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Abdominal Problems-Dunphy Exam Questions And 100% Correct Answers
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Abdominal Problems-Dunphy Exam Questions And100% Correct Answers 2025-2026
1. Therapy for achalasia may involve
A. balloon dilation of the lower esophageal sphincter
B. beta blockers
C. a fundoplication
D. an esophagogastrectomy - ANWER A. balloon dilation of the lower esophageal
sphincter
2. You monitor Dan, age 62, postoperatively for Cullen's sign. Cullen's sign may indicate
A. intra-abdominal bleeding
B. a ventral hernia
C. appendicitis
D. jaundice - ANWER A. intra-abdominal bleeding
3. The most significant diagnostic test for celiac disease is
A. confirmation of malabsorption by laboratory tests
B. barium enema
C. peroral biopsy of the duodenum
D. tTG-IgA test followed by a biopsy of the small intestine - ANSWER D. tTG-IgA test
followed by a biopsy of the small intestine
,4. The client has chronic cholelithiasis and is a poor surgical candidate. Which oral
medication might be prescribed?
A. Ursodiol (Actigall)
B. Ibuprofen (Advil)
C. Prednisone (Deltasone)
D. Surgery is the only answer - ANSWER A. Ursodiol (Actigall)
5. All of the following medications are used for the management of nausea and vomiting.
Which of the following medications exerts its effects by action on the chemoreceptor
trigger zone, stimulating upper gastrointestinal motility, increasing lower esophageal
sphincter pressure?
A. Anticholinergics such as scopolamine (Donnatal)
B. Antidopaminergic agents such as prochlorperazine (Compazine)
C. Antidopaminergic and cholinergic agents such as metoclopramide (Reglan)
D. Tetrahydrocannabinols such as dronabinol (Marinol) - ANSWER C. Antidopaminergic
and cholinergic agents such as metoclopramide (Reglan)
6. Martha has a Cushing's ulcer. What might have precipitated this?
A. her house burned down when she was not at home
B. she was in a bad auto accident in which she sustained a head injury
C. she spent the weekend deep-sea diving
D. she was on a foreign airline flight that was over 24 hours in duration - ANSWER B. she
was in a severe automobile accident in which she experienced a head injury
7. Sara, age 59, is receiving polyethylene glycol (GoLYTELY) in preparation for a barium
enema. What do you instruct her about the medication?
A. drink the solution at room temperature
,B. take the medication with food so that it will be absorbed better
C. take the medication in the early evening so as not to interfere with sleep
D. drink all of the solution in one sitting - ANSWER C. take the medication in the early
evening so as not to interfere with sleep
8. You are obtaining Henry's history and he tells you that he had a portacaval shunt
some time back. What does this suggest?
A. liver cancer
B. alcohol abuse
C. congenital biliary atresia
D. heavy tobacco use - ANWER B. alcohol abuse
9. Sidney, age 33 years, has ulcerative colitis and asks you about a Koch pouch. What
do you tell him?
A. "It's a bowel training method for clients with chronic diarrhea."
B. "It's the name for a continent ileostomy."
C. "It's a packet of daily pills to take to relieve diarrhea."
D. "It's like a sanitary pad, and it's used to contain any rectal leakage." - ANSWER B.
"It's the name for a continent ileostomy."
10. You auscultate Julie's abdomen and hear a peritoneal friction rub. Which condition
do you rule out?
A. peritonitis
, B. a liver or spleen abscess
C. a liver or spleen metastatic tumor
D. irritable bowel syndrome - ANSWER A. peritonitis
11. Rebound tenderness at McBurney's point would alert you to
A. appendicitis
B. peritonitis
C. a spleen injury
D. irritable bowel syndrome - ANSWER A. appendicitis
12. Which is the most common presenting symptom of gastric cancer?
A. weight loss
B. dysphagia
C. hematemesis
D. GI bleeding - ANSWER A. weight loss
13. Which medication is not affected by metabolism in Marsha, age 74?
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