Name: Score:
53 Multiple choice questions
Definition 1 of 53
A 17-year-old female presents to the emergency department with complaints of subjective fever
and crampy abdominal pain for the past week. Today, she had an episode of bloody bowel
movement, which has never happened before. A physical examination demonstrates mild
conjunctival pallor but is otherwise unremarkable. ESR and CRP are elevated.
ZE
PJ
UC
Celiac
Definition 2 of 53
A 40-year-old obese woman presents to her family medicine doctor for intermittent abdominal
pain for the past few months as well as fatigue. She has a past medical history of hyperlipidemia,
diabetes, and hypertension. She has been trying to lose weight but has not been successful. She
reports drinking alcohol socially, on average 2 times per month. On exam, she is not jaundiced
and has no tenderness to palpation. Her liver is noted to be enlarged. Laboratory evaluation
reveals mildly elevated liver enzymes, and she is referred for liver biopsy to confirm the diagnosis
of nonalcoholic steatohepatitis.
Acute hepatitis
Hepatic encephalopathy
Chronic hepatitis
Acute cholecystitis
,Definition 3 of 53
A 65-year-old gentleman presents with acute onset severe abdominal pain. The pain is described
as "diffuse" without localization and constant. The patient states that he has had nausea and
vomitting with this episode. Physical examination shows absent bowel sounds, mild abdominal
distention, and pain that is disproportionate to the exam findings.
Appendicitis
Zenker diverticulum
Mesenteric ischemia
Ischemic colitis
Definition 4 of 53
A 65-year-old-male presents with complaints of epigastric pain and belching, which improves
when he eats food but gets worse within a few hours after his meal. The pain is described as
stabbing, intermittent, and concentrated at the epigastric region. He noticed a 5-lb. weight loss
over the past 3 months and a dark color to his stools. Calcium carbonate seems to help with the
pain.
Esophageal varices
Gerd
Peptic ulcer disease
Appendicitis
, Definition 5 of 53
A 62-year-old man presents to his primary care physician complaining of constant itchings and
yellow skin and eyes. On exam, there is no evidence of hepatomegaly, however, laboratory
findings are of concern for elevated serum ALP and GGT.
PBC
PCO
GILBERT
PSC
Definition 6 of 53
A 59-year-old man presents to the clinic for complaints of bad breath and recurrent coughing
spells. He complains difficulty swallowing at times and is noted to have a moderately sized neck
mass during physical examination.
Gerd
Achalasia
Esophageal varices
Zenker diverticulum
Definition 7 of 53
A 3-year-old boy is brought to the emergency room because of bloody stool and abdominal
pain. His parents reveal that he recently had an episode of gastroenteritis, likely picked up in his
day care. However, since his gastroeneteritis resolved, he has been doing well until this morning,
when he complained of pain and clutched his tummy. An hour later, he had an episode of
red/purple jelly-like stool. An ultrasound reveals a target-like shape.
Cholelithiasis
Intussusception
Volvulus
Pyloric Stenosis
53 Multiple choice questions
Definition 1 of 53
A 17-year-old female presents to the emergency department with complaints of subjective fever
and crampy abdominal pain for the past week. Today, she had an episode of bloody bowel
movement, which has never happened before. A physical examination demonstrates mild
conjunctival pallor but is otherwise unremarkable. ESR and CRP are elevated.
ZE
PJ
UC
Celiac
Definition 2 of 53
A 40-year-old obese woman presents to her family medicine doctor for intermittent abdominal
pain for the past few months as well as fatigue. She has a past medical history of hyperlipidemia,
diabetes, and hypertension. She has been trying to lose weight but has not been successful. She
reports drinking alcohol socially, on average 2 times per month. On exam, she is not jaundiced
and has no tenderness to palpation. Her liver is noted to be enlarged. Laboratory evaluation
reveals mildly elevated liver enzymes, and she is referred for liver biopsy to confirm the diagnosis
of nonalcoholic steatohepatitis.
Acute hepatitis
Hepatic encephalopathy
Chronic hepatitis
Acute cholecystitis
,Definition 3 of 53
A 65-year-old gentleman presents with acute onset severe abdominal pain. The pain is described
as "diffuse" without localization and constant. The patient states that he has had nausea and
vomitting with this episode. Physical examination shows absent bowel sounds, mild abdominal
distention, and pain that is disproportionate to the exam findings.
Appendicitis
Zenker diverticulum
Mesenteric ischemia
Ischemic colitis
Definition 4 of 53
A 65-year-old-male presents with complaints of epigastric pain and belching, which improves
when he eats food but gets worse within a few hours after his meal. The pain is described as
stabbing, intermittent, and concentrated at the epigastric region. He noticed a 5-lb. weight loss
over the past 3 months and a dark color to his stools. Calcium carbonate seems to help with the
pain.
Esophageal varices
Gerd
Peptic ulcer disease
Appendicitis
, Definition 5 of 53
A 62-year-old man presents to his primary care physician complaining of constant itchings and
yellow skin and eyes. On exam, there is no evidence of hepatomegaly, however, laboratory
findings are of concern for elevated serum ALP and GGT.
PBC
PCO
GILBERT
PSC
Definition 6 of 53
A 59-year-old man presents to the clinic for complaints of bad breath and recurrent coughing
spells. He complains difficulty swallowing at times and is noted to have a moderately sized neck
mass during physical examination.
Gerd
Achalasia
Esophageal varices
Zenker diverticulum
Definition 7 of 53
A 3-year-old boy is brought to the emergency room because of bloody stool and abdominal
pain. His parents reveal that he recently had an episode of gastroenteritis, likely picked up in his
day care. However, since his gastroeneteritis resolved, he has been doing well until this morning,
when he complained of pain and clutched his tummy. An hour later, he had an episode of
red/purple jelly-like stool. An ultrasound reveals a target-like shape.
Cholelithiasis
Intussusception
Volvulus
Pyloric Stenosis
