All Correct Answers
What are the three borders of Hesselbach's triangle? correct answer -
Medial border: rectus abdominus - Superior border: inferior epigastric artery
- Lateral border: inguinal ligament
What is the most common cause of painless rectal bleeding in pediatric
population? correct answer -Polyps
What is intestinal pseudo-obstruction without evidence of mechanical cause
called? correct answer -Ogilvie Syndrome
List the 6 "rule of 2" characteristics of Meckel's diverticulum. correct
answer -2% of population - 2 feet proximal to ileocecal valve - 2 inches long -
2 years old - 2:1 M:F ratio - 2 tissues: gastric & pancreatic
Slate colored skin may represent which underlying GI disorder? correct
answer -Primary Biliary Cirrhosis
What agent is used to chelate copper in the treatment of Wilson's disease?
correct answer -Penicillamine
Treatment of chronic hepatitis due to hemochromatosis? correct answer -
Phlebotomy and deferoxamine chelation
Treatment of chronic hepatitis due to Wilson's disease? correct answer -
Copper chelation
Treatment of chronic autoimmune hepatitis? correct answer -
Corticosteroids
Treatment of chronic viral hepatitis B or C? correct answer -Pegylated
interferon-alpha
What serum gastrin levels are found with Zollinger Ellison Syndrome?
correct answer -> 150 pg/mL is suggestive - > 200 pg/mL is diagnostic
,What level of eosinophilia is diagnostic of eosinophilic esophagitis on biopsy?
correct answer -> 15 eosinophils/HPF
What type of diarrhea is seen in patients with cholera? correct answer -
Secretory diarrhea
What type of diarrhea does lactose intolerance often cause? correct answer
-Osmotic diarrhea
Name the 3 most common symptoms of pellagra. correct answer
-"Diarrhea - Dementia - Dermatitis (3 "D"s)
What type of infectious diarrhea is often linked to deli meats and can be
deleterious in pregnant women (lead to miscarriage)? correct answer -
Listeria
Which vitamin deficiency can lead to problems clotting and excessive
bleeding? correct answer -Vitamin K
Patient with Hepatitis C is at high risk for which malignancy? correct answer
-Liver cancer
What disease is caused by vitamin C deficiency? correct answer -Scurvy
What disease is caused by niacin deficiency? correct answer -Pellagra
What vitamin deficiency can lead to cause rickets in children? correct
answer -Vitamin D
Name the fat soluble vitamins. correct answer -Vitamins: ADEK
Congenital error of metabolism in which life-long avoidance of phenylalanine
is required? correct answer -Phenylketonuria
What is the Dx? Nursing home patient with severe watery diarrhea after
recent antibiotics. correct answer -C. difficile
, Prophylactic antibiotic given to prevent traveler's diarrhea? correct answer
-Fluoroquinolone (e.g. ciprofloxacin) - (Pregnant woman or child give
azithromycin)
Which disorder commonly has cobblestoning or skip lesions on imaging?
correct answer -Crohn's
What test is used to diagnose lactase deficiency? correct answer -Lactose
breath hydrogen test
Which vitamin deficiency is perifollicular petechiae suggestive of? correct
answer -Vitamin C (Scurvy)
What diarrhea related infection may lead to meningitis in neonates and
immunocompromised patients? correct answer -Listeria
What type of inguinal hernia is felt on the side of the finger during exam?
correct answer -Direct
What type of inguinal hernia is felt on the tip of the finger during exam?
correct answer -Indirect
Treatment for Giardia infection? correct answer -Metronidazole
Does Shigella cause bloody or nonbloody diarrhea? correct answer -
Bloody diarrhea
Will umbilical hernias in children <12 months old usually resolve on their
own? correct answer -Yes
Risk factors for ventral hernia? correct answer -Abdominal surgery - Age -
Obesity - Wound infection - Surgical drains
What is the Dx and treatment? Stomach herniated up into thorax. correct
answer -Paraesophageal hernia - Surgery recommended
Common symptoms associated with sliding hiatal hernia? correct answer -
Reflux and heartburn