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Gastro 2 (Oral)

Step-2

QuestionAnswer
Cafe au lait spots are characteristic of what dx? Neurofibromatosis 1
A 50 y/o man w/ a 25 pk year history presents with his second bout of pneumonia in the last 6 months. CXR reveals a lobar consolidation in the same location as the previous pneumonia. Besides treating his pneumonia, what's the next step in the management? CT scan of chest (recurrent pneumonia in the same spot is a red flag for CA or bronchial obstruction)
What's the underlying cause of neonatal repiratory distress syndrome? surfactant def.
What anatomic structures in the GI tract are highlighted by the following: barium swallow esophagus, LES, stomach
What anatomic structures in the GI tract are highlighted by the following: gastric emptying study stomach, pyloric sphincter, duodenum
What anatomic structures in the GI tract are highlighted by the following: small bowel follow through stomach-->terminal ileum
What anatomic structures in the GI tract are highlighted by the following: barium enema colon, appendix
What is the next step after H&P in the w/u of a pt complaining of dysphagia? Barium swallow
A pt presents with dysphagia, and the barium swallow shows a corkscrew pattern of the esophagus. What is the diagnosis? diffuse esophageal spasm
Another pt presents with dysphagia, and the barium swallow shows a "bird's beak" sign in the distal esophagus. What is the dx? Achalasia
How does the treatment for diffuse esophageal spasm differ from that of achalasia? DES is treated medially with nifedipine, nitrates, and TCAs. Achalasia needs intervention such as dilation, BOTOX, myotomy
What is the difference between Mallory-Weiss and Boerhaave syndrome? Mallory Weiss is a mucosal laceration(tear) in the distal esophagus. Boerhaave syndrome is a perforation or rupture in distal esophagus.
What is the mcc of achalasia in pts 25-60yrs? idiopathic
What are some secondary causes of achalasia? chagas dz, neoplasm, and scleroderma
Which esophageal disorder matches the description below: chest pain, uncoordinated contractions, corkscrew pattern on barium swallow diffuse esophageal spasm
Which esophageal disorder matches the description below: inability to relax the LES, bird's beak on barium swallow achalasi
Which esophageal disorder matches the description below: bad breath, regurgitation of food eaten days ago zeneker diverticulum
Which type of esophageal cancer is most prevalent in the US? Adenocarcinoma
Where is the following type of esophageal diverticula located: zeneker diverticulum immediately above the upper esophageal sphincter
Where is the following type of esophageal diverticula located: traction diverticulum near the midpoint of the esophagus
Where is the following type of esophageal diverticula located: epiphrenic diverticulum immediately above the LES
Besides the sensation of "heart burn", what is a common sx of GERD? persistent cough
What is Barrett esophagus, and why is it important? Its squamous epithelium that has undergone columnar metaplasia. It can lead to adenocarcinoma.
Created by: shelybel