Upper
Abdominal
Abdominal
Lower
GI scenarios
100

Heartburn, Nausea, Dysphagia

What is GERD

100

What is the diagnostic criteria for IBS

ROME IV Criteria

100

The diet recommended for patients with suspected IBS

What is FODMAP

100

Most common GI disorder

What is Constipation

100

61 yo female Patient presents to your clinic with the complaint of constipation, no blood in the stool, some abdominal cramping. Last colonoscopy age 50.   Initial Plan of care may include: 

What is: increased dietary fiber intake to 30 G daily, bulking agent, increased hydration, increased exercise, colonoscopy for CRC screening. 

200
How long is the initial PPI course for GERD

What is 8 weeks

200

What is a Functional GI Disorder

What is Irritable Bowel Syndrome or Functional Dyspepsia

200

Gallstones, Hypertriglyceridemia, medications, alcohol, autoimmune, scorpion bites can cause this GI disorder

What is Pancreatitis

200

3 causes/categories of constipation

What is functional, motility, secondary

200

43 yo male presents to your clinic with complaints of heartburn, regurgitation for the past 2 months.  These symptoms are bothersome while at work and sometimes at night.  He has been taking Ibuprofen 400 mg 3-4 times daily for some back pain x 6 weeks.  What is your treatment? 

What is PPI x 8 weeks

300

A condition which long term PPI use is indicated

What is Barrett's Esophagus

300

What is a top 10 reason for a primary care visit

What is Irritable Bowel Syndrome

300

3 unformed stools in 24 hours associated with nausea/vomiting, abdominal pain, tenesmus, fecal urgency, flatulence

What is acute diarrhea

300
Alarm symptoms in someone presenting with constipation

What is severe abdominal pain, fever, vomiting, hematochezia, increased laxative use

300

52 yo female presents to your office for routine annual visit.  You note that she is on omeprazole 40 mg BID, but there is no indication. She has been on this for years.   What would you do?

What is consider deprescribing by dose reduction to omeprazole 40 mg QD, or can consider stopping. 

400

Hypersensitivity to gastric distention and symptoms of indigestion, early satiety, bloating, nausea

What is dyspepsia

400

The primary symptoms of IBS

What is chronic abdominal pain and altered bowel habits (constipation/diarrhea)

400

Dysenteric Diarrhea

Grossly bloody stools

400
Top 2 tests recommended for Colon Cancer Screening

What is Colonoscopy and Fecal Immunochemical Test (FIT)

400

A 32 yr old female presents to your clinic with the following symptoms: Abdominal pain once or twice weekly for the past 6 months, associated with constipation and sometimes diarrhea.  Stools in the past have been normal formed.  Also abdominal pain improves when bowels move.  What GI diagnosis is part of your differential?   

What is Irritable Bowel Syndrome (IBS)

500

What GI condition is common in a patient with Diabetes

What is Gastroparesis

500

Alarm symptoms for someone presenting with suspected IBS

What is: > age 50, rectal bleeding, weight loss, anemia, nocturnal symptoms, family history of GI cancer, recent antibiotic use

500

GI disease caused by a gluten allergy

What is Celiac Disease

500

Amount of recommended daily dietary fiber intake

What is 30 Grams

500

35 yo female comes into your clinic complaining of diarrhea.  She is having 5 unformed stools daily for the past 5 days, no blood, no fever, no recent travel.  Your treatment plan would include: 

What is: Hydration, loperamide