Clinical management scenarios for GI bleeding, liver disease, and pancreatitis tested on USMLE Step 2 CK.
About this set
40 mixed cards for USMLE Step 2 CK Gastroenterology. It opens with "What is the first priority in managing a hemodynamically unstable patient with" and "In a hemodynamically stable patient with upper GI bleeding, below what". Study it alongside the other USMLE Step 2 CK sets below.
40 cards · mixed cards · AI-written, checked twice. Edit anything.
- What is the first priority in managing a hemodynamically unstable patient with upper GI bleeding, before endoscopy?
Show answer
Aggressive IV fluid resuscitation with crystalloids to restore hemodynamic stability- In a hemodynamically stable patient with upper GI bleeding, below what hemoglobin level should transfusion generally be started?
Show answer
7 g/dL (restrictive transfusion strategy)- What is the most common cause of upper GI bleeding?
Show answer
Peptic ulcer disease- Which medication is started empirically for suspected variceal hemorrhage before endoscopy?
Show answer
Octreotide- Why are antibiotics such as ceftriaxone given prophylactically to cirrhotic patients with upper GI bleeding?
Show answer
They lower the risk of infection (SBP), rebleeding, and mortality- Within what time frame should upper endoscopy be performed for acute upper GI bleeding?
Show answer
Within 24 hours of presentation- Which Forrest classification finding carries the highest risk of rebleeding from a peptic ulcer?
Show answer
Forrest Ia, active spurting hemorrhage- What procedure is indicated for esophageal variceal bleeding refractory to endoscopic therapy?
Show answer
Transjugular intrahepatic portosystemic shunt (TIPS)- What is the most common cause of lower GI bleeding in adults over age 60?
Show answer
Diverticulosis- What is the diagnostic test of choice for lower GI bleeding once the patient is stabilized?
Show answer
Colonoscopy- ____ is a transmural esophageal rupture caused by forceful vomiting.
Show answer
Boerhaave syndrome- Mucosal tear at the gastroesophageal junction caused by forceful vomiting or retching
Show answer
Mallory-Weiss tear- What is recommended for primary prophylaxis of a first variceal bleed in a cirrhotic patient with high-risk varices?
Show answer
A nonselective beta blocker (propranolol or nadolol) or endoscopic variceal band ligation- What is the most common cause of chronic liver disease in the United States?
Show answer
Nonalcoholic fatty liver disease (NAFLD)- What is the gold standard test for diagnosing cirrhosis and staging fibrosis?
Show answer
Liver biopsy
FlashKeepers