Gastroenterology 1
Dumping syndrome treatment
Frequent small meals
IBS-D antibiotic treatment
Rifaximin
Treatment of chronic pancreatitis steatorrhea
Pancreatic enzymes
IBD diagnostic test
Ileocolonoscopy with biopsy
Core principle in treating relapsed H. pylori infection
Use different antibiotics/regimen
H. pylori eradication tests
Urea breath test, fecal antigen test, or gastric biopsy
Diagnosis suggested by fistula, perianal disease, strictures, abscess
Crohn disease
Role of systemic glucocorticoids in IBD
Induction of remission, not maintenance therapy
Treatment for all patients with Barrett esophagus
PPI and lifestyle changes (smoking cessation, weight loss)
Colonoscopy timing after acute diverticulitis
6-8 weeks after symptom resolution
Most common dermatologic manifestations of IBD
Erythema nodosum, pyoderma gangrenosum
Adjunctive therapies for short bowel syndrome
Loperamide, PPI
Test for small-bowel bleeding after negative upper and lower endoscopy in stable patient
Capsule endoscopy
Acute pancreatitis lab tests predicting poor outcome
Elevated hematocrit and BUN
First-line treatments for eosinophilic esophagitis
Elimination diets, PPI, swallowed topical glucocorticoids
Treatment for moderate to severe Crohn disease in patients with high-risk disease or severe disease activity
Anti-TNF agents
Indications for surgical treatment of GERD
Failure of PPIs, desire to stop PPI, intolerable PPI adverse effects
When to resume aspirin for secondary prevention of CVD in GI bleeding
As soon as possible after hemostasis
Age to begin CRC screening if CRC or advanced polyp diagnosed in two first-degree relatives
Age 40 years or 10 years before youngest relative's diagnosis, whichever is earliest
Infectious agents causing watery diarrhea
C. difficile, viruses, E. coli, cholera, cryptosporidia, G. duodenalis
Indications for surgery in Crohn disease
Medically refractory fistula, fibrotic stricture with obstructive symptoms, refractory symptoms, cancer
Angiographic findings suggesting chronic mesenteric ischemia
>70% stenosis of two of three mesenteric arteries
Preferred diagnostic test for acute mesenteric ischemia
CTA
Earliest age to initiate colonoscopy in Lynch syndrome
Age 20-25 years or 2-5 years before youngest relative's diagnosis
Gold standard diagnostic test for achalasia
Esophageal manometry