Gastroenterology Review Questions (old version, with sound) - CRASH! Medical Review Series

Corrected question 11: There was an oversight in that question. I corrected it.
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(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)

[@ramreddymd8078]

Dr Bolin, You are a good teacher and good doctor and good human being. Medical students/residents owe you a lot. Very nice of you sharing this knowledge. God bless you. Thank you Ram

[@donnacarlin236]

Dr. Bolin, your reviews and questions videos are awesome!

[@cricketer1]

Thank you very very much! Please contd to make question based reviews like this one more often! Really helped me!

[@aparguello]

Thank you so much for making this video!

[@shriswamiramanand]

Thank You Dr. Bolin this is helpful. you are awesome.

[@muwongebashir4810]

Thanks Doctor for this great knowledge

[@absolutjag9]

thanks Doc!! excellent

[@noorgulomary4372]

thanks Doc!! excellent

[@brothersamp]

Thank you so much. Can you post USMLE step 1?

[@waysauto]

Thanks, very helpful

[@shahriarahmedsujoyAMC]

Amazing

[@donnacarlin236]

Re question 1: Why don't you try over the counter antacids first? The question doesn't say how many times a week he has symptoms, more than how many times a week makes the difference between antacids and a PPI?

[@Will-wp8sy]

Great series! Don't patients with lactose intolerance or Celiac disease have a long history of diarrhea, typically since childhood? In a couple of questions here, the patients are adults with a diarrhea for month and we diagnose as food intolerance. Is this realistic?

[@101sinx]

Will Lactose intolerance often presents later in life, between 20-40 yo (babies need lactase to be able to breast feed, then when they're weaned they don't need lactase anymore, so some people stop producing lactase all together). Celiac disease is immune-mediated: the patient is born with a genetic predisposition (HLA-DQ2/8) yes, but they still need some sort of environmental trigger, which means they can present later in life

[@lostwaterlily]

regarding primary sclerosing cholangitis and the most accurate test; isn't it MRCP? in my university they always emphasised that we should never "prescribe" (sorry; english isn't my mother tongue :) ) diagnostic ERCP, because of the numerous complications (acute pancreatits and such); ERCP would only be therapeutical (stent placement, etc.)

[@oussamaabbas5012]

I gues the bili irm is the key exam for csp

[@woloabel]

Tuesday, November 8, 2022. Herein the Blessed Powerball Winning Ticket Holder, entitling this Student of the Hippocratic Trade and Kraft Lifelong Indulgence and Devotion to Pure Science.....Gastroenterology Review Questions of MD Paul W. Bolin.

[@higiniomalave]

there are places in mexico, and the rest of south america where hand hygene is not so good and contact is not oral anal but anal faulty hand washing and oral te result is the same type contamination

[@absolutjag9]

agree with below poster-q12 you must r/o zenker's so barium #1

[@pwbmd]

Hi, thanks for pointing this out. All patients over the age of 55 are suggested for urgent upper endoscopy when they exhibit "alarm symptoms" (this is a term gastroenterologists use rather frequently for these symptoms): Chronic GI bleeding, progressive unintentional weight loss, progressive dysphagia, progressive vomiting, iron-deficiency anemia, epigastric mass, or suspicious barium study. In this case, the patient has both the dysphagia and the persistent vomiting. Therefore, EGD is the most appropriate initial test. I agree, however, that a Zenker's diverticulum is a very possible diagnosis. And barium esophagram would be the best initial test if not for this patient's age. :)

[@pwbmd]

www.patient.co.uk/doctor/dyspepsia-pro This is a great summary of best practice for patients with these kinds of symptoms.