Primary biliary cirrhosis - Study guides, Class notes & Summaries

Tx of IBS - correct answer Best initial therapy: *Fiber* Antispasmodic/Anticholingergics: dicyclomine, Hyoscyamine Second line- TCAs (amitryptiline) CCS, What test should you order for IBS? - correct answer 1. Stool: stool guiac, leukocytes, cultures, ova & parasites. 2. Colonoscopy 3. Abdominal CT scan Umbilical hernia in newborns is associated with? - correct answer Congenital hypothyroidism Screen with TSH (you should screen for TSH anyway) What three metabolic conditions...

USMLE STEP 3 REVIEW EXAM 2024 WITH 100% CORRECT ANSWERS Antimitochondrial antibodies? - correct answer Primary biliary cirrhosis Antismooth muscle antibody? - correct answer Primary sclerosing cholangitis What is the best initial test for primary sclerosing cholangitis? Most accurate? - correct answer Initial: elevated ALP, *elevated bilirubin* Best: ERCP (beading of biliary system) Others: antismooth muscle antibody, ANCA positive Treatment for both primary biliary cirrhosis and p...

Antimitochondrial antibodies? - correct answer Primary biliary cirrhosis Antismooth muscle antibody? - correct answer Primary sclerosing cholangitis What is the best initial test for primary sclerosing cholangitis? Most accurate? - correct answer Initial: elevated ALP, *elevated bilirubin* Best: ERCP (beading of biliary system) Others: antismooth muscle antibody, ANCA positive Treatment for both primary biliary cirrhosis and primary sclerosing cholangitis? - correct answer Urs...

A 40 yr old female patient presents with nausea, vomiting and increasing ABD pain following a recent procedure. The patient has a history of a mass in the head of the pancreas and an ERCP was performed to evaluate the ductal involvement. The ERCP report states the ductal system at the head of the pancreas was within normal limits. Which of the following will most likely be identified on the US exam as a cause for the acute symptoms? - pneumobilia A 10 yr old presents for an ABD US with a pa...

Which is the term used for blue discoloration around the umbilicus? A. Cullen sign B. Murphy sign C. Roxving sign D. Turner sign - ANSWER ☑☑A. Cullen sign - blue discoloration around umbilicus - hemorrhagic pancreatitis A 65 year-old homeless male with a history of pancreatitis is seen in the emergency department for vomiting, upper abdominal pain, back pain and weakness. He is cachetic, pale and jaundiced. A 4-5 cm mass is palpable in the mid to right hypochondrium. What is the mos...

Antimitochondrial antibodies? - correct answer Primary biliary cirrhosis Antismooth muscle antibody? - correct answer Primary sclerosing cholangitis What is the best initial test for primary sclerosing cholangitis? Most accurate? - correct answer Initial: elevated ALP, *elevated bilirubin* Best: ERCP (beading of biliary system) Others: antismooth muscle antibody, ANCA positive Treatment for both primary biliary cirrhosis and primary sclerosing cholangitis? - correct answer Urs...

Which is the term used for blue discoloration around the umbilicus? A. Cullen sign B. Murphy sign C. Roxving sign D. Turner sign - A. Cullen sign - blue discoloration around umbilicus - hemorrhagic pancreatitis A 65 year-old homeless male with a history of pancreatitis is seen in the emergency department for vomiting, upper abdominal pain, back pain and weakness. He is cachetic, pale and jaundiced. A 4-5 cm mass is palpable in the mid to right hypochondrium. What is the most likely diagno...

Tx of IBS - Answer-Best initial therapy: *Fiber* If fiber fails: Antispasmodic/anticholinergic agents. First line: 1. Dicyclomine 2. Hyoscyamine Secondline: 1. TCA's (amitriptyline) CCS, What test should you order for IBS? - Answer-1. Stool: stool guiac, leukocytes, cultures, ova & parasites. 2. Colonoscopy 3. Abdominal CT scan Umbilical hernia in newborns is associated with? - Answer-Congenital hypothyroidism Screen with TSH (you should screen for TSH anyway) What thre...

USMLE Questions and Answers with Complete Solutions 2024 often precedes squamous cell carcinoma - ANSactinic keratosis primary adrenocortical deficiency - ANSAddison's disease polyostotic fibrous dysplasia, precocious puberty, cafe-au-lait spots, short stature, young girls - diagnosis? - ANSAlbright's syndrome hereditary nephritis with nerve deafness - ANSAlport's syndrome anti-basement membrane antibodies - diagnosis? - ANSGoodpasture's syndrome anticentromere antibodies - diagnosi...

MKSAP 19 for Internal Medicine 100% Verified Exam Solution Autoimmune Pancreatitis - Answer-Tx= Prednisone "Beaded appearance" or something similar on MRCP. Primary Biliary Cholangitis - Answer-Pruritis + increased Alk Phos +/- middle aged woman +/- elevated GGT Dx= Anti-IgM Cirrhosis Management - Answer-Ascities Tx= low salt diet -> spironolactone and lasix (no ACEi) HBV active subtypes - Answer-Active= Increased LFTs Vertical Tolerant= HBVeAg positive Reactivation (only immunoco...