Gastroenterology — Flashcards

Flashcard 1031: _____ presents with chronic, widespread musculoskeletal pain associated with "tender points"

Answer: Fibromyalgia

Flashcard 1032: Which cause of genital ulceration presents with painless red genital ulcer that bleeds on contact?_____

Answer: Granuloma inguinale/donovanosis (Klebsiella granulomatis)

Flashcard 1033: The main symptomatic difference between cryoglobulinemic vasculitis and henoch-schonlein purpura is a lack of _____ symptoms

Answer: gastrointestinal

Flashcard 1034: _____ effects of blastomycosis typically occur when patients are in an immunocompromised state

Answer: Systemic

Flashcard 1035: The first line treatment for Irritable bowel syndrome is lifestyle modification and increased dietary _____

Answer: fiber

Flashcard 1036: Inflammation of the lips with scaling and fissures at the corners of the mouth is known as _____

Answer: cheilosis

Flashcard 1037: Does eosinophilic esophagitis respond to GERD therapy (e.g. PPIs)?

Answer: Yes

Extra: Current guidelines (ACG/AGA) recognize PPIs as a **first-line treatment option** for eosinophilic esophagitis (EoE), alongside topical steroids (budesonide/fluticasone) and dietary elimination. Previously, a response to PPIs was used to distinguish "PPI-responsive esophageal eosinophilia" from "true" EoE, but these are now considered part of the same EoE disease spectrum.

Flashcard 1038: What antibiotic class is generally considered the preferred first-line treatment for acute bacterial prostatitis?

Answer: Fluoroquinolones (e.g., Ciprofloxacin, Levofloxacin)

Extra: Fluoroquinolones are generally preferred over TMP-SMX for acute prostatitis because of their superior penetration into the prostatic tissue. Treatment duration is typically 4 to 6 weeks to prevent the development of chronic prostatitis or prostatic abscess.

Flashcard 1039: Disorders of primary hemostasis present with symptoms of mucosal bleeding, such as _____ (most common overall symptom)

Answer: epistaxis

Flashcard 1040: Dermatomyositis can present as a paraneoplastic syndrome associated with _____

Answer: adenocarcinomas