Gastroenterology — Flashcards

Flashcard 591: Which genital infection is characterized by extensive, painless ulcers without lymphadenopathy? _____

Answer: Klebsiella granulomatis (granuloma inguinale)

Flashcard 592: Bilateral ptosis, diplopia, dysphagia and muscle weakness is suggestive of _____

Answer: myasthenia gravis

Flashcard 593: When does colonoscopy screening begin for average-risk individuals?\n_____

Answer: Age 45 (or 10 years before diagnosis in a first-degree relative)

Extra: Current guidelines (USPSTF/ACG) recommend colorectal cancer screening starting at age 45 for average-risk individuals. For patients with a first-degree relative diagnosed with CRC before age 60 (or two first-degree relatives at any age), screening should begin at age 40 or 10 years before the age of the relative's diagnosis, whichever is earlier.

Flashcard 594: CA 19-9 is used to monitor recurrence of _____ adenocarcinoma

Answer: pancreatic

Flashcard 595: SCID = _____ absolute lymphocyte count HIV = _____ absolute lymphocyte count

Answer: ↓

Flashcard 596: The next step in the evaluation of metabolic alkalosis is checking the _____

Answer: urine chloride

Extra: Urine chloride helps differentiate between saline-responsive (urine Cl- < 20 mEq/L) and saline-resistant (urine Cl- > 20 mEq/L) metabolic alkalosis.

Flashcard 597: Which blistering skin disorder may involve the mucosal lesions (e.g. mouth)? _____

Answer: Pemphigus vulgaris

Flashcard 598: After you diagnose an adrenal tumor via CT/MRI, what would you want to do next to confirm which adrenal gland responsible? _____

Answer: Adrenal vein sampling

Flashcard 599: Intermittent dysphagia: - Solids: _____ - Solids and liquids: Esophageal spasm

Answer: Eosinophilic esophagitis

Flashcard 600: What is the likely diagnosis in a patient that presents with constipation, cold intolerance, low libido, and hypoglycemia with eosinophilia on laboratory exam? _____

Answer: Hypopituitarism