GI ROSH UPDATED ACTUAL Questions and CORRECT Answers
1. Tumor marker of colon cancer CEA Carcinoembryonic
antigen
2. What is the most useful tumor marker for pancreatic Cancer antigen 19-9.
cancer?
3. Treatment for mild GERD (symptoms less than H2 blockers - Famotidine
2x/week)
4. Treatment for moderate-severe GERD (symptoms PPIs (omeprazole)
greater than 2x/week)
5. FaIlure of the ganglion cells to develop in the rectum Aganglionic megacolon
and distal colon is what condition?
6. Gold standard to diagnose Hirschsprung disease? rectal biopsy
7. Treatment of Hirschsprung disease? Surgical resection of af-
fected bowel
8. What suggests cancer in the chest or abdomen? Supraclavicular lym-
phadenopathy (Virchow
node)
9. The following criteria called Ranson criteria if met age > 55,
within the first 24 hours of presenting symptoms, is white blood cell count >
used to evaluate the severity of pancreatitis: 16,000
blood glucose > 200
mg/dL
serum lactate dehydroge-
nase > 350 units/L,
aspartate aminotrans-
ferase > 250 units/L.
,10. Which electrolyte should be monitored 48 hours after Calcium
presentation of acute pancreatitis?
11. Acute pancreatitis is associated with this signs? Flank ecchymosis (Grey
Turner sign), umbilical ec-
chymosis (Cullen sign)
12. Most common cause of acute pancreatitis Gallstones (biliary tract
pathology)
Most common cause of chronic pancreatitis
Alcohol
13. Barium esophagram that shows bird beak appear- Achalasia
ance?
14. Gold standard to diagnose achalasia? Esophageal manometry
15. Prior to initiating treatment for achalasia one must Upper endoscopy
perform an ....
CCB or botox injection
Treatment for achalasia includes
16. Recommended empiric treatment of proctitis? Ceftriaxone + Doxycycline
17. What testing is recommended in patients diagnosed HIV and syphilis
with proctitis along with gonorrhea and chlamydia?
18. Diarrhea that is initially profuse and watery and later Yersinia enterocolitis
becomes bloody is most commonly caused by
19. Which bacterial gastroenteritis is associated with Shigella
febrile seizures?
20. Most common cause of SBO is .... and is followed by ....
followed by ....
, Adhesions
Malignancy
Hernia
21. Gold standard test to diagnose SBO CT with IV and oral con-
trast
22. What is the most commonly occurring hernia? indirect inguinal hernia
23. The current mainstay treatment of benign esophageal Esophageal dilation + PPI
stricture disease?
24. Signs of vitamin C deficiency Scurvy
4Hs
Hemorrhage
Hyperkeratosis
Hypochondriasis
Hematologic abnormali-
ties
25. Intake of improperly refrigerated cooked or fried rice Bacillus cereus
caused by what bacteria?
26. Gastroenteritis is most commonly caused by Viral pathogens
27. Diagnostic and therapeutic modality of intussuscep- Contrast enema
tion?
, 28. Classic triad of intussusception Colicky abdominal pain
Vomiting
(sausage-shaped
abdominal mass)
Bloody stool (currant jelly)
29. resulting metabolic condition of pyloric stenosis hypochloremic, hy-
pokalemic metabolic alka-
losis
30. Olive shaped mass in the RUQ is associated with? Pyloric stenosis
31. Study of choice for pyloric stenosis US
32. What is the definitive treatment for pyloric stenosis? Pyloromyotomy
33. In alcohol related liver disease, what is the ratio of AST: 2:1
ALT?
34. Average-risk adults USPSTF colon cancer screening? 45-75 years, colonoscopy
every 10 years
35. One first-degree relative with colon cancer or ad- age 40, or 10 years earlier
vanced polyp: colonoscopy starts at than the age at which rel-
ative diagnose
36. a palpable and nontender gallbladder is what sign? Courvoiser sign
associated with what condition?
Pancreatic cancer
37. Standard for diagnosing and staging pancreatic can- CT with pancreas protocol
cer?
38. Head of pancreas
1. Tumor marker of colon cancer CEA Carcinoembryonic
antigen
2. What is the most useful tumor marker for pancreatic Cancer antigen 19-9.
cancer?
3. Treatment for mild GERD (symptoms less than H2 blockers - Famotidine
2x/week)
4. Treatment for moderate-severe GERD (symptoms PPIs (omeprazole)
greater than 2x/week)
5. FaIlure of the ganglion cells to develop in the rectum Aganglionic megacolon
and distal colon is what condition?
6. Gold standard to diagnose Hirschsprung disease? rectal biopsy
7. Treatment of Hirschsprung disease? Surgical resection of af-
fected bowel
8. What suggests cancer in the chest or abdomen? Supraclavicular lym-
phadenopathy (Virchow
node)
9. The following criteria called Ranson criteria if met age > 55,
within the first 24 hours of presenting symptoms, is white blood cell count >
used to evaluate the severity of pancreatitis: 16,000
blood glucose > 200
mg/dL
serum lactate dehydroge-
nase > 350 units/L,
aspartate aminotrans-
ferase > 250 units/L.
,10. Which electrolyte should be monitored 48 hours after Calcium
presentation of acute pancreatitis?
11. Acute pancreatitis is associated with this signs? Flank ecchymosis (Grey
Turner sign), umbilical ec-
chymosis (Cullen sign)
12. Most common cause of acute pancreatitis Gallstones (biliary tract
pathology)
Most common cause of chronic pancreatitis
Alcohol
13. Barium esophagram that shows bird beak appear- Achalasia
ance?
14. Gold standard to diagnose achalasia? Esophageal manometry
15. Prior to initiating treatment for achalasia one must Upper endoscopy
perform an ....
CCB or botox injection
Treatment for achalasia includes
16. Recommended empiric treatment of proctitis? Ceftriaxone + Doxycycline
17. What testing is recommended in patients diagnosed HIV and syphilis
with proctitis along with gonorrhea and chlamydia?
18. Diarrhea that is initially profuse and watery and later Yersinia enterocolitis
becomes bloody is most commonly caused by
19. Which bacterial gastroenteritis is associated with Shigella
febrile seizures?
20. Most common cause of SBO is .... and is followed by ....
followed by ....
, Adhesions
Malignancy
Hernia
21. Gold standard test to diagnose SBO CT with IV and oral con-
trast
22. What is the most commonly occurring hernia? indirect inguinal hernia
23. The current mainstay treatment of benign esophageal Esophageal dilation + PPI
stricture disease?
24. Signs of vitamin C deficiency Scurvy
4Hs
Hemorrhage
Hyperkeratosis
Hypochondriasis
Hematologic abnormali-
ties
25. Intake of improperly refrigerated cooked or fried rice Bacillus cereus
caused by what bacteria?
26. Gastroenteritis is most commonly caused by Viral pathogens
27. Diagnostic and therapeutic modality of intussuscep- Contrast enema
tion?
, 28. Classic triad of intussusception Colicky abdominal pain
Vomiting
(sausage-shaped
abdominal mass)
Bloody stool (currant jelly)
29. resulting metabolic condition of pyloric stenosis hypochloremic, hy-
pokalemic metabolic alka-
losis
30. Olive shaped mass in the RUQ is associated with? Pyloric stenosis
31. Study of choice for pyloric stenosis US
32. What is the definitive treatment for pyloric stenosis? Pyloromyotomy
33. In alcohol related liver disease, what is the ratio of AST: 2:1
ALT?
34. Average-risk adults USPSTF colon cancer screening? 45-75 years, colonoscopy
every 10 years
35. One first-degree relative with colon cancer or ad- age 40, or 10 years earlier
vanced polyp: colonoscopy starts at than the age at which rel-
ative diagnose
36. a palpable and nontender gallbladder is what sign? Courvoiser sign
associated with what condition?
Pancreatic cancer
37. Standard for diagnosing and staging pancreatic can- CT with pancreas protocol
cer?
38. Head of pancreas
