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Family Medicine EOR- GI/Nutritional Exam Questions and Verified Answers| 100% Correct (Latest 2023/ 2024 Update)

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Family Medicine EOR- GI/Nutritional Exam Questions and Verified Answers| 100% Correct (Latest 2023/ 2024 Update) Q: Endoscopy findings in HSV esophagitis? Answer: multiple small, deep, discrete well-circumscribed erosions & ulcers with punched out or "volcano-like" appearance Q: Biopsy findings in HSV esophagitis? Answer: eosinophilic intranuclear inclusions with multinucleated giant cells Cowdry A inclusions Q: Treatment for HSV esophagitis? Answer: Acyclovir (if immunocompromised) Q: Eosinophilic esophagitis is a _________ Answer: Chronic immune mediated eosinophil-predominant inflammation of the mucosa Q: Who is eosinophilic esophagitis most common in? Answer: Children with atopic disease Q: Endoscopy findings in eosinophilic esophagitis? Answer: normal or multiple corrugated circular esophageal rings, strictures & punctate whitish exudates Q: Biopsy findings in eosinophilic esophagitis? Answer: at least 15 eosinophils Q: Treatment of eosinophilic esophagitis? Answer: Dietary modification +/- glucocorticoids +/- PPI Q: What are common causes of medication-induced esophagitis? Answer: NSAIDs, bisphosphonates Q: Endoscopy findings in medication-induced esophagitis? Answer: small, well defined ulcers of varying depths Q: What is GERD? Answer: Excessive reflux of stomach contents causes symptoms/complications due to incompetent LES Q: Risks for GERD Answer: hiatal hernia, obesity, smoking, alcohol, foods (spicy, caffiene, chocolate, citrus, peppermint, coffee) Q: What is the hallmark sign of GERD Answer: Heartburn (retrosternal burning postprandial, increases when supine and relieved with antacids) Q: "Alarm" features of GERD Answer: dysphagia, odynophagia, anorexia, unexplained weight loss, GI bleeding, GI cancer in family Q: Complications of GERD Answer: esophagitis, esophageal stricture, Barrett's esophagus, esophageal adenocarcinoma Q: Diagnosis of GERD Answer: 24 hr pH monitoring, upper endoscopy with biopsy Q: Treatment of GERD Answer: Lifestyle modifications, antacid, H2RA, PPI Q: Where is an internal hemorrhoid located? Answer: Superior hemorrhoid vein & proximal to the dentate line (above) Q: Characteristics of internal hemorrhoid Answer: bleed, painless, hematochezia, nontender, nonpalpable

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