NSG 6020 APEA- Assessment Gastroenterology Questions
With Complete Solutions
A 30 year old patient complains of frequent belching, pain in the
area below the sternum mostly after eating, and increased
salivation. These symptoms are often seen in patients who have:
peptic ulcers.
cancer of the stomach.
esophageal varices.
gastroesophageal reflux. Correct Answers gastroesophageal
reflux.
A 30-year-old male presents with generalized abdominal pain.
With flexion of the legs at the hip an increase in his abdominal
pain is noted. This finding elicited a positive:
psoas sign.
Rovsing's sign.
Murphy's sign.
obturator sign. Correct Answers psoas sign.
A 35-year-old male visits the nurse practitioner for complaints
of a fullness in his lower abdomen. He states that he noticed it a
few days ago when he was working out at the gym. At times it
feels like a round lump in his groin. Examination reveals a
protrusion under the skin near the right groin area. This finding
could be suggestive of an:
incisional hernia.
epigastric hernia.
umbilical hernia.
inguinal hernia. Correct Answers inguinal hernia.
,A 40-year-old female presents with generalized abdominal pain
and nausea. During the abdominal exam she exhibits inspiratory
arrest with deep palpation of the upper right quadrant of the
abdomen. This maneuver exhibits a positive:
psoas sign.
Rovsing's sign.
Murphy's sign.
obturator sign. Correct Answers Murphy's sign
A 55-year-old patient visits the nurse practitioner for an annual
exam. Stool sample revealed hematochezia. The patient is
otherwise asymptomatic. This finding could be associated with:
hemorrhoids.
pancreatic cancer.
ischemic colitis.
adenomatous polyps. Correct Answers adenomatous polyps.
hematochezia = blood in stools
blood in stool is often the only symptom seen with adenomatous
polyps
A 9-month-old who has been a healthy, thriving infant presents
with a poor appetite, two episodes of vomiting, three bloody
stools with mucus and knees drawn to the abdomen with
screaming. These are clinical manifestations of:
celiac disease.
intussusception.
pyloric stenosis.
intestinal parasites. Correct Answers intussusception.
, Pain progresses from a colicky-like, intermittent discomfort to a
more constant, intense pain.
Vomiting may occur and the child may pass "currant jelly-like"
stools due to the blood/mucus from inflammation secondary to
the intussusception.
A feeling of constantly needing to pass stool is termed:
constipation.
tenesmus.
obstipation.
acholic. Correct Answers tenesmus.
obstipation = constipation r/t obstruction
A patient complains of an unpleasant abdominal fullness after a
light meal. This complaint may be consistent with:
diabetic gastroparesis.
peptic ulcer.
gastritis.
gastrocolic fistula. Correct Answers diabetic gastroparesis.
A patient complains of severe epigastric pain that radiates to the
posterior trunk and entire abdomen. This type of pain can be
suggestive of:
appendicitis.
stomach cancer.
acute pancreatitis.
biliary colic. Correct Answers acute pancreatitis.
A patient is experiencing a dull achy pain in the epigastric area
with eating. This type pain is consistent with:
With Complete Solutions
A 30 year old patient complains of frequent belching, pain in the
area below the sternum mostly after eating, and increased
salivation. These symptoms are often seen in patients who have:
peptic ulcers.
cancer of the stomach.
esophageal varices.
gastroesophageal reflux. Correct Answers gastroesophageal
reflux.
A 30-year-old male presents with generalized abdominal pain.
With flexion of the legs at the hip an increase in his abdominal
pain is noted. This finding elicited a positive:
psoas sign.
Rovsing's sign.
Murphy's sign.
obturator sign. Correct Answers psoas sign.
A 35-year-old male visits the nurse practitioner for complaints
of a fullness in his lower abdomen. He states that he noticed it a
few days ago when he was working out at the gym. At times it
feels like a round lump in his groin. Examination reveals a
protrusion under the skin near the right groin area. This finding
could be suggestive of an:
incisional hernia.
epigastric hernia.
umbilical hernia.
inguinal hernia. Correct Answers inguinal hernia.
,A 40-year-old female presents with generalized abdominal pain
and nausea. During the abdominal exam she exhibits inspiratory
arrest with deep palpation of the upper right quadrant of the
abdomen. This maneuver exhibits a positive:
psoas sign.
Rovsing's sign.
Murphy's sign.
obturator sign. Correct Answers Murphy's sign
A 55-year-old patient visits the nurse practitioner for an annual
exam. Stool sample revealed hematochezia. The patient is
otherwise asymptomatic. This finding could be associated with:
hemorrhoids.
pancreatic cancer.
ischemic colitis.
adenomatous polyps. Correct Answers adenomatous polyps.
hematochezia = blood in stools
blood in stool is often the only symptom seen with adenomatous
polyps
A 9-month-old who has been a healthy, thriving infant presents
with a poor appetite, two episodes of vomiting, three bloody
stools with mucus and knees drawn to the abdomen with
screaming. These are clinical manifestations of:
celiac disease.
intussusception.
pyloric stenosis.
intestinal parasites. Correct Answers intussusception.
, Pain progresses from a colicky-like, intermittent discomfort to a
more constant, intense pain.
Vomiting may occur and the child may pass "currant jelly-like"
stools due to the blood/mucus from inflammation secondary to
the intussusception.
A feeling of constantly needing to pass stool is termed:
constipation.
tenesmus.
obstipation.
acholic. Correct Answers tenesmus.
obstipation = constipation r/t obstruction
A patient complains of an unpleasant abdominal fullness after a
light meal. This complaint may be consistent with:
diabetic gastroparesis.
peptic ulcer.
gastritis.
gastrocolic fistula. Correct Answers diabetic gastroparesis.
A patient complains of severe epigastric pain that radiates to the
posterior trunk and entire abdomen. This type of pain can be
suggestive of:
appendicitis.
stomach cancer.
acute pancreatitis.
biliary colic. Correct Answers acute pancreatitis.
A patient is experiencing a dull achy pain in the epigastric area
with eating. This type pain is consistent with:
