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A patient is seen with complaints of diarrhea. Which of the following should be included in the
patient's differential diagnosis? - correct answer ✔✔frequency, amount and fluidity, color and
characteristics. Diet history, recent travel, medication use, source of drinking water
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 - correct answer ✔✔nature of the pain,
timing of the pain, palliative and provocative aspects, associated symptoms (n/v).
A patient comes to the office complaining of constipation. The patient lists all of the following
medications. Which drug could be responsible for the constipation - correct answer ✔✔Pepto-
Bismol
A 29 year old Englishman is seen in the office with complaints of pain in his chest and belly. He
has been suffering the pain for 2 weeks and gets temporary relief from Alka-Seltzer. The burning
wakes him at night and radiates up to his chest. Which factor favors a diagnosis of gastric ulcer -
correct answer ✔✔His use of Alka Seltzer
Which of the following is most effective in diagnosing appendicitis - correct answer ✔✔History
and physical
A 46-year-old patient is seen in the clinic with abdominal pain. Which of the following tests is
essential for this patient? - correct answer ✔✔Urine human chorionic gonadotropin
, . A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain after
meals. She is often constipated and takes laxatives, which are followed by a couple of days of
diarrhea. 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? - correct answer
✔✔Obtain a complete history
A 28-year-old patient is seen in the clinic with colicky abdominal pain particular with meals. She
has frequent constipation, flatulence, and abdominal distension. Which of the data make a
diagnosis of diverticulitis unlikely? - correct answer ✔✔Her age
A 28-year-old patient is seen with complaints of diarrhea. Which of the following responses to
the history questions would help the primary care physician (PCP) establish the diagnosis of
irritable bowel syndrome? - correct answer ✔✔
Which of the following dietary instructions should be given to a patient with GERD? - correct
answer ✔✔Eliminate coffee
The patient with GERD should be instructed to eliminate which of these activities? - correct
answer ✔✔Weight lifting
. A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in
appendicitis? - correct answer ✔✔Very early
. A patient is seen in the clinic with right upper quadrant pain that is radiating to the middle of
the back. The NP suspects acute cholelithiasis. The NP should expect which of the following
laboratory findings? - correct answer ✔✔Elevated alkaline phosphatase
Which of the following is part of the treatment plan for the patient with irritable bowel
syndrome? - correct answer ✔✔High fiber diet