EMED EOR Practice Questions - Gastrointestinal / Nutritional | 100% Correct Answers | Verified | Latest 2024 Version

Which is the term used for blue discoloration around the umbilicus? A. Cullen sign B. Murphy sign C. Roxving sign D. Turner sign - A. Cullen sign - blue discoloration around umbilicus - hemorrhagic pancreatitis A 65 year-old homeless male with a history of pancreatitis is seen in the emergency department for vomiting, upper abdominal pain, back pain and weakness. He is cachetic, pale and jaundiced. A 4-5 cm mass is palpable in the mid to right hypochondrium. What is the most likely diagnosis? A. Chronic cholecystitis B. Carcinoma of head of pancreas C. Fibrolipoma D. Primary biliary cirrhosis - B. Carcinoma of head of pancreas - 75 % of pancreatic cancers found in the head - RF = age, tocacco use, obesity, chronic pancreatitis, fam hx and previous abdominal radiation A patient presents with abdominal pain in the RLQ examination reveals increased pain in the RLQ on deep palpation on the LLQ. This is known as which of the following? A. Psoas sign B. Murphys sign C. Rovsings sign D. Obturator sign - C. Rovsings sign - increased pain occurs in the right lower quadrant in the LLQ Which of the following pathophysiological procresses is believed to intitiate acute appendicitis? A. Obstruction B. Perforation C. Hemorrhage D. Vascular compromise - A. Obstruction - obstruction of the appendiceal lumen by lymphoid hyperplasia, a fecalith or foreign body inititates mo