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DUNPHY QUIZ 4 - ABDOMINAL PROBLEMS
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DUNPHY QUIZ 4 - ABDOMINAL PROBLEMS
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DUNPHY QUIZ 4 - ABDOMINAL PROBLEMSA 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which
of the following should be included in the examination?
A. Lumbar puncture
B. Family history of cardiac problems
C. Contrast venography
D. Pelvic exam - Answers- D. Pelvic exam
Which of the following is a condition that results in colicky abdominal pain?
A. Peptic ulcers
B. Glisson's capsule around the liver
C. Peritoneum irritation
D. Gallstones - Answers- D. Gallstones
A patient comes to the office complaining of constipation. The patient lists all of the
following medications. Which drug could be responsible for the constipation?
A. Multivitamin
B. Magnesium hydroxide
C. Pepto-Bismol®
D. Ibuprofen - Answers- C. Pepto-Bismol®
Hannah is a patient that just had an appendectomy after a diagnosis of appendicitis and
had no complications. Which of the following patient education points is correct?
A. "You will need to take laxatives to encourage defecation post-surgery."
B. "You will need to stay in the hospital for 2 weeks to recover."
C. "Your diet will be advanced when bowel sounds return."
D. "I will put you on narcotics to manage your pain." - Answers- C. "Your diet will be
advanced when bowel sounds return."
Which of the following patients should be referred to a hepatologist?
A. Patient with persistent elevation of HBsAg
B. Patient with anti-HAV IgG
C. Patient with IgG anti-HBs
D. Patient with anti-HEV - Answers- A. Patient with persistent elevation of HBsAg
A 29-year-old is seen in the office with complaints of pain in his chest and belly. He quit
smoking 6 months ago. He has been suffering the pain for 2 weeks and gets temporary
relief from Alka-Seltzer® and Pepto-Bismol®. The burning pain wakes him at night and
radiates up to his chest. Which factor favors a diagnosis of gastric ulcer?
A. His use of Pepto-Bismol
B. His age
C. His use of Alka-Seltzer
D. His smoking cessation - Answers- C. His use of Alka-Seltzer
, Which of the following causes of gastrointestinal bleeding is found in the lower
gastrointestinal tract?
A. Erosive esophagitis
B. Duodenal ulcer
C. Meckel's diverticulum
D. Gastric ulcer - Answers- C. Meckel's diverticulum
Which of the following is most effective in diagnosing acute appendicitis?
A. History and physical
B. Sedimentation rate
C. Kidney, ureter, and bladder x-ray
D. Complete blood count (CBC) with differentials - Answers- A. History and physical
Which of the following is true of appendicitis?
A. Appendicitis is more common in Asian countries.
B. Family history of appendicitis does not increase a patient's risk of having
appendicitis.
C. Appendicitis is most common between the ages of 40 and 60.
D. If appendicitis occurs in infants, it is associated with higher morbidity. - Answers- D.
If appendicitis occurs in infants, it is associated with higher morbidity.
Which of the following is associated with celiac disease (celiac sprue)?
A. Malabsorption
B. Constipation
C. Rectal bleeding
D. Esophageal ulceration - Answers- A. Malabsorption
A 45-year-old patient presents with a chief complaint of generalized abdominal pain. Her
physical examination is remarkable for left lower quadrant tenderness. At this time,
which of the following should be considered in the differential diagnosis?
A. Endometriosis
B. Yersinia enterocolitica infection
C. Appendicitis
D. GERD - Answers- A. Endometriosis
Robin is a 57-year-old female presenting with diffuse abdominal pain. Which of the
following statements from the provider to Robin is correct?
A. "It does not matter that you feel pain not only in your stomach but also in your
shoulder."
B. "Does moving around change the nature of your pain?"
C. "All causes of abdominal pain do not necessitate a surgical referral."
D. "I noticed on examination that your stomach is rigid, and you stated your pain is quite
severe. It is only necessary for a nurse to see you concerning this problem." - Answers-
B. "Does moving around change the nature of your pain?"
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