(EXAM 4 GI, ID, GU:: 2026-2027 Versions)
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4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026
, (EXAM 4 GI, ID, GU:: 2026-2027 Versions)
An adult patient reports intermittent, crampy b. Obtain upright and supine radiologic views of the abdomen
abdominal pain with vomiting. The provider notes
marked abdominal distention and hyperactive bowel
sounds. What will the provider do initially?
a. Admit the patient to the hospital for consultation
with a surgeon b. Obtain upright and supine
radiologic views of the abdomen
c. Prescribe an antiemetic and recommend a clear
liquid diet for 24 hours
d. Schedule the patient for a barium swallow and
enema
1. A patient has sudden onset of right upper quadrant c. common bile duct obstruction
(URQ) and epigastric abdominal pain with fever,
nausea, and vomiting. The emergency department
provider notes yellowing of the sclerae. What is the
probable cause of these findings?
a. Acute acalculous cholecystitis
b. Chronic cholelithiasis
c. Common bile duct obstruction
d. Infectious cholecystitis
A patient presents with fever, nausea, vomiting, b. Hospitalization for emergent treatment
anorexia, and right upper quadrant abdominal pain.
An ultrasound is negative for gallstones. Which
action is necessary to treat this patient's symptoms?
a. Empirical treatment with antibiotics
b. Hospitalization for emergent treatment
c. Prescribing ursodeoxycholic acid
d. Supportive care with close follow-up
Which diagnostic test will the provider safely order b. ultrasound
for a 30-year-old woman reporting right upper
quadrant abdominal pain, nausea, and vomiting?
a. Abdominal computed tomography (CT) with
contrast
b. Abdominal ultrasound
c. Magnetic resonance imaging (MRI) of the
abdomen
d. Plain abdominal radiographs
A patient with a previous history of liver disease is c. Open cholecystectomy d/t liver complications
diagnosed with a bile duct obstruction. Which
procedure will be prescribed for this patient?
a. Chemical dissolution of the gallstone
b. Lithotripsy
c. Open cholecystectomy
d. Laparoscopic cholecystectomy
A patient diagnosed with chronic constipation uses b. obtain imaging
polyethylene glycol and reports increased abdominal
discomfort with nausea and vomiting. What is the
initial action by the provider?
a. Increase the dose of polyethylene glycol
b. Obtain radiographic abdominal studies
c. Perform a stool culture and occult blood
d. Refer to a specialist for colonoscopy
A patient has recurrent constipation which improves ANS: C Methylcellulose is a bulk-forming product and is used initially. The
with laxative use but returns when laxatives are other medications are used for more severe constipation and not
discontinued. Which pharmacologic treatment will the recommended for long-term use. Mineral oil, an emollient, will soften stool,
provider recommend for long-term management? but it has been associated with aspiration and lipoid pneumonia, prevents
a. Bisacodyl absorption of fat-soluble vitamins, and can cause fecal incontinence; it is
b. Docusate sodium not generally recommended
c. Methylcellulose
d. Mineral oil
4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026
Save
E
X
A
M
4
G
I,
I
D
,
G
U
Students
also
studied
Terms in this set (31)
4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026
, (EXAM 4 GI, ID, GU:: 2026-2027 Versions)
An adult patient reports intermittent, crampy b. Obtain upright and supine radiologic views of the abdomen
abdominal pain with vomiting. The provider notes
marked abdominal distention and hyperactive bowel
sounds. What will the provider do initially?
a. Admit the patient to the hospital for consultation
with a surgeon b. Obtain upright and supine
radiologic views of the abdomen
c. Prescribe an antiemetic and recommend a clear
liquid diet for 24 hours
d. Schedule the patient for a barium swallow and
enema
1. A patient has sudden onset of right upper quadrant c. common bile duct obstruction
(URQ) and epigastric abdominal pain with fever,
nausea, and vomiting. The emergency department
provider notes yellowing of the sclerae. What is the
probable cause of these findings?
a. Acute acalculous cholecystitis
b. Chronic cholelithiasis
c. Common bile duct obstruction
d. Infectious cholecystitis
A patient presents with fever, nausea, vomiting, b. Hospitalization for emergent treatment
anorexia, and right upper quadrant abdominal pain.
An ultrasound is negative for gallstones. Which
action is necessary to treat this patient's symptoms?
a. Empirical treatment with antibiotics
b. Hospitalization for emergent treatment
c. Prescribing ursodeoxycholic acid
d. Supportive care with close follow-up
Which diagnostic test will the provider safely order b. ultrasound
for a 30-year-old woman reporting right upper
quadrant abdominal pain, nausea, and vomiting?
a. Abdominal computed tomography (CT) with
contrast
b. Abdominal ultrasound
c. Magnetic resonance imaging (MRI) of the
abdomen
d. Plain abdominal radiographs
A patient with a previous history of liver disease is c. Open cholecystectomy d/t liver complications
diagnosed with a bile duct obstruction. Which
procedure will be prescribed for this patient?
a. Chemical dissolution of the gallstone
b. Lithotripsy
c. Open cholecystectomy
d. Laparoscopic cholecystectomy
A patient diagnosed with chronic constipation uses b. obtain imaging
polyethylene glycol and reports increased abdominal
discomfort with nausea and vomiting. What is the
initial action by the provider?
a. Increase the dose of polyethylene glycol
b. Obtain radiographic abdominal studies
c. Perform a stool culture and occult blood
d. Refer to a specialist for colonoscopy
A patient has recurrent constipation which improves ANS: C Methylcellulose is a bulk-forming product and is used initially. The
with laxative use but returns when laxatives are other medications are used for more severe constipation and not
discontinued. Which pharmacologic treatment will the recommended for long-term use. Mineral oil, an emollient, will soften stool,
provider recommend for long-term management? but it has been associated with aspiration and lipoid pneumonia, prevents
a. Bisacodyl absorption of fat-soluble vitamins, and can cause fecal incontinence; it is
b. Docusate sodium not generally recommended
c. Methylcellulose
d. Mineral oil
4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026
