Gastroenterology US Medical PG Flashcards - Medical Study Cards
Master Gastroenterology with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Gastroenterology Flashcard Deck - 10 Cards
Flashcard 801: Bulimia nervosa is characterized by electrolyte disturbances and metabolic _____
Answer: alkalosis
Extra: Vomiting leads to loss of HCl and volume depletion, resulting in a hypokalemic, hypochloremic metabolic alkalosis. Laxative abuse leads to bicarbonate loss in the stool, resulting in a metabolic acidosis.
Flashcard 802: (+) Chlamydia and (-) gonorrhea with PCR testing is managed with _____
Answer: treat chlamydia only
Extra: https://onlinemeded.org/spa/obgyn?ref=anki
Flashcard 803: A patient with difficulty swallowing due to food stuck substernally for 12 hours likely has _____
Answer: food impaction
Extra:
https://onlinemeded.org/spa/gastroenterology/esophagitis/acquire?ref=anki
Flashcard 804: CENTOR criteria in adults:
0-1 point(s): _____
2-3 point(s): _____
4 point(s): _____
Answer: No testing / treatment
Extra: In children, a positive rapid antigen detection test (RADT) or throat culture is required before starting antibiotics, regardless of the Centor score, because the prevalence of streptococcal pharyngitis is higher and the risk of viral pharyngitis is also high.
Note: Some guidelines (IDSA) suggest RADT for all adults with a score ≥ 2 and avoid empiric treatment, but board exams often still use the "4 = empiric" rule.
Flashcard 805: What is the likely diagnosis in a patient with melena and epigastric abdominal pain that is relieved with eating?
_____
Answer: Peptic ulcer disease (duodenal ulcer)
Extra:
https://onlinemeded.org/spa/gastroenterology/peptic-ulcer/acquire?ref=anki
Flashcard 806: Progressive solid dysphagia and chronic heartburn is suggestive of _____
Answer: peptic stricture
Extra:
https://onlinemeded.org?ref=anki
Flashcard 807: At which age is screening for colorectal cancer recommended in adults?
_____
Answer: 45 (or 10 years prior to the age of diagnosis of an affected first-degree relative, whichever is earlier)
Extra: Screening for average-risk individuals now starts at age 45 (previously 50) according to updated USPSTF and ACS guidelines.
For those with a first-degree relative diagnosed < 60 years old, screening begins at age 40 or 10 years before the relative's diagnosis, whichever is earlier.
https://onlinemeded.org/spa/gastroenterology/colon-cancer/acquire?ref=anki
Flashcard 808: What antibiotic should be started for patients with a first recurrence of C. difficile colitis?
_____
Answer: Oral vancomycin or fidaxomicin
Extra:
https://onlinemeded.org/spa/gastroenterology/acute-diarrhea/acquire?ref=anki
Flashcard 809: What 3 tumors can present w/ painless jaundice, palpable GB, and weight loss?
_____
Answer: Pancreatic (adeno from head), cholangiocarcinoma, ampulla of vater
Extra:
https://onlinemeded.org/spa/gastroenterology/jaundice/acquire?ref=anki
Flashcard 810: The 6 P's (pruritic, purple, polygonal, planar, papules, and plaques) are characteristic of _____.
Answer: lichen planus
Extra: Lichen planus is associated with Hepatitis C infection. Oral involvement often presents as Wickham striae.
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