APEA- Assessment Gastroenterology
Exam Pack.
Abdominal percussion is performed to assess:
local inflammation.
generalized tenderness.
density of tissues and organs.
size and placement of the kidneys. - CORRECT ANSWER density of tissues and organs.
Indicators of oropharyngeal dysphagia include all of the following symptoms except:
drooling.
nasopharyngeal regurgitation.
cough.
vomiting. - CORRECT ANSWER vomiting.
Of the five percussion notes, which one produces a drum-like sound heard over air filled structures
during the abdominal examination?
Tympany
Dullness
Flatness
Hyperresonance - CORRECT ANSWER Tympany
Stool that appears bloody, mucoid, or with pus, may indicate:
constipation.
,a lesion in the sigmoid colon.
hemorrhoids.
Crohn's disease. - CORRECT ANSWER Chron's disease
A patient is experiencing a dull achy pain in the epigastric area with eating. This type pain is consistent
with:
a gastric ulcer.
a duodenal ulcer.
pancreatitis.
dumping syndrome. - CORRECT ANSWER a gastric ulcer
duodenal = relieved with food
gastric = worsens with food
A 30-year-old male presents with generalized abdominal pain. With flexion of the legs at the hip an
increase in his abdominal pain is noted. This finding elicited a positive:
psoas sign.
Rovsing's sign.
Murphy's sign.
obturator sign. - CORRECT ANSWER psoas sign.
Atypical respiratory symptoms associated with gastroesophageal disease (GERD) may include all of the
following except:
coughing.
wheezing.
aspiration pneumonia.
rhinitis. - CORRECT ANSWER rhinitis.
, A patient complains of an unpleasant abdominal fullness after a light meal. This complaint may be
consistent with:
diabetic gastroparesis.
peptic ulcer.
gastritis.
gastrocolic fistula. - CORRECT ANSWER diabetic gastroparesis.
Pain of biliary tree origin may be referred to the:
right shoulder.
retrosternal area.
left posterior chest.
back. - CORRECT ANSWER right shoulder.
or right posterior chest
referred pain = pain felt more distal than the initial pain location
If a patient describes his stool as thin and "pencil-like", this could be associated with:
constipation.
a lesion in the sigmoid colon.
hemorrhoids.
Crohn's disease. - CORRECT ANSWER a lesion in the sigmoid colon.
When examining the buttocks and rectum, a small tuft of hair surrounded by a halo of erythema was
observed at the sacral area. This finding is most likely:
an external hemorrhoid.
Exam Pack.
Abdominal percussion is performed to assess:
local inflammation.
generalized tenderness.
density of tissues and organs.
size and placement of the kidneys. - CORRECT ANSWER density of tissues and organs.
Indicators of oropharyngeal dysphagia include all of the following symptoms except:
drooling.
nasopharyngeal regurgitation.
cough.
vomiting. - CORRECT ANSWER vomiting.
Of the five percussion notes, which one produces a drum-like sound heard over air filled structures
during the abdominal examination?
Tympany
Dullness
Flatness
Hyperresonance - CORRECT ANSWER Tympany
Stool that appears bloody, mucoid, or with pus, may indicate:
constipation.
,a lesion in the sigmoid colon.
hemorrhoids.
Crohn's disease. - CORRECT ANSWER Chron's disease
A patient is experiencing a dull achy pain in the epigastric area with eating. This type pain is consistent
with:
a gastric ulcer.
a duodenal ulcer.
pancreatitis.
dumping syndrome. - CORRECT ANSWER a gastric ulcer
duodenal = relieved with food
gastric = worsens with food
A 30-year-old male presents with generalized abdominal pain. With flexion of the legs at the hip an
increase in his abdominal pain is noted. This finding elicited a positive:
psoas sign.
Rovsing's sign.
Murphy's sign.
obturator sign. - CORRECT ANSWER psoas sign.
Atypical respiratory symptoms associated with gastroesophageal disease (GERD) may include all of the
following except:
coughing.
wheezing.
aspiration pneumonia.
rhinitis. - CORRECT ANSWER rhinitis.
, A patient complains of an unpleasant abdominal fullness after a light meal. This complaint may be
consistent with:
diabetic gastroparesis.
peptic ulcer.
gastritis.
gastrocolic fistula. - CORRECT ANSWER diabetic gastroparesis.
Pain of biliary tree origin may be referred to the:
right shoulder.
retrosternal area.
left posterior chest.
back. - CORRECT ANSWER right shoulder.
or right posterior chest
referred pain = pain felt more distal than the initial pain location
If a patient describes his stool as thin and "pencil-like", this could be associated with:
constipation.
a lesion in the sigmoid colon.
hemorrhoids.
Crohn's disease. - CORRECT ANSWER a lesion in the sigmoid colon.
When examining the buttocks and rectum, a small tuft of hair surrounded by a halo of erythema was
observed at the sacral area. This finding is most likely:
an external hemorrhoid.
