Gastroenterology — Flashcards

Flashcard 671: _____ may be used to treat acromegaly and gigantism if symptoms persist after trans-sphenoidal resection (to remove the adenoma)

Answer: Octreotide (somatostatin analog)

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Flashcard 672: Gastric ulcers present with epigastric pain that _____ with meals and can therefore lead to weight loss

Answer: worsens

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Flashcard 673: Painless genital ulcer (chancre) is seen in _____

Answer: primary syphilis

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Flashcard 674: What is the likely diagnosis in a young adult female with symmetric, migratory, polyarticular arthritis/arthralgias with brief morning stiffness? The patient also has painless oral ulcers and splenomegaly. Laboratory examination reveals pancytopenia, RBCs and proteinuria on urinalysis.\n_____

Answer: Systemic lupus erythematosus (SLE)

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Flashcard 675: What is the likely diagnosis in an elderly woman with three months of neck, shoulder, and hip pain, morning stiffness, as well as malaise and weight loss? ESR is elevated and creatine kinase is normal. _____

Answer: Polymyalgia rheumatica

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Flashcard 676: Bleeding esophageal varices is managed with IVF, octreotide, and antibiotics followed by _____

Answer: endoscopic band ligation

Flashcard 677: What type of abdominal pain is associated with sudden onset severe pain that is out of proportion to PE? _____

Answer: Ischemia

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Flashcard 678: Small fluid-containing blister < 1 cm = _____

Answer: vesicle

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Flashcard 679: What is the likely diagnosis in a premenopausal woman that presents with dyspareunia and dry vaginal mucosa? The patient's history is significant for chronic dry eyes/mouth. _____

Answer: Sjögren's syndrome

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Flashcard 680: What is the likely diagnosis in a patient with extensive alcohol use who presents with severe retrosternal pain and subcutaneous emphysema after vomiting? _____

Answer: Esophageal perforation (Boerhaave syndrome)

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