Exam 2026|2027 Actual Complete Real Exam Questions And Correct
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H.pylori -ANSWER-A bacterial infection transmitted via vomit, saliva,
feces, contaminated water
Causes chronic inflammation in antrum and stomach body.The cause of
most ulcers
Average age with appendicitis -ANSWER-6-10 years, perforation more
common in children <5yrs
Appendicitis Physical Findings (6) -ANSWER-1. RLQ involuntary guarding
with rebound tenderness
2. +Psoas sign (Iliopsoas Test): pain with right thigh extension
3. +Obturator sign: pain with internal rotation of flexed right thigh
4. Positive Rovsing's sign: RLQ pain when pressure is applied to LLQ
5. Local abdominal tenderness
6. Low grade fever (high fever suggests perforation or another
diagnosis)
Intussusception Triad -ANSWER-Colicky Abdominal pain
Vomiting
,Currant jelly (bloody mucous) stool
Intussusception clinical findings -ANSWER-sausage like mass in RUQ
distension, tenderness of abdomen
history of recent URI common
grossly bloody or guaiac + stools
Childhood functional abdominal pain (FAP) -ANSWER-Recurrent
abdominal pain with no specific organic etiology, ROME III criteria -once
a week for at least 2 months and 25% loss of daily functioning, somatic
symptoms
IBS (irritable bowel syndrome) -ANSWER-A chronic condition in which
the bowels are sensitive to certain foods and stress causeing
discomfort, improved with defecation. is a FAP
Celiac disease -ANSWER-immune-mediated; triggered by exposure to
gluten, barley, rye
can order serologic testings
Lactose intolerance -ANSWER-abdominal pain, diarrhea, nausea,
flatulence, bloating after ingestion of lactose-containing foods
, can order lactose hydrogen breath test
CMPI and cow's-milk allergy (CMA) -ANSWER-hypersensitivity to cow's
milk protein - cow's milk allergy is antigen mediated
can order skin patch allergy tests, serum IgE
may need epi pen
Clinical findings of Celiac disease -ANSWER-FTT, iron-deficiency anemia,
abdominal distension
Clinical findings of CMPI or CMA -ANSWER-anaphylaxis, oral swelling,
urticaria, rash, angioedema, nasal pruritis, rhinitis, wheezing,
nausea/vomiting, diarrhea, bloody stool
Clinical findings of malabsorption syndromes -ANSWER-changes in
growth parameters
skinfold thickness/lean body mass
Delayed growth/puberty/tanner staging
Rectal and Intestinal Polyps findings -ANSWER-asymptomatic or
painless, bright red rectal bleeding, complaints of diarrhea,
constipation, changes in bowel habits.
pallor/edema from anemia/hypoproteinemia