Bates- Chapter 11 Abdominal Questions Verified Answers
1. A 52-year-old secretary comes to your office with complaints of urine leakage when she coughs or
sneezes. What type of urinary incontinence does she likely have?
Answer: Stress incontinence
2. A 46-year-old former salesman presents to the ER with black stools and a history of cirrhosis. What
condition is he likely experiencing?
Answer: Esophageal varices
3. A 21-year-old receptionist comes to your clinic with frequent diarrhea, cramping, and loose stools.
What is the most likely etiology of her diarrhea?
Answer: Irritable bowel syndrome (IBS)
Here are the rewritten questions in a different order and structure:
* A patient presents with urinary incontinence when coughing or sneezing. What type of urinary
incontinence is it likely?
+ Answer: Stress incontinence
* A patient has a history of cirrhosis and presents with black stools. What condition is he likely
experiencing?
+ Answer: Esophageal varices
* A patient complains of frequent diarrhea, cramping, and loose stools. What is the most likely cause?
+ Answer: Irritable bowel syndrome (IBS)
A 42-year-old florist comes to your office, complaining of chronic constipation for the last 6 months. She
has had no nausea, vomiting, or diarrhea and no abdominal pain or cramping. She denies any recent
illnesses or injuries. She denies any changes to her diet or exercise program. She is on no new
medications. During the review of systems you note that she has felt fatigued,
, had some weight gain, has irregular periods, and has cold intolerance. Her past medical history is
significant for one vaginal delivery and two cesarean sections. She is married, has three children, and
owns a flower shop. She denies tobacco, alcohol, or drug use. Her mother has type 2
diabetes and her father has coronary artery disease. There is no family history of cancers. On
examination she appears her stated age. Her vital signs are normal. Her head, eyes, ears, nose, throat,
and neck examinations are normal. Her cardiac, lung, and abdomin ✔️D) Hypothyroidism
A 22-year-old law student comes to your office, complaining of severe abdominal pain radiating to his
back. He states it began last night after hours of heavy drinking. He has had abdominal pain and
vomiting in the past after drinking but never as bad as this. He cannot keep any food or water down, and
these symptoms have been going on for almost 12 hours. He has had no recent illnesses or injuries. His
past medical history is unremarkable. He denies smoking or using illegal drugs but admits to drinking 6
to 10 beers per weekend night. He admits that last night he drank something like 14 drinks. On
examination you find a young male appearing his stated age in some distress. He is leaning over on the
examination table and holding his abdomen with his arms. His blood pressure is 90/60 and his pulse is
120. He is afebrile. His abdominal examination reveals normal bowel sounds, but he is very tender in the
left upper qua ✔️D) Acute pancreatitis
An elderly woman with a history of coronary bypass comes in with severe, diffuse,
abdominal pain. Strangely, during your examination, the pain is not made worse by pressing on
the abdomen. What do you suspect?
A) Malingering
B) Neuropathy
C) Ischemia
D) Physical abuse ✔️C) Ischemia
Which of the following is consistent with obturator sign?
A) Pain distant from the site used to check rebound tenderness
B) Right hypogastric pain with the right hip and knee flexed and the hip internally rotated
C) Pain with extension of the right thigh while the patient is on her left side or while pressing
her knee against your hand with thigh flexion
D) Pain that stops inhalation in the right upper quadrant ✔️B) Right hypogastric pain with the right hip
and knee flexed and the hip internally rotated
1. A 52-year-old secretary comes to your office with complaints of urine leakage when she coughs or
sneezes. What type of urinary incontinence does she likely have?
Answer: Stress incontinence
2. A 46-year-old former salesman presents to the ER with black stools and a history of cirrhosis. What
condition is he likely experiencing?
Answer: Esophageal varices
3. A 21-year-old receptionist comes to your clinic with frequent diarrhea, cramping, and loose stools.
What is the most likely etiology of her diarrhea?
Answer: Irritable bowel syndrome (IBS)
Here are the rewritten questions in a different order and structure:
* A patient presents with urinary incontinence when coughing or sneezing. What type of urinary
incontinence is it likely?
+ Answer: Stress incontinence
* A patient has a history of cirrhosis and presents with black stools. What condition is he likely
experiencing?
+ Answer: Esophageal varices
* A patient complains of frequent diarrhea, cramping, and loose stools. What is the most likely cause?
+ Answer: Irritable bowel syndrome (IBS)
A 42-year-old florist comes to your office, complaining of chronic constipation for the last 6 months. She
has had no nausea, vomiting, or diarrhea and no abdominal pain or cramping. She denies any recent
illnesses or injuries. She denies any changes to her diet or exercise program. She is on no new
medications. During the review of systems you note that she has felt fatigued,
, had some weight gain, has irregular periods, and has cold intolerance. Her past medical history is
significant for one vaginal delivery and two cesarean sections. She is married, has three children, and
owns a flower shop. She denies tobacco, alcohol, or drug use. Her mother has type 2
diabetes and her father has coronary artery disease. There is no family history of cancers. On
examination she appears her stated age. Her vital signs are normal. Her head, eyes, ears, nose, throat,
and neck examinations are normal. Her cardiac, lung, and abdomin ✔️D) Hypothyroidism
A 22-year-old law student comes to your office, complaining of severe abdominal pain radiating to his
back. He states it began last night after hours of heavy drinking. He has had abdominal pain and
vomiting in the past after drinking but never as bad as this. He cannot keep any food or water down, and
these symptoms have been going on for almost 12 hours. He has had no recent illnesses or injuries. His
past medical history is unremarkable. He denies smoking or using illegal drugs but admits to drinking 6
to 10 beers per weekend night. He admits that last night he drank something like 14 drinks. On
examination you find a young male appearing his stated age in some distress. He is leaning over on the
examination table and holding his abdomen with his arms. His blood pressure is 90/60 and his pulse is
120. He is afebrile. His abdominal examination reveals normal bowel sounds, but he is very tender in the
left upper qua ✔️D) Acute pancreatitis
An elderly woman with a history of coronary bypass comes in with severe, diffuse,
abdominal pain. Strangely, during your examination, the pain is not made worse by pressing on
the abdomen. What do you suspect?
A) Malingering
B) Neuropathy
C) Ischemia
D) Physical abuse ✔️C) Ischemia
Which of the following is consistent with obturator sign?
A) Pain distant from the site used to check rebound tenderness
B) Right hypogastric pain with the right hip and knee flexed and the hip internally rotated
C) Pain with extension of the right thigh while the patient is on her left side or while pressing
her knee against your hand with thigh flexion
D) Pain that stops inhalation in the right upper quadrant ✔️B) Right hypogastric pain with the right hip
and knee flexed and the hip internally rotated
