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