GI surg/ER

What is the MCC of upper GI bleeds

• esophageal varicies

• peptic ulcer diseases

• trauma

• GERD

What is the MCC of upper GI obstruction?

• surgical adhesions

• small bowel cancer

• diverticulosis

• achalesia

What is the MCC of large bowel obstruction

• appendicitis

• diverticulitis

• Ulcerative colitis

• colorectal cancer

Which anatomical structure determines the boundary between upper GI bleeds and lower GI bleeds?

• appendix

• inguinal ligament

• ligament of treitz

• duodenum

Hemorrhoids that prolapse and require manual reduction are considered which class of internal hemorrhoids?

• Grade I

• Grade II

• Grade III

• Grade IV

48 year old male presents with severe epigastric pain that radiates to the back. The pain exacerbates in supine position and is slightly alleviated when leaning forward. Vitals are normal. Most sensitive lab test for this?

• Amylase level

• triglyceride level

• lipase

• glucose

Which scoring system helps determine severity and mortality of acute pancreatitis?

• Ransons criteria

• CADVASC score

• NYHA classification

• glasgow coma scale

60 year old obese females presents with severe groin pain. She noticed a lump for the past year in the area but it became painful today. She has had multiple episodes of N/V. On palpation the mass is irreducible and causes extremes pain and is dusky colored and cool to the touch. Blood work and vitals are stable and no signs of infection. What’s the most appropriate treatment

• broad spectrum antibiotics

• order CT scan

• perform lumbar puncture to check for meningitis

• emergent surgery consult

MCC of esophageal varies

• HTN

• Portal HTN

• smokig

• obesity

A colonoscopy that reveals an inflamed bowel accompanied by skipped lesions and transmural mucosal involvement is consistent with which of the following diagnosis?

• diverticulitis

• ulcerative colitis

• irritable bowel syndrome

• Crohn’s disease