Gastroenterology · USMLE Step 1

USMLE Rapid Review: GI and Endocrine

A condensed rapid review pass over the highest yield gastrointestinal and endocrine facts for final week review.

39 cards · basic cards · AI-written, checked twice. Edit anything.

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What GI hormone-secreting tumor causes recurrent, often multiple peptic ulcers by driving excess gastric acid?
Gastrinoma (Zollinger-Ellison syndrome)
What is the most common infectious cause of duodenal ulcers?
Helicobacter pylori
By what mechanism do NSAIDs cause peptic ulcers?
They inhibit COX enzymes, reducing protective prostaglandins in the gastric mucosa
What type of stress ulcer is associated with severe burns?
Curling ulcer
What type of stress ulcer is associated with increased intracranial pressure?
Cushing ulcer
What esophageal emergency is a full-thickness (transmural) rupture, classically after forceful vomiting?
Boerhaave syndrome
What esophageal injury is a mucosal (partial-thickness) tear at the gastroesophageal junction from forceful vomiting?
Mallory-Weiss tear
What esophageal change results from chronic GERD causing metaplasia from squamous to columnar epithelium?
Barrett esophagus
What esophageal motility disorder is caused by failure of lower esophageal sphincter relaxation from loss of myenteric plexus neurons?
Achalasia
Plummer-Vinson syndrome triad: esophageal webs, iron deficiency anemia, and ____.
dysphagia
What are the two most common causes of acute pancreatitis?
Gallstones and alcohol use
What physical exam finding is a palpable, non-tender, distended gallbladder with painless jaundice, suggesting pancreatic head cancer rather than gallstones?
Courvoisier sign
Charcot triad for ascending cholangitis: right upper quadrant pain, fever, and ____.
jaundice
Reynolds pentad adds hypotension and ____ to Charcot triad in suppurative cholangitis.
altered mental status
Which antibody is most associated with celiac disease?
Anti-tissue transglutaminase (anti-tTG) antibody

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