DUNPHY - ABDOMINAL PROBLEMS
QUIZ #4 QUESTIONS WITH COMPLETE
ANSWERS
Hannah is a patient that just had an appendectomy after a diagnosis of appendicitis and
had no complications. Which of the following patient education points is correct?
A. "You will need to take laxatives to encourage defecation post-surgery."
B. "You will need to stay in the hospital for 2 weeks to recover."
C. "Your diet will be advanced when bowel sounds return."
D. "I will put you on narcotics to manage your pain." - Answer-C. "Your diet will be
advanced when bowel sounds return."
Which of the following patients should be referred to a hepatologist?
A. Patient with persistent elevation of HBsAg
B. Patient with anti-HAV IgG
C. Patient with IgG anti-HBs
D. Patient with anti-HEV - Answer-A. Patient with persistent elevation of HBsAg
A 29-year-old is seen in the office with complaints of pain in his chest and belly. He quit
smoking 6 months ago. He has been suffering the pain for 2 weeks and gets temporary
relief from Alka-Seltzer® and Pepto-Bismol®. The burning pain wakes him at night and
radiates up to his chest. Which factor favors a diagnosis of gastric ulcer?
A. His use of Pepto-Bismol
B. His age
C. His use of Alka-Seltzer
D. His smoking cessation - Answer-C. His use of Alka-Seltzer
Which of the following causes of gastrointestinal bleeding is found in the lower
gastrointestinal tract?
A. Erosive esophagitis
B. Duodenal ulcer
C. Meckel's diverticulum
D. Gastric ulcer - Answer-C. Meckel's diverticulum
Which of the following is most effective in diagnosing acute appendicitis?
A. History and physical
B. Sedimentation rate
C. Kidney, ureter, and bladder x-ray
D. Complete blood count (CBC) with differentials - Answer-A. History and physical
Which of the following is true of appendicitis?
A. Appendicitis is more common in Asian countries.
, B. Family history of appendicitis does not increase a patient's risk of having
appendicitis.
C. Appendicitis is most common between the ages of 40 and 60.
D. If appendicitis occurs in infants, it is associated with higher morbidity. - Answer-D. If
appendicitis occurs in infants, it is associated with higher morbidity.
Which of the following is associated with celiac disease (celiac sprue)?
A. Malabsorption
B. Constipation
C. Rectal bleeding
D. Esophageal ulceration - Answer-A. Malabsorption
A 45-year-old patient presents with a chief complaint of generalized abdominal pain.
Her physical examination is remarkable for left lower quadrant tenderness. At this time,
which of the following should be considered in the differential diagnosis?
A. Endometriosis
B. Yersinia enterocolitica infection
C. Appendicitis
D. GERD - Answer-A. Endometriosis
Robin is a 57-year-old female presenting with diffuse abdominal pain. Which of the
following statements from the provider to Robin is correct?
A. "It does not matter that you feel pain not only in your stomach but also in your
shoulder."
B. "Does moving around change the nature of your pain?"
C. "All causes of abdominal pain do not necessitate a surgical referral."
D. "I noticed on examination that your stomach is rigid, and you stated your pain is quite
severe. It is only necessary for a nurse to see you concerning this problem." - Answer-
B. "Does moving around change the nature of your pain?"
A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain
after meals. She is often constipated and takes laxatives, which are followed by a
couple of days of diarrhea. She temporarily feels better after a bowel movement. She
states she is embarrassed by flatulence and has abdominal distension. She has had no
weight loss or blood in her stool. This problem has gone on for about 6 months. What
should the next step be?
A. Obtain a complete history.
B. Order a barium enema.
C. Schedule a Bernstein's test.
D. Prescribe a trial of antispasmodics. - Answer-A. Obtain a complete history.
A 28-year-old patient is seen in the clinic with colicky abdominal pain, particularly after
meals. She has frequent constipation, flatulence, and abdominal distension. Which of
the data make a diagnosis of diverticulitis unlikely?
A. Her age
B. Frequent constipation
QUIZ #4 QUESTIONS WITH COMPLETE
ANSWERS
Hannah is a patient that just had an appendectomy after a diagnosis of appendicitis and
had no complications. Which of the following patient education points is correct?
A. "You will need to take laxatives to encourage defecation post-surgery."
B. "You will need to stay in the hospital for 2 weeks to recover."
C. "Your diet will be advanced when bowel sounds return."
D. "I will put you on narcotics to manage your pain." - Answer-C. "Your diet will be
advanced when bowel sounds return."
Which of the following patients should be referred to a hepatologist?
A. Patient with persistent elevation of HBsAg
B. Patient with anti-HAV IgG
C. Patient with IgG anti-HBs
D. Patient with anti-HEV - Answer-A. Patient with persistent elevation of HBsAg
A 29-year-old is seen in the office with complaints of pain in his chest and belly. He quit
smoking 6 months ago. He has been suffering the pain for 2 weeks and gets temporary
relief from Alka-Seltzer® and Pepto-Bismol®. The burning pain wakes him at night and
radiates up to his chest. Which factor favors a diagnosis of gastric ulcer?
A. His use of Pepto-Bismol
B. His age
C. His use of Alka-Seltzer
D. His smoking cessation - Answer-C. His use of Alka-Seltzer
Which of the following causes of gastrointestinal bleeding is found in the lower
gastrointestinal tract?
A. Erosive esophagitis
B. Duodenal ulcer
C. Meckel's diverticulum
D. Gastric ulcer - Answer-C. Meckel's diverticulum
Which of the following is most effective in diagnosing acute appendicitis?
A. History and physical
B. Sedimentation rate
C. Kidney, ureter, and bladder x-ray
D. Complete blood count (CBC) with differentials - Answer-A. History and physical
Which of the following is true of appendicitis?
A. Appendicitis is more common in Asian countries.
, B. Family history of appendicitis does not increase a patient's risk of having
appendicitis.
C. Appendicitis is most common between the ages of 40 and 60.
D. If appendicitis occurs in infants, it is associated with higher morbidity. - Answer-D. If
appendicitis occurs in infants, it is associated with higher morbidity.
Which of the following is associated with celiac disease (celiac sprue)?
A. Malabsorption
B. Constipation
C. Rectal bleeding
D. Esophageal ulceration - Answer-A. Malabsorption
A 45-year-old patient presents with a chief complaint of generalized abdominal pain.
Her physical examination is remarkable for left lower quadrant tenderness. At this time,
which of the following should be considered in the differential diagnosis?
A. Endometriosis
B. Yersinia enterocolitica infection
C. Appendicitis
D. GERD - Answer-A. Endometriosis
Robin is a 57-year-old female presenting with diffuse abdominal pain. Which of the
following statements from the provider to Robin is correct?
A. "It does not matter that you feel pain not only in your stomach but also in your
shoulder."
B. "Does moving around change the nature of your pain?"
C. "All causes of abdominal pain do not necessitate a surgical referral."
D. "I noticed on examination that your stomach is rigid, and you stated your pain is quite
severe. It is only necessary for a nurse to see you concerning this problem." - Answer-
B. "Does moving around change the nature of your pain?"
A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain
after meals. She is often constipated and takes laxatives, which are followed by a
couple of days of diarrhea. She temporarily feels better after a bowel movement. She
states she is embarrassed by flatulence and has abdominal distension. She has had no
weight loss or blood in her stool. This problem has gone on for about 6 months. What
should the next step be?
A. Obtain a complete history.
B. Order a barium enema.
C. Schedule a Bernstein's test.
D. Prescribe a trial of antispasmodics. - Answer-A. Obtain a complete history.
A 28-year-old patient is seen in the clinic with colicky abdominal pain, particularly after
meals. She has frequent constipation, flatulence, and abdominal distension. Which of
the data make a diagnosis of diverticulitis unlikely?
A. Her age
B. Frequent constipation
