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Step III - GI 9

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Question
Answer
Acute hepatitis liver finding   Hepatomegaly  
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Asterixis is a sign indicative of what   Hepatic encephalopathy 2nd to incr ammonia levels  
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End stage liver disease from cirrhosis and portal HTN can manifest as what on physical exam   Ascites  
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Carcinoid syndrome S/S appear in pts when   Mets to liver  
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What the MC place for carcinoid tumors   Appendix (but do not mets from here)  
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Which IBD always involves the rectum   UC  
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Which IBD has perianal fissures   Crohns  
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Which IBD involves entire GI tract   Crohns  
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Which IBD is a/w toxic megacolon   UC  
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What needs to be done FIRST and foremost in abdominal cases before labs and studies   DRE  
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Time frame of S/S for gastroparesis vs GERD   GERD: 30-90 min after meal ingestion w/ pain related to positional; gastroparesis: hours after meal a/w pt hx DM  
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Painful BRBPR w/ defecation   Anal fissure  
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Diagnosis for anal fissure   H&P alone  
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Effect of H1-R   (+) bronchoconstriction, intestinal motility, myocardial contractility  
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Effect of H2-R blockage   Prevents gastric acid release from parietal cells  
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AAA surgery should be performed on those measuring   >5.5cm  
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Management of AAA 3.4 – 5.0 cm   US monitoring q6mos  
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Pt w/ endograft repair of AAA should be managed outpatient how   Serial CT scanning  
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Pts with <3.5cm AAA should be followed how   Yearly US  
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What is the most predisposing condition for the development of AAAs   Atherosclerosis  
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Created by: DrINFJ
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