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Q-The proper order of assessing the abdomen is - 🧠 ANSWER
✔✔inspection, auscultation, percussion, palpation.
When percussing the abdomen, hyperresonance is present: - 🧠 ANSWER
✔✔When there is gaseous distention
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
exam?
A. Digital Rectal Exam
B. Pelvic Exam
C. Sexual History
,D. All of the above - 🧠 ANSWER ✔✔D. All of the above
A 28-year-old patient is seen in the clinic with colicky abdominal pain,
particularly with meals. She has frequent constipation, flatulence, and
abdominal distension. Which of the data make a diagnosis of diverticulitis
unlikely?
A. Her age
B. Flatulence
C. Frequent constipation
D. Colicky abdominal pain - 🧠 ANSWER ✔✔A. Her Age
A 25-year-old accountant is seen in the clinic complaining of crampy
abdominal pain after meals. She is often constipated and takes laxatives.
Following this, she has diarrhea for a couple of days. 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 46-year-old female patient is seen in the clinic with abdominal pain.
Which of the following tests is essential for this patient?
A. CBC
B. Urine HCG
C. Barium enema
D. CT - 🧠 ANSWER ✔✔B. Urine HCG
A patient is seen in the clinic with right upper quadrant (RUQ) pain that is
radiating to the middle of the back. The clinician suspects acute
cholelithiasis. The clinician should expect which of the following laboratory
findings?
A. Decreased ALT and AST
B. Elevated alkaline phosphatase
C. Elevated indirect bili
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, D. Decreased WBC - 🧠 ANSWER ✔✔B. Elevated alkaline phosphatase
A 45-year-old patient presents with a chief complaint of generalized
abdominal pain. Her physical exam is remarkable for left lower quadrant
(LLQ) tenderness. Which of the following should be considered in the
differential diagnosis at this time?
A. Endometriosis
B. Colon Ca
C. Diverticulitis
D. All of the above - 🧠 ANSWER ✔✔D. All of the above
You assess for Cullen's sign in Dan, age 62, after surgery. Cullen's sign
may indicate: - 🧠 ANSWER ✔✔Intra-abdominal bleeding
Marian, age 52, is obese. She complains of a rapid onset of severe right
upper quadrant
abdominal cramping pain, nausea, and vomiting. Your differential diagnosis
might be - 🧠 ANSWER ✔✔cholecystitis.
Most common cause of constipation - 🧠 ANSWER ✔✔lack of dietary fiber
(RDA=30g)