SCRIBEU FINAL EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
how are gallstones diagnosed - Answer-Abdominal ultra sound of RUQ
name associated symptoms of appendicitis? - Answer-Fever, N/V (nausea/vomiting),
decreased appetite, RLQ pain worse w/ movement
how is appendicitis diagnosed - Answer-CT A/P with PO contrast
what would someone with pancreatitis c/o - Answer-LUQ epigastric pain, N/V, fever
how is pancreatitis diagnosed - Answer-elevated lipase (or amylase)
name four possible CC's for a GI bleed pt - Answer-hematemesis (bright upper), coffee
ground emesis (dark lower), hematochezia (bright lower), melena (dark upper)
how is a GI bleed diagnosed in the ED - Answer-heme positive stool (Guaiac positive)
during rectal exam
what are we worried about for someone with a GI bleed - Answer-too much blood loss,
anemia
what is the pre-existing condition you must have before you get diverticulitis - Answer-
diverticulosis
what will be the CC for someone with diverticulitis - Answer-LLQ abdominal pain
what studies would diagnose diverticulitis - Answer-CT A/P with PO contrast
what might a person with a SBO (Small Bowel Obstruction) complain of - Answer-
Abdominal pain, vomiting, distension, bloating, no bowel movement (BM), constipation
How is a SBO diagnosed - Answer-CT A/P with PO contrast, acute abdominal series
what is pyelo - Answer-Pyelonephritis, kidney infection spread from UTI
what will be the CC of someone with a UTI - Answer-Painful dysuria, frequency, burning
urine
where would a patient feel pain if they had pyelo - Answer-flank pain (abdominal sides),
fever and dysuria
, how is a UTI diagnosed - Answer-Urine drip or urinalysis (UA) showing white blood
cells, nitrites, bacteria
what might a person with kidney stones c/o - Answer-flank pain, sudden onset, radiating
to groin
how are kidney stones diagnosed - Answer-CT A/P or RBC in UA
what is an ectopic pregnancy - Answer-fertilized egg develops outside the uterus (in
fallopian tube), high risk for rupture & death
how is an ectopic pregnancy diagnosed - Answer-US of pelvis
What is asthma? - Answer-constricting of the airway due to inflammation and muscular
constriction of the bronchioles (reactive airway disease)
what physical exam finding closest associates with asthma? - Answer-wheezing
what is PNA? - Answer-pneumonia
What might a person with PNA complain of? - Answer-Productive cough & fever
How is PNA diagnosed? - Answer-CXR
Name all 7 areas of the abdomen - Answer-Epigastric, RUQ, RLQ, LUQ, LLQ,
suprapubic, periumbilical
what is the laymans name for GERD - Answer-"Heartburn" or Acid Reflux
what might someone with GERD complain of? - Answer-epigastric pain, burning
for older patients with GERD symptoms, what life threatening disease may also need to
be ruled out? - Answer-MI
what does bile do? where is it stored? - Answer-Breaks down fats, stored in gallbladder
and made in liver
what is the difference between cholelithiasis and cholecystitis - Answer-cholelithiasis -
gallstone disease cholecystitis - acute inflammation of the gallbladder
what might be CC of a person with gallstones - Answer-RUQ abdominal pain
what p.e. finding is closely associated with cholecystitis - Answer-Murphy's Signs
WITH COMPLETE SOLUTIONS
how are gallstones diagnosed - Answer-Abdominal ultra sound of RUQ
name associated symptoms of appendicitis? - Answer-Fever, N/V (nausea/vomiting),
decreased appetite, RLQ pain worse w/ movement
how is appendicitis diagnosed - Answer-CT A/P with PO contrast
what would someone with pancreatitis c/o - Answer-LUQ epigastric pain, N/V, fever
how is pancreatitis diagnosed - Answer-elevated lipase (or amylase)
name four possible CC's for a GI bleed pt - Answer-hematemesis (bright upper), coffee
ground emesis (dark lower), hematochezia (bright lower), melena (dark upper)
how is a GI bleed diagnosed in the ED - Answer-heme positive stool (Guaiac positive)
during rectal exam
what are we worried about for someone with a GI bleed - Answer-too much blood loss,
anemia
what is the pre-existing condition you must have before you get diverticulitis - Answer-
diverticulosis
what will be the CC for someone with diverticulitis - Answer-LLQ abdominal pain
what studies would diagnose diverticulitis - Answer-CT A/P with PO contrast
what might a person with a SBO (Small Bowel Obstruction) complain of - Answer-
Abdominal pain, vomiting, distension, bloating, no bowel movement (BM), constipation
How is a SBO diagnosed - Answer-CT A/P with PO contrast, acute abdominal series
what is pyelo - Answer-Pyelonephritis, kidney infection spread from UTI
what will be the CC of someone with a UTI - Answer-Painful dysuria, frequency, burning
urine
where would a patient feel pain if they had pyelo - Answer-flank pain (abdominal sides),
fever and dysuria
, how is a UTI diagnosed - Answer-Urine drip or urinalysis (UA) showing white blood
cells, nitrites, bacteria
what might a person with kidney stones c/o - Answer-flank pain, sudden onset, radiating
to groin
how are kidney stones diagnosed - Answer-CT A/P or RBC in UA
what is an ectopic pregnancy - Answer-fertilized egg develops outside the uterus (in
fallopian tube), high risk for rupture & death
how is an ectopic pregnancy diagnosed - Answer-US of pelvis
What is asthma? - Answer-constricting of the airway due to inflammation and muscular
constriction of the bronchioles (reactive airway disease)
what physical exam finding closest associates with asthma? - Answer-wheezing
what is PNA? - Answer-pneumonia
What might a person with PNA complain of? - Answer-Productive cough & fever
How is PNA diagnosed? - Answer-CXR
Name all 7 areas of the abdomen - Answer-Epigastric, RUQ, RLQ, LUQ, LLQ,
suprapubic, periumbilical
what is the laymans name for GERD - Answer-"Heartburn" or Acid Reflux
what might someone with GERD complain of? - Answer-epigastric pain, burning
for older patients with GERD symptoms, what life threatening disease may also need to
be ruled out? - Answer-MI
what does bile do? where is it stored? - Answer-Breaks down fats, stored in gallbladder
and made in liver
what is the difference between cholelithiasis and cholecystitis - Answer-cholelithiasis -
gallstone disease cholecystitis - acute inflammation of the gallbladder
what might be CC of a person with gallstones - Answer-RUQ abdominal pain
what p.e. finding is closely associated with cholecystitis - Answer-Murphy's Signs
