MN568 Unit 4 Questions With Complete Solutions
45 year old with generalized abdominal pain and remarkable
LLQ tenderness Correct Answers Endometriosis
A 21-year-old student presents with complaints of fatigue,
headache, anorexia, and a runny nose, all of which began about
2 weeks ago. She started taking vitamins and over-the-counter
cold preparations but feels worse. The smell of food makes her
nauseated. Her boyfriend had mononucleosis about a month ago,
and she wonders if she might have it also. Examination reveals
cervical adenopathy and an enlarged liver and spleen. Which of
the following labs would be most helpful in the differential
diagnosis at this point? Question options:
a) Stool culture
b) Liver enzymes
c) Antihepatitis D virus
d) Thyroid-stimulating hormone test Correct Answers c)
Antihepatitis D virus
A 22-year-old is seen complaining of vague belly pain. This
type of pain is seen at what point in appendicitis?
Question options:
a) Very early
b) 3 to 4 hours after perforation
,c) Late in inflammation
d) Appendicitis never presents with vague pain. Correct
Answers a) Very early
A 28-year-old patient is seen with complaints of diarrhea. Which
of the following responses to the history questions would help
the primary care physician (PCP) establish the diagnosis of
irritable bowel syndrome? Question options:
a) Feels relief after a bowel movement
b) Sometimes is constipated
c) Does not defecate in the middle of the night
d) All of the above Correct Answers d) All of the above
A 29-year-old Englishman is seen in the office with complaints
of pain in his chest and belly. He has been suffering the pain for
2 weeks and gets temporary relief from Alka-Seltzer®. The
burning pain wakes him at night and radiates up to his chest.
Which factor favors a diagnosis of gastric ulcer? Question
options:
a) His gender
b) His age
c) His use of Alka-Seltzer
, d) His ethnic origin Correct Answers c) His use of Alka-Seltzer
A 35-year-old female patient is seen in the clinic complaining of
abdominal pain. Which of the following should be included in
the history and physical examination? Question options:
a) Digital rectal exam
b) Pelvic exam
c) Sexual history
d) All of the above Correct Answers d) All of the above
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? Question options:
a) Endometriosis
b) Colon cancer
c) Diverticulitis
d) All of the above Correct Answers d) All of the above
45 year old with generalized abdominal pain and remarkable
LLQ tenderness Correct Answers Endometriosis
A 21-year-old student presents with complaints of fatigue,
headache, anorexia, and a runny nose, all of which began about
2 weeks ago. She started taking vitamins and over-the-counter
cold preparations but feels worse. The smell of food makes her
nauseated. Her boyfriend had mononucleosis about a month ago,
and she wonders if she might have it also. Examination reveals
cervical adenopathy and an enlarged liver and spleen. Which of
the following labs would be most helpful in the differential
diagnosis at this point? Question options:
a) Stool culture
b) Liver enzymes
c) Antihepatitis D virus
d) Thyroid-stimulating hormone test Correct Answers c)
Antihepatitis D virus
A 22-year-old is seen complaining of vague belly pain. This
type of pain is seen at what point in appendicitis?
Question options:
a) Very early
b) 3 to 4 hours after perforation
,c) Late in inflammation
d) Appendicitis never presents with vague pain. Correct
Answers a) Very early
A 28-year-old patient is seen with complaints of diarrhea. Which
of the following responses to the history questions would help
the primary care physician (PCP) establish the diagnosis of
irritable bowel syndrome? Question options:
a) Feels relief after a bowel movement
b) Sometimes is constipated
c) Does not defecate in the middle of the night
d) All of the above Correct Answers d) All of the above
A 29-year-old Englishman is seen in the office with complaints
of pain in his chest and belly. He has been suffering the pain for
2 weeks and gets temporary relief from Alka-Seltzer®. The
burning pain wakes him at night and radiates up to his chest.
Which factor favors a diagnosis of gastric ulcer? Question
options:
a) His gender
b) His age
c) His use of Alka-Seltzer
, d) His ethnic origin Correct Answers c) His use of Alka-Seltzer
A 35-year-old female patient is seen in the clinic complaining of
abdominal pain. Which of the following should be included in
the history and physical examination? Question options:
a) Digital rectal exam
b) Pelvic exam
c) Sexual history
d) All of the above Correct Answers d) All of the above
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? Question options:
a) Endometriosis
b) Colon cancer
c) Diverticulitis
d) All of the above Correct Answers d) All of the above
