QUESTIONS AND ANSWERS | SCORED A+
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
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
contipation Answer - Pepto-Bismol
A patient is seen with complaints of diarrhea. Which of the following should be
included in the patient's differential diagnosis? Answer - frequency, amount
and fluidity, color and characteristics. Diet history, recent travel, medication
use, source of drinking water
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 Answer - His use of Alka
Seltzer
Which of the following is most effective in diagnosing appendicitis 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? 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?
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?
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? Answer -
Which of the following dietary instructions should be given to a patient with
GERD? Answer - Eliminate coffee
The patient with GERD should be instructed to eliminate which of these
activities? 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? Answer - Very early