GI and Nutrition PANCE and PANRE Content Blueprint
Question Stem Quiz
Study online at
1. Case 1: Patient will present with → Peptic ulcer 6. Patient will present as → a child with Intussusception
abdominal discomfort that is worse with disease: sudden onset of significant, colicky
meals and gets better an hour or so later Case 1: Gastric abdominal pain that recurs every 15 to 20
after eating. ulcer min, often with vomiting. Stool if passed
Case 2: will contain mucus and blood (currant jelly
Case 2: Patient will present with → Duodenal ulcer stools). A sausage like mass may be felt
abdominal discomfort that improves with on abdominal examination.
meals and gets worse an hour or so later
7. Patient will present as → previously stable Liver
after eating.
patient with cirrhosis now presents with neoplasms
2. Case 1: Patient will present with → bloody Inflammatory abdominal pain, weight loss, right upper
puss filled diarrhea, rectal/lower quadrant bowel disease quadrant mass, and unexplained
pain, fever and urgency Case 1: deterioration
Ulcerative
8. Patient will present with → 4-year-old with Vitamin and
Inflammation isolated to colon and confined colitis
severe malnutrition and developmental Nutritional
to mucosa and submucosa Case 2:
delay Deficiencies
Crohn's
Case 2: Patient will present with → disease 9. Patient will present with → Abdominal Small Bowel
abdominal pain, weight loss, diarrhea and distention and high-pitched, hyperactive obstruction
oral mucosa aphthous ulcers. Longer bowel sounds, vomiting of partially
standing disease may have severe anemia, digested food and loss of bowel
polyarthralgia and fatigue. movements
10. Patient will present with → abdominal Lactose
Distribution from mouth to anus and will pain, bloating, flatulence, and diarrhea intolerance
commonly present with thickened bowel after ingestion of dairy products
wall, cobblestoning and "skip" lesions
11. Patient will present with → an episode of Mallory-Weiss
3. Diverticulitis will present with → sudden- Diverticular hematemesis, vomiting and retching after tear
onset abdominal pain, usually in the left disease alcohol intake
lower quadrant, with or without fever
(generally patients don't have rectal 12. Patient will present with → an intermittent, Strictures
bleeding) non progressive dysphagia for solid foods
that occurs in consuming of a heavy meal
Diverticulosis will present with → painless with meat that was "wolfed down," hence
rectal bleeding, particularly in an elderly the pseudonym the "steakhouse
patient. syndrome."
4. Patients will present with → failure to to Metabolic 13. Patient will present with → a painless Hernia
attain early developmental milestones, Disorders - bulge in the inguinal area
microcephaly, and progressive impairment undiagnosed 14. Patient will present with → bloating, Constipation
of cerebral function. Patients may present phenylketonuria abdominal pain, straining and pain with
with seizures, hypopigmentation, and a bowel movements. History of less than 2
"musty odor" of sweat and urine. bowel movements per week (this is the
5. Patient will present as → a 32 year old Cholangitis definition of constipation)
female with a history significant for 15. Patient will present with → bright red Hemorrhoids
ulcerative colitis who has been stable and blood per rectum, pruritus and rectal
free of problems for over 7 years. She discomfort
describes worsening symptoms of fatigue,
pruritis, anorexia and indigestion over the Patients will present with → significant
past 6 months. Her husband reports that her pain, but no bleeding
skin and eyes appear yellow although she
16. Patient will present with → colicky Acute/chronic
adamantly denies alcohol consumption.
epigastric or right upper quadrant pain in a cholecystitis
Labs reveal an elevated alkaline
forty year old obese patient that becomes
phosphatase, mild elevations in AST and
steady and increases in intensity. It often
ALT. ERCP fails to show common bile duct
occurs after a high fat meal
obstruction
Question Stem Quiz
Study online at
1. Case 1: Patient will present with → Peptic ulcer 6. Patient will present as → a child with Intussusception
abdominal discomfort that is worse with disease: sudden onset of significant, colicky
meals and gets better an hour or so later Case 1: Gastric abdominal pain that recurs every 15 to 20
after eating. ulcer min, often with vomiting. Stool if passed
Case 2: will contain mucus and blood (currant jelly
Case 2: Patient will present with → Duodenal ulcer stools). A sausage like mass may be felt
abdominal discomfort that improves with on abdominal examination.
meals and gets worse an hour or so later
7. Patient will present as → previously stable Liver
after eating.
patient with cirrhosis now presents with neoplasms
2. Case 1: Patient will present with → bloody Inflammatory abdominal pain, weight loss, right upper
puss filled diarrhea, rectal/lower quadrant bowel disease quadrant mass, and unexplained
pain, fever and urgency Case 1: deterioration
Ulcerative
8. Patient will present with → 4-year-old with Vitamin and
Inflammation isolated to colon and confined colitis
severe malnutrition and developmental Nutritional
to mucosa and submucosa Case 2:
delay Deficiencies
Crohn's
Case 2: Patient will present with → disease 9. Patient will present with → Abdominal Small Bowel
abdominal pain, weight loss, diarrhea and distention and high-pitched, hyperactive obstruction
oral mucosa aphthous ulcers. Longer bowel sounds, vomiting of partially
standing disease may have severe anemia, digested food and loss of bowel
polyarthralgia and fatigue. movements
10. Patient will present with → abdominal Lactose
Distribution from mouth to anus and will pain, bloating, flatulence, and diarrhea intolerance
commonly present with thickened bowel after ingestion of dairy products
wall, cobblestoning and "skip" lesions
11. Patient will present with → an episode of Mallory-Weiss
3. Diverticulitis will present with → sudden- Diverticular hematemesis, vomiting and retching after tear
onset abdominal pain, usually in the left disease alcohol intake
lower quadrant, with or without fever
(generally patients don't have rectal 12. Patient will present with → an intermittent, Strictures
bleeding) non progressive dysphagia for solid foods
that occurs in consuming of a heavy meal
Diverticulosis will present with → painless with meat that was "wolfed down," hence
rectal bleeding, particularly in an elderly the pseudonym the "steakhouse
patient. syndrome."
4. Patients will present with → failure to to Metabolic 13. Patient will present with → a painless Hernia
attain early developmental milestones, Disorders - bulge in the inguinal area
microcephaly, and progressive impairment undiagnosed 14. Patient will present with → bloating, Constipation
of cerebral function. Patients may present phenylketonuria abdominal pain, straining and pain with
with seizures, hypopigmentation, and a bowel movements. History of less than 2
"musty odor" of sweat and urine. bowel movements per week (this is the
5. Patient will present as → a 32 year old Cholangitis definition of constipation)
female with a history significant for 15. Patient will present with → bright red Hemorrhoids
ulcerative colitis who has been stable and blood per rectum, pruritus and rectal
free of problems for over 7 years. She discomfort
describes worsening symptoms of fatigue,
pruritis, anorexia and indigestion over the Patients will present with → significant
past 6 months. Her husband reports that her pain, but no bleeding
skin and eyes appear yellow although she
16. Patient will present with → colicky Acute/chronic
adamantly denies alcohol consumption.
epigastric or right upper quadrant pain in a cholecystitis
Labs reveal an elevated alkaline
forty year old obese patient that becomes
phosphatase, mild elevations in AST and
steady and increases in intensity. It often
ALT. ERCP fails to show common bile duct
occurs after a high fat meal
obstruction
