UGIB 1
LGIB 1
UGIB 2
LGIB 2
Miscellaneous
100
The most likely diagnosis of a 48 yo man with a history of heavy alcohol use and acute onset of massive hematemesis
What is variceal hemorrhage?
100
The most likely diagnosis of a 67yo woman with iron deficiency anemia, weight loss, change in stool caliber, and hematochezia.
What is malignancy?
100
The prophylactic treatment for esophageal varices.
What is a Non-selective beta blocker (propranolol)?
100
The most common cause of LGIB requiring hospitalization?
What is diverticular bleed?
bonus: THe second most common cause?
100
This is the anatomic landmark that separates upper and lower GI bleeds.
What is the ligament of Treitz?
200
The most likely diagnosis of a 54yo man with active alcohol abuse presents with hematemesis that began shortly after an episode of heavy retching.
What is a Mallory-Weiss tear
200
Most likely diagnosis in a 54yo male with a history of chronic constipation presenting with painless hematochezia.
What is a diverticular bleed?
200
The definitive study to diagnosis UGIB.
What is an EGD?
200
The first line treatment for bleeding internal hemorrhoids.
What is conservative management with fiber and water intake?
Bonus: Second line?
200
The mortality rate in overt GI bleeds
What is 10%?
300
The most likely diagnosis of a 55yo man with progressive knee pain who has been treating with OTC pain reliever
What is Peptic Ulcer Disease?
300
Most likely diagnosis in a 57yo woman with a history of afib who underwent a screening colonoscopy 2 weeks ago.
What is a postpolypectomy bleed?
300
The definitive treatment for esophageal varices.
What is TIPS procedure or liver transplant?
300
A consideration for a woman with an occult GI bleed with a negative colonoscopy and CTA with continued downtrending hemoglobin and melena.
What is a capsule endoscopy?
300
The preferred form of access for aggressive volume/blood resuscitation.
What is a cordis or 2 large bore IVs?
400
The most likely diagnosis of a 68yo woman who recently started treatment with alendronate following a hip fracture.
What is Esophagitis?
400
The most likely diagnosis in a 78yo male with a late-peaking crescendo-decrescendo systolic murmur at right sternal border presenting with hematochezia.
What is an angiodysplasia?
** also associated with von Willebrand disease and CKD
400
This medication is the only therapy that has mortality benefit in patient with cirrhosis and UGIB.
What are antibiotics (ceftriaxone)?
400
Causes of false positive stool guaiac testing.
What is red or raw meats, horseradish, turnips, broccoli, radishes, vitamin C, aspirin, plavix, SSRI, and more....
400
The max flow rate of a triple lumen catheter.
What is 26ml/hr?
500
Identify the pathology.
What is esophageal necrosis?
500
Most likely diagnosis in a 44yo women with tight, shiny skin, dysphagia, and Raynaud's phenomena and intermittent hematocheizia.
What is a telangiectasia associated with systemic sclerosis?
500
Identify this device.
What is a blakemore tube?
500
Physical exam finding the GI fellow may ask you about.
What is the digital rectal exam?
500
The max flow rate of a 16 gauge IV.
What is 220ml/hr?