USMLE World GI Exam || With Questions & Solutions (Graded A+)
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Course
USMLE - United States Medical Licensing
Institution
USMLE - United States Medical Licensing
USMLE World GI Exam || With Questions & Solutions (Graded A+)
USMLE World GI Exam || With Questions & Solutions (Graded A+)
Ursodeoxycholic acid is used in? - ANSWER - Those with galltones but cnat get a cholecystectomy , also used in primary biliary cirhosis and primary sclerosing cholangitis
...
USMLE World GI Exam || With
Questions & Solutions (Graded
A+)
CONCEPTIAL RESEARCH | conceptialresearch@gmail.com
, USMLE World GI Exam || With Questions
& Solutions (Graded A+)
Ursodeoxycholic acid is used in? - ANSWER - Those with galltones but cnat get a
cholecystectomy , also used in primary biliary cirhosis and primary sclerosing
cholangitis
When do you see increased BUN/Creatinine ratio - ANSWER - Prerenal failure, GI
bleeding ( bacterial breakdown of Hgbn into urea which is then reabsorbed and
systemic sterod administartion ( maybe cuz muslce breakdown leads to excess
ammonia and therefore urea but idk)
In a new cirhotic pt who presents whose US says no liver masses (cancer) what is teh
next step in workup? - ANSWER - Do an EGD to check fro esophagela verices as that
is a morbid conditon that can exist.
Note: if they found a mass on US you need to then get a triple phase ct to better
visualize the mass. Repeat US needs to be done every 6 months
Pt with long term gerd then circumferentail ring on barium swallow? - ANSWER -
Esophageal sticture is one of the complications of GERD in contrast with
adenocarcinoma is is circumferential ( rather than one sided) and does not cuase
weight lodd or anorecia Other cuases are radiation, systemic sclerosis and caustic
ingestion. Do an EGD to confirm and possible treat with dilation on the spot.
In pts with RUQ pain form a poor country and a istory of shiarhea with elevated WBC
what is teh workup and treatment? - ANSWER - It is liely amebiasis do an MRI/CT/US
to find teh mass then serology to confirmsthen giev PO mettronizol and ioquinol to treat.
Best treatment for sphincetr of ODdi dyfcuntion ( increase pressure) cuasing biliary
symptoms? - ANSWER - ERCP sphincterotomy
What are the most commn cuases of drug induced esophagitis? - ANSWER -
Tetracyclines, Aspirin and NSAIDS, Aldronate, Potassium Chloride, quinidine, and iron
At what age do you od endcoscpy for GERD symptoms - ANSWER - Agre greater than
50 with <5 yrs of gerd symptoms and cancer risk factors ( smoking) also alarm
symptoms
Low compliment leves typically mean ? - ANSWER - Lupus nephtis, Membrano
poliferative GN, mixed cryoglobulinemia associaed with Hep C
What si cyroglubulinema , cuase presnetation and treatment? - ANSWER -
Cryoglounemia is most commonly sue to hep C and is an IgM reaction to IgG against
Hep C. These immune complexes use up compliment and get stuck in vasculature
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