Upper GI Dx
True or False: 24-hour pH monitoring is recommended in the routine diagnosis of GERD.
Answer: False: 24-hour pH monitoring is not recommended in the routine diagnosis of
GERD and is NOT required in the presence of Barrett’s esophagus.
True or False: Patients with known osteoporosis can remain on PPI therapy.
Answer: True
___ and ___ establishes the diagnosis of Celiac
What is serology followed by colonoscopy
T/F:
Viral gastroenteritis is managed with antibiotics
What is F
The following are considered alarm symptoms except:
a) Black or blood stools
b) Atypical chest pain
c) Hematemesis
d) Iron deficiency anemia
e) Weight loss
b) Atypical chest pain
What is the standard first line triple therapy for H.Pylori infection?
a) Bismuth subsalicylate 525 mg, metronidazole 250 mg, tetracycline 500 mg 4 times a
day, and PPI twice daily for 10 days
b) Both D and E
c) Amoxicillin 1 g twice daily, levofloxacin 500 mg once daily and PPI for 10 days
d) PPI, amoxicillin 1 g, clarithromycin 500 mg twice daily for 14 days
e) PPI, clarithromycin 500 mg and metronidazole 500 mg twice daily for 14 days
f) PPI, clarithromycin 500 mg and metronidazole 500 mg twice daily for 5 days
Answer: B) Both D and E
Drug which best induces remission for UC and drugs which are used for flare ups
Remission - Sulfasalazine
Flare up - Steroids or Infliximab if steroid-naive
Drug of choice in pseudomembranous colitis + most common offending agent
Which non-invasive diagnostic test would you recommend for a patient with suspected
peptic ulcer disease due to H.Pylori?
a) Stool antigen test and Urea breath test
b) Antibody tests
c) Culture
d) Endoscopy
e) 24-hour pH monitoring
a) Stool antigen test and Urea breath test
True or False: Confirmatory testing for H. Pylori eradication should be done at least 2 weeks after treatment
Answer: False, confirmatory testing with stool and breath tests should be done at least 4
weeks after treatment.
CRC screening
Single first-degree relative with CRC or an advanced adenoma diagnosed at <60 years of age
What is at 40 years old or 10 years before the youngest age at time of diagnosis.
Repeat every 5 years.
daily double
____ is the most common cause in children and produces similar incidence rates in both the developed and developing world.
____ is the leading cause of gastroenteritis among adults in America, causing greater than 90% of outbreaks.
What is the best test used to diagnosis pancreatic cancer?
a) CA 19-9
b) MRI
c) ERCP
d) FNA
e) All of the above
e) All of the above
What is the recommended treatment for a patient with gastric dysmotility (slow or
delayed emptying)?
a) Antibiotics
b) NSAIDS
c) Metoclopramide
d) Both A and C
Answer: D) Both A and C, metoclopramide, erythromycin, prokinetics
Colonoscopy shows solitary hyperplastic 8 mm polyp. Family history negative for colon ca. Repeat when?
m/c cause of bacterial diarrhea in the US
What is salmonella
A 55-year-old male patient has dysphagia with solids and liquids for the past year, what
test would you recommend?
a) Barium swallow
b) 24-hour pH monitoring
c) Endoscopy
d) Esophageal Manometry
e) Both A and D
e) Both A and D
True or False: PPI should be taken 30-60 minutes prior to a meal (the first meal of the day) to optimize effectiveness.
Answer: True.
CT scans should be repeated at ___ interval for IBS
What is only if there are significant clinical changes
Drug of choice for E. Coli 0157:H7 + what do you need to monitor
What is generally not indicated, supportive care. Monitor BMP for Creatinine