Quiz 4 - Dunphy - Abdominal Problems with Complete
Solutions Rated A
A 35-year-old female patient is seen in the clinic D. Decreased physical activity - ANSWER -
complaining of abdominal pain. Which of the A. Gastroenteritis
following should be included in the examination?
A. Lumbar puncture
B. Family history of cardiac problems Cameron, 38 years old, is 5 feet 8 inches tall and
C. Contrast venography weighs 189 pounds. He reports that he has had
D. Pelvic exam - ANSWER -D. Pelvic exam intermittent heartburn for several months and
takes antacids with temporary relief. He has been
waking during the night with a burning sensation
Which of the following is a condition that results in his chest. Which additional information would
in colicky abdominal pain? lead you to believe that gastroesophageal reflux
A. Peptic ulcers disease (GERD) is the cause of his pain?
B. Glisson's capsule around the liver A. The pain seems better when he smokes to
C. Peritoneum irritation relieve his nerves.
D. Gallstones - ANSWER -D. Gallstones B. Coffee and fried foods don't bother him.
C. He wakes at night coughing with a bad taste in
his mouth.
A patient comes to the office complaining of D. He likes to wear loose clothing. -
constipation. The patient lists all of the following ANSWER -C. He wakes at night coughing
medications. Which drug could be responsible for with a bad taste in his mouth.
the constipation?
A. Multivitamin
B. Magnesium hydroxide Gail, a 35-year-old female patient, is seen in the
C. Pepto-Bismol® clinic in the morning. She complains of abrupt
D. Ibuprofen - ANSWER -C. Pepto-Bismol® onset of nausea, vomiting, colicky abdominal
cramps, and profuse watery diarrhea that began
last night. Her vitals are BP: 110/70, HR: 110,
Which of the following is an appropriate strategy temperature: 99°F, RR: 12. She recently came
to manage constipation? back from a vacation in Switzerland, ate leftovers
A. Mildly exercise after breakfast. for dinner last night, and had a cold 2 weeks ago.
B. Five timed minutes on the toilet in which to Which of the following is the most probable cause
defecate. of her condition?
C. Drink at least 48 ounces of fluids daily. A. Staphylococcus
D. Immediately begin pharmacologic treatment. - B. Shigella
ANSWER -A. Mildly exercise after C. Rotavirus
breakfast. D. Entamoeba histolytica - ANSWER -A.
Staphylococcus
A patient is seen with complaints of diarrhea.
Which of the following should be included in the Hannah is a patient that just had an
patient's differential diagnosis? appendectomy after a diagnosis of appendicitis
A. Gastroenteritis and had no complications. Which of the following
B. Recent use of Imodium patient education points is correct?
C. Lack of dietary fiber A. "You will need to take laxatives to encourage
defecation post-surgery."
1/6
, Quiz 4 - Dunphy - Abdominal Problems with Complete
Solutions Rated A
B. "You will need to stay in the hospital for 2 diagnosing acute appendicitis?
weeks to recover." A. History and physical
C. "Your diet will be advanced when bowel B. Sedimentation rate
sounds return." C. Kidney, ureter, and bladder x-ray
D. "I will put you on narcotics to manage your D. Complete blood count (CBC) with differentials
pain." - ANSWER -C. "Your diet will be - ANSWER -A. History and physical
advanced when bowel sounds return."
Which of the following is true of appendicitis?
Which of the following patients should be A. Appendicitis is more common in Asian
referred to a hepatologist? countries.
A. Patient with persistent elevation of HBsAg B. Family history of appendicitis does not
B. Patient with anti-HAV IgG increase a patient's risk of having appendicitis.
C. Patient with IgG anti-HBs C. Appendicitis is most common between the
D. Patient with anti-HEV - ANSWER -A. ages of 40 and 60.
Patient with persistent elevation of HBsAg D. If appendicitis occurs in infants, it is
associated with higher morbidity. -
ANSWER -D. If appendicitis occurs in
A 29-year-old is seen in the office with infants, it is associated with higher morbidity.
complaints of pain in his chest and belly. He quit
smoking 6 months ago. He has been suffering
the pain for 2 weeks and gets temporary relief Which of the following is associated with celiac
from Alka-Seltzer® and Pepto-Bismol®. The disease (celiac sprue)?
burning pain wakes him at night and radiates up A. Malabsorption
to his chest. Which factor favors a diagnosis of B. Constipation
gastric ulcer? C. Rectal bleeding
A. His use of Pepto-Bismol D. Esophageal ulceration - ANSWER -A.
B. His age Malabsorption
C. His use of Alka-Seltzer
D. His smoking cessation - ANSWER -C.
His use of Alka-Seltzer A 45-year-old patient presents with a chief
complaint of generalized abdominal pain. Her
physical examination is remarkable for left lower
Which of the following causes of gastrointestinal quadrant tenderness. At this time, which of the
bleeding is found in the lower gastrointestinal following should be considered in the differential
tract? diagnosis?
A. Erosive esophagitis A. Endometriosis
B. Duodenal ulcer B. Yersinia enterocolitica infection
C. Meckel's diverticulum C. Appendicitis
D. Gastric ulcer - ANSWER -C. Meckel's D. GERD - ANSWER -A. Endometriosis
diverticulum
Robin is a 57-year-old female presenting with
Which of the following is most effective in diffuse abdominal pain. Which of the following
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Solutions Rated A
A 35-year-old female patient is seen in the clinic D. Decreased physical activity - ANSWER -
complaining of abdominal pain. Which of the A. Gastroenteritis
following should be included in the examination?
A. Lumbar puncture
B. Family history of cardiac problems Cameron, 38 years old, is 5 feet 8 inches tall and
C. Contrast venography weighs 189 pounds. He reports that he has had
D. Pelvic exam - ANSWER -D. Pelvic exam intermittent heartburn for several months and
takes antacids with temporary relief. He has been
waking during the night with a burning sensation
Which of the following is a condition that results in his chest. Which additional information would
in colicky abdominal pain? lead you to believe that gastroesophageal reflux
A. Peptic ulcers disease (GERD) is the cause of his pain?
B. Glisson's capsule around the liver A. The pain seems better when he smokes to
C. Peritoneum irritation relieve his nerves.
D. Gallstones - ANSWER -D. Gallstones B. Coffee and fried foods don't bother him.
C. He wakes at night coughing with a bad taste in
his mouth.
A patient comes to the office complaining of D. He likes to wear loose clothing. -
constipation. The patient lists all of the following ANSWER -C. He wakes at night coughing
medications. Which drug could be responsible for with a bad taste in his mouth.
the constipation?
A. Multivitamin
B. Magnesium hydroxide Gail, a 35-year-old female patient, is seen in the
C. Pepto-Bismol® clinic in the morning. She complains of abrupt
D. Ibuprofen - ANSWER -C. Pepto-Bismol® onset of nausea, vomiting, colicky abdominal
cramps, and profuse watery diarrhea that began
last night. Her vitals are BP: 110/70, HR: 110,
Which of the following is an appropriate strategy temperature: 99°F, RR: 12. She recently came
to manage constipation? back from a vacation in Switzerland, ate leftovers
A. Mildly exercise after breakfast. for dinner last night, and had a cold 2 weeks ago.
B. Five timed minutes on the toilet in which to Which of the following is the most probable cause
defecate. of her condition?
C. Drink at least 48 ounces of fluids daily. A. Staphylococcus
D. Immediately begin pharmacologic treatment. - B. Shigella
ANSWER -A. Mildly exercise after C. Rotavirus
breakfast. D. Entamoeba histolytica - ANSWER -A.
Staphylococcus
A patient is seen with complaints of diarrhea.
Which of the following should be included in the Hannah is a patient that just had an
patient's differential diagnosis? appendectomy after a diagnosis of appendicitis
A. Gastroenteritis and had no complications. Which of the following
B. Recent use of Imodium patient education points is correct?
C. Lack of dietary fiber A. "You will need to take laxatives to encourage
defecation post-surgery."
1/6
, Quiz 4 - Dunphy - Abdominal Problems with Complete
Solutions Rated A
B. "You will need to stay in the hospital for 2 diagnosing acute appendicitis?
weeks to recover." A. History and physical
C. "Your diet will be advanced when bowel B. Sedimentation rate
sounds return." C. Kidney, ureter, and bladder x-ray
D. "I will put you on narcotics to manage your D. Complete blood count (CBC) with differentials
pain." - ANSWER -C. "Your diet will be - ANSWER -A. History and physical
advanced when bowel sounds return."
Which of the following is true of appendicitis?
Which of the following patients should be A. Appendicitis is more common in Asian
referred to a hepatologist? countries.
A. Patient with persistent elevation of HBsAg B. Family history of appendicitis does not
B. Patient with anti-HAV IgG increase a patient's risk of having appendicitis.
C. Patient with IgG anti-HBs C. Appendicitis is most common between the
D. Patient with anti-HEV - ANSWER -A. ages of 40 and 60.
Patient with persistent elevation of HBsAg D. If appendicitis occurs in infants, it is
associated with higher morbidity. -
ANSWER -D. If appendicitis occurs in
A 29-year-old is seen in the office with infants, it is associated with higher morbidity.
complaints of pain in his chest and belly. He quit
smoking 6 months ago. He has been suffering
the pain for 2 weeks and gets temporary relief Which of the following is associated with celiac
from Alka-Seltzer® and Pepto-Bismol®. The disease (celiac sprue)?
burning pain wakes him at night and radiates up A. Malabsorption
to his chest. Which factor favors a diagnosis of B. Constipation
gastric ulcer? C. Rectal bleeding
A. His use of Pepto-Bismol D. Esophageal ulceration - ANSWER -A.
B. His age Malabsorption
C. His use of Alka-Seltzer
D. His smoking cessation - ANSWER -C.
His use of Alka-Seltzer A 45-year-old patient presents with a chief
complaint of generalized abdominal pain. Her
physical examination is remarkable for left lower
Which of the following causes of gastrointestinal quadrant tenderness. At this time, which of the
bleeding is found in the lower gastrointestinal following should be considered in the differential
tract? diagnosis?
A. Erosive esophagitis A. Endometriosis
B. Duodenal ulcer B. Yersinia enterocolitica infection
C. Meckel's diverticulum C. Appendicitis
D. Gastric ulcer - ANSWER -C. Meckel's D. GERD - ANSWER -A. Endometriosis
diverticulum
Robin is a 57-year-old female presenting with
Which of the following is most effective in diffuse abdominal pain. Which of the following
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