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PA Surgery EOR main topics -GI ( pre,post-op) PANCE Prep Pearls Questions With Complete Solutions
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PA Surgery EOR main topics -GI ( pre,post-op) PANCE Prep Pearls Questions With
Complete Solutions
When nnis nna nnbarium nnenema nnCI? nn- nnANSWER: nn✔ nnbowel nnperf nnsuspicion, nnacute nnulcerative nncolitis
Where nnis nna nnSchatzki nnRing nnlocated? nnWhat nncondition nnis nnit nnassociated nnwith? nn- nnANSWER: nn✔ nn(lower
nnesophagus nnstricture/web) nnat nnsquamocolumnar nnjunction
sliding nnhiatal nnhernia
Pt nnpresents nnwith nndysphagia, nnesophageal nnwebs, nniron nndeficiency nnanemia, nnand nnatrophic nnglossitis. nn-
nnANSWER: nn✔ nnPlummer-Vinson nnsyndrome
Pathophys nnof nnGERD nn- nnANSWER: nn✔ nnincompetent nnLES
How nndo nnyou nndx nnGERD? nn- nnANSWER: nn✔ nn12 nnhour nnambulatory nnpH nn= nngold nnstandard, nnendoscopy,
nnesophageal nnmanometry nn(--> nndecreased nnLES nnpressure)
Pt nnpresents nnwith nnvomiting/hematemesis nnafter nnan nnalcohol nnbinge. nnWhat nndo nnyou nnexpect nnto nnsee
nnon nnupper nnendoscopy? nn- nnANSWER: nn✔ nnmallory-weiss nntears
superficial nnlongitudinal nnmucosal nnerosions
FYI: nntx nnis nnusually nnjust nnsupportive
Cirrhosis nnpt nnpresents nnwith nnupper nnGI nnbleed nn(hematemesis, nnmelena). nnWhat nnis nnthe nnlikely nncause,
nnand nnwhat nnit nnits nnpathophys? nn- nnANSWER: nn✔ nnesophageal nnvarices
, dilation nnof nnveins nndue nnto nnportal nnHTN
How nndo nnyou nntx nnesophageal nnvarices nnw/acute nnbleeding? nn- nnANSWER: nn✔ nnendoscopic nnligation,
nnoctreotide nn(vasoconstrictor), nnTIPS nn(trans nnjugular nnintrahepatic nnportosystemic nnshunt)
How nndo nnyou nnprevent nnrebleeds nnw/esophageal nnvarices? nn- nnANSWER: nn✔ nnnonselective nnBBs
nn(propranolol, nnnadolol)
How nndo nnyou nntx nnsliding nnhiatal nnhernia nn(type nnI) nnvs. nnrolling nnhiatal nnhernia nn(type nnII)? nn- nnANSWER: nn✔
nnsliding nn--> nnGERD nntx
rolling nn--> nnsurgery
Pt nnw/smoking/alcohol nnuse nnpresents nnwith nnodynophagia/dysphagia nnto nnsolid nnfoods nn--> nnfluids. nnHow
nndo nnyou nndx? nn- nnANSWER: nn✔ nnesophageal nnCA
dx: nnupper nnendoscopy nnw/bx
Which nntype nnof nnesophageal nnCA nnis nnmost nncommon nn& nnis nnusually nnin nnthe nnupper nnthird?
Which nntype nnis nnassociated nnwith nnGERD/Barrett's nn& nnis nnuaualy nnin nnthe nnlower nnthird? nn- nnANSWER: nn✔
nnSCC nn[ssksskssk nnbasic]
adenocarcinoma
How nndo nnyou nndx nn& nntx nngastritis nnAND nnPUD? nn- nnANSWER: nn✔ nndx: nnH. nnpylori nntesting nnand nnendoscopy
nn(will nnshow nnthick nnerosions nnif nngastritis)
tx: nnCAP nn(clarithro, nnamox, nnand nnPPI) nnif nnH. nnpylori
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