1. An adult patient reports intermittent, crampy abdominal pain with
vomiting. The provider notes marked abdominal distention and hyperactive
bowel sounds. What will the provider do initially? Right Ans - Obtain
upright and supine radiologic views of the abdomen
2. A patient is in clinic for evaluation of sudden onset of abdominal pain. The
provider palpates a pulsatile, painful mass between the xiphoid process and
the umbilicus. What is the initial action? Right Ans - Transfer the patient to
the emergency department for a surgical consultation.
3. Which symptoms noted in a patient reporting abdominal pain are
suggestive of appendicitis? (Select all that apply.) Right Ans - Abdominal
rigidity along with pain
Pain accompanied by low-grade fever
Pain occurring prior to nausea and vomiting
A patient has recurrent constipation which improves with laxative use but
returns when laxatives are discontinued. Which pharmacologic treatment will
the provider recommend for long-term management? Right Ans -
Methylcellulose
A patient is diagnosed with chronic constipation uses polyethylene glycol and
reports increased abdominal discomfort with nausea and vomiting. What is
the initial action by the provider? Right Ans - Obtain radiographic
abdominal studies
A patient reports a decrease in the frequency of stools and asks about
treatment for constipation. Which findings are part of the Rome IV criteria for
diagnosing constipation? (Select all that apply.) Right Ans - Feeling of
incomplete evacuation
Hard or lumpy stools
Symptoms present for 3 months
A patient, who first developed acute diarrhea 2 weeks ago, presents to clinic
reporting profuse watery, bloody diarrheal stools 6 to 8 times daily. The
provider notes a toxic appearance with moderate dehydration. Which test is