APEA- Assessment Gastroenterology Test
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.
Palpation of the liver reveals an enlargement that is firm with an
irregular edge. This finding may be suggestive of:
cirrhosis.
hepatocellular carcinoma.
a normal variation in the shape of the liver.
,a downward displacement of the liver by a low diaphragm. -Correct
Answer ✔ ✔ hepatocellular carcinoma.
When performing a rectal exam, a firm mass with an irregular border
is palpated approximately two inches inside the rectum. This finding
could be indicative of:
rectal carcinoma.
a syphilitic chancre.
rectal abscess.
genital wart. -Correct Answer ✔ ✔ rectal carcinoma
tender, purulent, erythematic mass more consistent with abscess,
especially with fever & chills
Which of the following symptoms are indicators of dehydration in a
four-year-old child?
,Weight gain and absence of tears
Thirst and urine specific gravity of 1.038
Heart rate of 120 bpm and sunken fontanels
Urine specific gravity of 1.010 and clear, yellow urine -Correct Answer
✔ ✔ Thirst and urine specific gravity of 1.038
A patient presents with chest pain and moves his hand from the neck
to the epigastrium. This gesture could be suggestive of:
costochondritis.
angina pectoris.
gastroesophageal reflux.
bronchitis. -Correct Answer ✔ ✔ gastroesophageal reflux.
When performing a digital rectal exam, a soft, pedunculated lesion is
palpated. This finding is most likely:
a prolapsed internal hemorrhoid.
, an external hemorrhoid.
a rectal polyp.
an anal abscess. -Correct Answer ✔ ✔ a rectal polyp.
When there is a sudden obstruction caused by a gallstone in the
common bile duct or the cystic duct, the pain is usually felt in the:
epigastric area with radiation to the back.
the periumbilical area with radiation to the right lower quadrant.
epigastric or right upper quadrant with radiation to the right scapula
and shoulder.
left lower quadrant. -Correct Answer ✔ ✔ epigastric or right
upper quadrant with radiation to the right scapula and shoulder.
Risk factors associated with Hepatitis B include all of the following
except:
having multiple sex partners.
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.
Palpation of the liver reveals an enlargement that is firm with an
irregular edge. This finding may be suggestive of:
cirrhosis.
hepatocellular carcinoma.
a normal variation in the shape of the liver.
,a downward displacement of the liver by a low diaphragm. -Correct
Answer ✔ ✔ hepatocellular carcinoma.
When performing a rectal exam, a firm mass with an irregular border
is palpated approximately two inches inside the rectum. This finding
could be indicative of:
rectal carcinoma.
a syphilitic chancre.
rectal abscess.
genital wart. -Correct Answer ✔ ✔ rectal carcinoma
tender, purulent, erythematic mass more consistent with abscess,
especially with fever & chills
Which of the following symptoms are indicators of dehydration in a
four-year-old child?
,Weight gain and absence of tears
Thirst and urine specific gravity of 1.038
Heart rate of 120 bpm and sunken fontanels
Urine specific gravity of 1.010 and clear, yellow urine -Correct Answer
✔ ✔ Thirst and urine specific gravity of 1.038
A patient presents with chest pain and moves his hand from the neck
to the epigastrium. This gesture could be suggestive of:
costochondritis.
angina pectoris.
gastroesophageal reflux.
bronchitis. -Correct Answer ✔ ✔ gastroesophageal reflux.
When performing a digital rectal exam, a soft, pedunculated lesion is
palpated. This finding is most likely:
a prolapsed internal hemorrhoid.
, an external hemorrhoid.
a rectal polyp.
an anal abscess. -Correct Answer ✔ ✔ a rectal polyp.
When there is a sudden obstruction caused by a gallstone in the
common bile duct or the cystic duct, the pain is usually felt in the:
epigastric area with radiation to the back.
the periumbilical area with radiation to the right lower quadrant.
epigastric or right upper quadrant with radiation to the right scapula
and shoulder.
left lower quadrant. -Correct Answer ✔ ✔ epigastric or right
upper quadrant with radiation to the right scapula and shoulder.
Risk factors associated with Hepatitis B include all of the following
except:
having multiple sex partners.
