Pancreatic & Pharmacology Mega-
Review: X-ray Signs, Dysphagia, Diarrhea
Types, Liver/Bile Disorders, Ulcers, IBD,
Vitamins, Lipids & Drugs – Complete
Exam Prep Guide Questions Verified and
Complete with A+ Graded Rationales
Latest Updated 2026
what 2 GI diseases have a corkscrew on Xray?
esophageal spasm and volvulus
what GI disease has a apple core on Xray?
colorectal cancer
what GI disease has a stacked coin on Xray?
intussisception
what lower GI disease has a thumb print on Xray?
Toxic megacolon
what GI disease has an abrupt cutt off on Xray?
volvulus
what GI disease has barium clumping on Xray?
celiac sprue
what GI disease has a bird's beak on xray?
achalasia
what 2 GI diseases have a string sign on Xray?
pyloric stenosis and crohn's disease
what 2 GI diseases are the causes of solid and liquid dysphasia?
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,Achalasia
Scleroderma
What is Barrett's esophagus?
Metaplasia of the lower esophagus [columnar replaces squamous cells]
Increased risk of Adenocarcinoma
What are esophageal varices?
due to portal HTN, vomit large amounts of blood when they rupture
What is Mallory-Weiss syndrome?
tearing of the LES, associated with chronic vomiting, cough up a little blood and possible visual
varices
What is Boerhaave syndrome (esophageal perforation)?
transmural tearing of the esophagus. Left-sided most common. Pneumonia/pain/effusion. Triad
[emphysema, chest pain, forceful vomiting]
What is achalasia?
Increased LES pressure (no Auerbach's plexus); Bird's beak on X-ray; also seen in Chagas Disease
What is Hirschsprung's disease?
failure of innervation to the rectum - no auerbach's plexus - lack of meconium passage in first
24 hours in newborn, neural crest cell migration problem
What is Zenker's diverticulum?
Cough up undigested food from above the UES, Halitosis, motor dysfunction problem
what is a traction diverticulum?
out pouch between the UES and LES
What is Plummer-Vinson syndrome?
Esophageal webbing at the upper esophageal sphincter (UES); spoon nails from iron deficiency
anemia
what is schatzki's ring?
Esophageal webs in the lower esophagus; dysphagia (mucosal tissue)
What is a Tracheoesophageal (TE) Fistula (H-Type)?
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, Baby Chokes with each feeding and is Congenital
What is an Esophageal Atresia with a TE Fistula (C-type)?
Baby vomits with first feeding, large gastric bubble and distended abdomen (failure of apotosis)
What is Duodenal Atresia?
Bilious vomiting with first feeding, double bubble sign on x-ray, associated with Downs
Syndrome
What is Pyloric Stenosis?
Non-Bilious projectile vomiting (3-4 week old) and RUQ Olive Mass on palpation
How does Choanal Atresia Present?
Baby turns blue with feeding, pinks up when breast or bottle is remove (blocked nasal
passages)
How does Tetrology of Fallot (TOF) present differently from Choanal Atresia?
TOF Babies...Turns blue with crying and has No feeding issues
What makes Scleroderma Unique?
Can have a decreased LES pressure or increased LES pressure
What makes Esophageal Spasms Unique?
Increased Peristalsis
What makes Achalasia unique?
Decreased Peristalsis and increased LES pressure
What Gl disease has a RUQ Olive Mass?
Pyloric Stenosis
What Gl disease has a RLQ Sausage mass?
Intussusception
What is a Bezoar?
Mass of non-digestible product (i.e. Hair) causing an occlusion at the pylorus
What is Type A gastritis?
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