Eosinophilic esophagitis

100

Which IBD type is associated with transmural involvement?

Crohn's disease

100

Which benign liver tumor is associated with the use of oral contraceptive pills?

Hepatic adenoma

100

What diagnostic test should be performed in a patient presenting with severe abdominal pain where pain is out of proportion to physical exam?

CTA

Suspect acute mesenteric ischemia

200

When should follow-up testing be performed to confirm H.pylori eradication?

4 weeks after completion of treatment

200

23-year-old HIV patient presenting with Odynophagia. Endoscopy findings shown below. What is the treatment of choice?

Fluconazole/itraconazole

200

Which IBD type is mostly associated with the complication shown below?

Toxic megacolon associated with ulcerative colitis

200

Acute elevation of AST to >1000 U/L in a patient hospitalized with septic shock. What is your preliminary diagnosis?

Liver hypoperfusion/ischemia

200

What medication is associated with benign pigmentation of the colon, known as melanosis coli if used chronically?

Senna/laxatives

300

Name the standard triple therapy treatment for H.pylori

PPI, Amoxicillin, Clarithromycin

300

Name 3 common drugs associated with pill-induced esophagitis

NSAIDs, Iron, Biphosphonates, Tetracyclines, potassium chloride, corticosteroids, quinidine, zidovudine etc.


IF NOT LISTED, CONVINCE ME OTHERWISE

300

When should surveillance testing be initiated in patients with IBD?

8-10 years after diagnosis

300

What is the initial diagnostic test for Hepatitis C infection?

Anti-HCV antibody

300

Dysentery with temperatures >101 °F should be treated with empiric ________

Azithromycin

400

How long after diagnosing an uncomplicated duodenal ulcer should a follow-up endoscopy be performed?

Duodenal PUD without complications does not require follow-up upper endoscopy.

DON'T BE TRICKED

400

What is the preferred diagnostic test in suspected oropharyngeal dysphagia?

Video fluoroscopy/Barium swallow

400

A non-healing ulcer, as shown below in a patient with IBD. What is your preliminary diagnosis?

Pyoderma Gangrenosum

400

Patients with fatty liver disease and elevated aminotransferase levels can be treated with ______

statins

400

What should you test/measure in all patients newly diagnosed with celiac disease?

 Bone mineral density

500

If aspirin is used for cardiovascular disease prevention, when can it be safely restarted after the diagnosis of peptic ulcer disease?

1-7 days after initiation of PPI

500

What is the treatment of choice for patients with Barret's esophagus with low-to-high grade dysplasia?

Endoscopic mucosal resection followed by ablation


Dont be tricked- Do not choose antireflux surgery to prevent the progression of BE to adenocarcinoma.

500

What non-invasive test can be used to differentiate between IBS and IBD?

Fecal calprotectin

500

How do you treat transaminitis associated with HELLP in pregnancy?

Delivery

500

Other than IgG anti-tTG, what other test can be used to diagnose celiac disease in a patient with IgA deficiency?

IgG anti-deamidated gliadin peptides

600

______________ testing for H. pylori will not differentiate between past and current infection; a negative test excludes infection, but a positive test cannot confirm current infection.

Serum antibody

600

In patients with Barret's esophagus and no dysplasia, at what interval should surveillance examination occur?

3-5 years

600

40-year-old with PMH of Crohn disease presents with fever and dysuria. CT scan shown below. What is the preliminary diagnosis?

Enterovesical fistula

600

Which hepatic tumor is associated with exposure to arsenic, vinyl chloride?

Hepatic angiosarcoma

600

60-year-old male presents with left lower quadrant pain and self-limited bloody diarrhea. CT finding shows segmental wall thickening and pericolonic fat stranding as shown below. What is your diagnosis?

 Colonic ischemia

700

To avoid false negative H. pylori results, guidelines recommend that antibiotics should be stopped ____ days, while PPI should be stopped ____ days prior to testing.

28-30 days for antibiotics

14 days for PPI

700

44-year-old male from Brazil presents with dysphagia to liquids and foods. EGD shows the findings below demonstrating achalasia. What diagnostic test should be performed next?

EGD- rules out structural causes such as esophagitis, stricture, ring, or adenocarcinoma 

Dont be tricked by thinking of Chagas disease and skipping EGD

700

Before initiating Azathioprine or 6-MP for IBD treatment what enzyme should be checked for?

The level of thiopurine methyltransferase; enzyme deficiency leads to increased levels of azathioprine and 6-MP

700

AST and ALT >5000 U/L in immunocompromised patient associated with encephalitis. What is your preliminary diagnosis?

HSV infection- treat with acyclovir

700

Which drug that is used in IBS-D (severe,refractory type) is associated with ischemic colitis?

Alosetron

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