Gastroenterology — Flashcards

Flashcard 681: 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)

Extra:  https://onlinemeded.org/spa/gastroenterology/gi-bleed/acquire?ref=anki 

Flashcard 682: Duodenal ulcers located in the _____ duodenum may rupture, leading to bleeding from the gastroduodenal artery

Answer: posterior

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Flashcard 683: Patients with pernicious anemia and vitamin B12 deficiency need to be monitored for the development of what disease? _____

Answer: Gastric cancer (both intestinal and carcinoid can occur)

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Flashcard 684: What type of abdominal pain is associated with sudden onset severe pain that is out of proportion to PE? _____

Answer: Ischemia

Extra:  https://onlinemeded.org/spa/surgery-general/abdominal-pain/acquire?ref=anki 

Flashcard 685: What are the initial steps in the management of irritable bowel syndrome? (2)\n_____

Answer: Loperamide and Low FODMAP diet

Extra: Dietary modification (Low FODMAP) is first-line for all IBS subtypes. Loperamide is used for symptomatic control in diarrhea-predominant IBS (IBS-D).

Flashcard 686: What viral testing should be offered to a patient with fever, generalized maculopapular rash, and generalized nontender lymphadenopathy? _____

Answer: HIV testing

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Flashcard 687: Does celiac disease affect the integrity or absorptive capacity of the small intestinal mucosa? _____

Answer: Yes

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Flashcard 688: What is the initial management for Ménière disease? _____

Answer: Lifestyle adjustments

Extra:  https://onlinemeded.org/spa/neurology/dizziness/acquire?ref=anki 

Flashcard 689: What is the management for acute flares of rheumatoid arthritis? _____

Answer: Glucocorticoids

Extra:  https://onlinemeded.org/spa/musculoskeletal?ref=anki 

Flashcard 690: Reactive arthritis triad includes: _____

Answer: Conjunctivitis Urethritis Arthritis