3P HIGH STAKES CORE REVIEW ANSWERS AND
QUESTIONS SET A+
✔✔Cirrhosis, hemochromatosis or lymphoma - ✔✔An enlarged liver with firm, non-
tender edge suggests:
✔✔Back - ✔✔Pain of duodenal or pancreatic origin may be referred to the:
✔✔psoas sign (inflamed appendix) - ✔✔A patient presenting with generalized
abdominal pain, flexion of the leg at the hip causes an increase in abdominal pain
suggests a positive:
✔✔A positive Rovsing's sign (appendicitis) - ✔✔Pain in the right lower quadrant during
left-sided pressure indicates:
✔✔A positive psoas sign - ✔✔Flexion of the leg at hip causes an increase in abdominal
pain suggests:
✔✔A neurologic disease (S2-4 cord lesion) - ✔✔When performing a rectal exam, if the
anal sphincter presents with laxity, consider:
✔✔vomiting undigested food, weight loss, erratic glucose levels & gastroesophageal
reflux - ✔✔S/S associated with diabetic gastroparesis include:
✔✔Hepatitis A - ✔✔Traveling internationally to endemic areas, eating food or drinking
contaminated water, male-male partners & persons with chronic liver disease are risk
factors for:
✔✔Gastroesophageal reflux - ✔✔Dyspepsia, frequent belching with sour taste, chest
pain after eating or lying down, straining or lifting, increased salivation & history of high
stress levels are symptoms of:
, ✔✔Hepatitis B - ✔✔having multiple sex partners, body piercings wit unclean equipment,
being incarcerated, sharing needles, exposure to needle sticks or an infected mother to
baby during childbirth are risk factors for:
✔✔Acute pancreatitis - ✔✔A patient complaints of severe epigastric pain that radiates
to the posterior trunk & entire abdomen. This suggests:
✔✔Liver disease - ✔✔Jaundice, spider angiomas, palmar erythema, Terry's nails,
pruritus, purpura & caput medusae are skin conditions associated with:
✔✔Epigastric hernia - ✔✔A small midline protrusion in the linea alba is consistent with:
✔✔Intussusception - ✔✔A 9-month old presents with poor appetite, 2 episodes of
vomiting, 3 blood stools w/ mucus & knee drawn to abdomen with screaming. These are
clinical manifestations of:
✔✔cirrhosis - ✔✔An enlarged liver with a firm, nontender edge may be suggestive of:
✔✔Right hypogastric area - ✔✔A positive obturator sign would elicit pain in the:
✔✔A pilonidal cyst - ✔✔When examining the buttocks & rectum, a small tuft of hair
surrounded by a halo of erythema at the sacral area would most likely be:
✔✔Hepatic cirrhosis - ✔✔Dilated periumbilical collateral veins in the mid and upper
abdomen are associated with:
✔✔pot belly, spleen located 2cm below LCM, tinkling sounds every 10-30 seconds, liver
approx 1-3cm below RCM. - ✔✔What are normal abdominal assessment findings of a
2-year-old?
✔✔borborygmus - ✔✔Bowel sounds that are rumbling or gurgling noises audible
without a stethoscope are:
✔✔anal abscess - ✔✔During a rectal exam, a tender, purulent, reddened mass not at
the anal opening is consistent with:
✔✔Hepatitis C - ✔✔Intravenous drug use, sexual intercourse & transfusion of
unscreened contaminated blood can transmit:
✔✔the bite of a blood-sucking insect - ✔✔Helminths (worm-like organisms) can be
transmitted by:
✔✔esophageal dysphagia - ✔✔A patient instructed to point to location of pain, points
just below the sternoclavicular notch which likely indicates:
QUESTIONS SET A+
✔✔Cirrhosis, hemochromatosis or lymphoma - ✔✔An enlarged liver with firm, non-
tender edge suggests:
✔✔Back - ✔✔Pain of duodenal or pancreatic origin may be referred to the:
✔✔psoas sign (inflamed appendix) - ✔✔A patient presenting with generalized
abdominal pain, flexion of the leg at the hip causes an increase in abdominal pain
suggests a positive:
✔✔A positive Rovsing's sign (appendicitis) - ✔✔Pain in the right lower quadrant during
left-sided pressure indicates:
✔✔A positive psoas sign - ✔✔Flexion of the leg at hip causes an increase in abdominal
pain suggests:
✔✔A neurologic disease (S2-4 cord lesion) - ✔✔When performing a rectal exam, if the
anal sphincter presents with laxity, consider:
✔✔vomiting undigested food, weight loss, erratic glucose levels & gastroesophageal
reflux - ✔✔S/S associated with diabetic gastroparesis include:
✔✔Hepatitis A - ✔✔Traveling internationally to endemic areas, eating food or drinking
contaminated water, male-male partners & persons with chronic liver disease are risk
factors for:
✔✔Gastroesophageal reflux - ✔✔Dyspepsia, frequent belching with sour taste, chest
pain after eating or lying down, straining or lifting, increased salivation & history of high
stress levels are symptoms of:
, ✔✔Hepatitis B - ✔✔having multiple sex partners, body piercings wit unclean equipment,
being incarcerated, sharing needles, exposure to needle sticks or an infected mother to
baby during childbirth are risk factors for:
✔✔Acute pancreatitis - ✔✔A patient complaints of severe epigastric pain that radiates
to the posterior trunk & entire abdomen. This suggests:
✔✔Liver disease - ✔✔Jaundice, spider angiomas, palmar erythema, Terry's nails,
pruritus, purpura & caput medusae are skin conditions associated with:
✔✔Epigastric hernia - ✔✔A small midline protrusion in the linea alba is consistent with:
✔✔Intussusception - ✔✔A 9-month old presents with poor appetite, 2 episodes of
vomiting, 3 blood stools w/ mucus & knee drawn to abdomen with screaming. These are
clinical manifestations of:
✔✔cirrhosis - ✔✔An enlarged liver with a firm, nontender edge may be suggestive of:
✔✔Right hypogastric area - ✔✔A positive obturator sign would elicit pain in the:
✔✔A pilonidal cyst - ✔✔When examining the buttocks & rectum, a small tuft of hair
surrounded by a halo of erythema at the sacral area would most likely be:
✔✔Hepatic cirrhosis - ✔✔Dilated periumbilical collateral veins in the mid and upper
abdomen are associated with:
✔✔pot belly, spleen located 2cm below LCM, tinkling sounds every 10-30 seconds, liver
approx 1-3cm below RCM. - ✔✔What are normal abdominal assessment findings of a
2-year-old?
✔✔borborygmus - ✔✔Bowel sounds that are rumbling or gurgling noises audible
without a stethoscope are:
✔✔anal abscess - ✔✔During a rectal exam, a tender, purulent, reddened mass not at
the anal opening is consistent with:
✔✔Hepatitis C - ✔✔Intravenous drug use, sexual intercourse & transfusion of
unscreened contaminated blood can transmit:
✔✔the bite of a blood-sucking insect - ✔✔Helminths (worm-like organisms) can be
transmitted by:
✔✔esophageal dysphagia - ✔✔A patient instructed to point to location of pain, points
just below the sternoclavicular notch which likely indicates:
