BIO-322 PATHOPHYSIOLOGY EXAM 4
PRACTICE CASE STUDIES QUESTIONS
WITH COMPLETE SOLUTIONS 2025
, Isaiah is a 38-year-old male who tells his primary caretaker of the continuity of his
condition that he has suffered from for the past years. When asked where he
experiences his pain, he points to his LLQ. From background information, it is learned
that he is of Ashkenazi Jewish descent and that his father and grandfather both suffered
from the same condition. During previous visits he had a colonoscopy which revealed
continuous lesions primarily in his rectum, sigmoid and descending colon.
Which condition is Isaiah experiencing?
A. Irritable Bowel Syndrome
B. Ulcerative Colitis
C. Celiac Disease
D. Diverticulitis - ANSWERB. Ulcerative Colitis
2. A 55-year-old male patient visits his PCP complaining of upper abdominal pain,
nausea, and vomiting. When asked about when he experiences his pain, he states that
his pain is worse a few hours after he eats. He also states that his stools have been
dark, almost black. His PCP states that he likely has a peptic ulcer and recommends an
endoscopy. Based on his history, where is the likely location of his peptic ulcer?
A. Esophagus
B. Stomach
C. Duodenum
D. Sigmoid colon
E. Ileum - ANSWERC. Duodenum
Based on the patient above, what is the most common cause of a peptic ulcer?
A. Chronic NSAID use
B. Alcohol
C. Stress
D. Helicobacter pylori - ANSWERD. Helicobacter Pylori
Andy is a 54-year-old male who weighs 297 lbs. He was rushed into the emergency
room after experiencing excruciating pain in his lower abdomen. For the past two
weeks, he has been experiencing diarrhea, but he thought it was due to eating four
Crunch Wrap Supremes and three Beefy Frito Burritos, and a Diet Coke from Taco Bell.
Andy explained to the medical professional that he has not had a colonoscopy. Upon
examination, he had a fever of 102.3 degrees Fahrenheit and palpation of his abdomen
revealed increased pain and guarding over the LLQ. A CBC and CT were ordered. The
CBC concluded that he had an increase in WBC's and the CT scan showcased both
paracolic and colonic inflammation. When analyzing the medical tests conducted, Andy
most likely has?
A. Crohn's Disease
B. Diverticulitis
C. IBS
D. Diverticulosis - ANSWERB. Diverticulitis
PRACTICE CASE STUDIES QUESTIONS
WITH COMPLETE SOLUTIONS 2025
, Isaiah is a 38-year-old male who tells his primary caretaker of the continuity of his
condition that he has suffered from for the past years. When asked where he
experiences his pain, he points to his LLQ. From background information, it is learned
that he is of Ashkenazi Jewish descent and that his father and grandfather both suffered
from the same condition. During previous visits he had a colonoscopy which revealed
continuous lesions primarily in his rectum, sigmoid and descending colon.
Which condition is Isaiah experiencing?
A. Irritable Bowel Syndrome
B. Ulcerative Colitis
C. Celiac Disease
D. Diverticulitis - ANSWERB. Ulcerative Colitis
2. A 55-year-old male patient visits his PCP complaining of upper abdominal pain,
nausea, and vomiting. When asked about when he experiences his pain, he states that
his pain is worse a few hours after he eats. He also states that his stools have been
dark, almost black. His PCP states that he likely has a peptic ulcer and recommends an
endoscopy. Based on his history, where is the likely location of his peptic ulcer?
A. Esophagus
B. Stomach
C. Duodenum
D. Sigmoid colon
E. Ileum - ANSWERC. Duodenum
Based on the patient above, what is the most common cause of a peptic ulcer?
A. Chronic NSAID use
B. Alcohol
C. Stress
D. Helicobacter pylori - ANSWERD. Helicobacter Pylori
Andy is a 54-year-old male who weighs 297 lbs. He was rushed into the emergency
room after experiencing excruciating pain in his lower abdomen. For the past two
weeks, he has been experiencing diarrhea, but he thought it was due to eating four
Crunch Wrap Supremes and three Beefy Frito Burritos, and a Diet Coke from Taco Bell.
Andy explained to the medical professional that he has not had a colonoscopy. Upon
examination, he had a fever of 102.3 degrees Fahrenheit and palpation of his abdomen
revealed increased pain and guarding over the LLQ. A CBC and CT were ordered. The
CBC concluded that he had an increase in WBC's and the CT scan showcased both
paracolic and colonic inflammation. When analyzing the medical tests conducted, Andy
most likely has?
A. Crohn's Disease
B. Diverticulitis
C. IBS
D. Diverticulosis - ANSWERB. Diverticulitis
