1
Test 3. Dunphy. Primary care IIB Questions
with Correct Answers | Updated (100%
Correct Answers)
Chief complaint abd pain Answer: Careful history
HPI (especially)
Pain assessment
Onset, timing
Location
Duration
Characteristics/Associated factors
Visceral pain is dull and poorly localized
Parietal pain is sharp and localized
Colicky pain comes and goes
Burning pain is caused by irritation from gastric contents
Aggravating factors, what makes it worse?
Relieving factors, what makes it better?
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,2
Treatment, what med./tx has been tried?
Visceral pain is Answer: dull and poorly localized
Burning pain is caused by Answer: irritation from gastric contents
Parietal pain is Answer: sharp and localized
Colicky pain Answer: comes and goes
Aggravating factors, Answer: what makes it worse?
Relieving factors, Answer: what makes it better?
Physical Exam GI Answer: Heart and Lungs
Abdominal exam—inspection, auscultation, percussion, palpation
Digital rectal exam
Vaginal exam
Tests
CBC
Liver function tests (LFTs)
Serum chemistries/CMP
Urinalysis
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,3
Stool for occult blood
Pregnancy test
what would you think about with sudden severe pain Answer:
Appendicitis
Intestinal perforation
Mesenteric infarction
Dissection or rupture of aortic aneurysm
Ectopic pregnancy
Burning pain- thoughts on what it would be? Answer:
Gastroesophageal reflux disease (GERD)
Gastritis
Diverticulitis
What would you think about with constant mild to severe pain
Answer: Pancreatitis
Cholecystitis-Cholelithiasis
What would you think about with crampy or colicky pain? Answer:
Intestinal obstruction
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, 4
Inflammatory bowel dz.
Irritable bowel
Salpingitis
Urinary stones
Cholelithiasis
Constipation
Appendicitis is? Answer: the inflammation of the variform appendix
caused by an obstruction and/or infection
Appendicitis is the most common cause of ________ ______ pain
requiring surgical intervention? Answer: acute right lower quadrant
abdominal
How many appendectomies are done annually? Answer: 200,000
Appendicitis occurs at any age but is most common between ages
____ and _____ Answer: 10 and 30
Men are ______ as likely to be diagnosed with appendicitis between
10 and 30 years than women, but this equalizes over the life span.
Answer: twice
© 2025 All rights reserved
Test 3. Dunphy. Primary care IIB Questions
with Correct Answers | Updated (100%
Correct Answers)
Chief complaint abd pain Answer: Careful history
HPI (especially)
Pain assessment
Onset, timing
Location
Duration
Characteristics/Associated factors
Visceral pain is dull and poorly localized
Parietal pain is sharp and localized
Colicky pain comes and goes
Burning pain is caused by irritation from gastric contents
Aggravating factors, what makes it worse?
Relieving factors, what makes it better?
© 2025 All rights reserved
,2
Treatment, what med./tx has been tried?
Visceral pain is Answer: dull and poorly localized
Burning pain is caused by Answer: irritation from gastric contents
Parietal pain is Answer: sharp and localized
Colicky pain Answer: comes and goes
Aggravating factors, Answer: what makes it worse?
Relieving factors, Answer: what makes it better?
Physical Exam GI Answer: Heart and Lungs
Abdominal exam—inspection, auscultation, percussion, palpation
Digital rectal exam
Vaginal exam
Tests
CBC
Liver function tests (LFTs)
Serum chemistries/CMP
Urinalysis
© 2025 All rights reserved
,3
Stool for occult blood
Pregnancy test
what would you think about with sudden severe pain Answer:
Appendicitis
Intestinal perforation
Mesenteric infarction
Dissection or rupture of aortic aneurysm
Ectopic pregnancy
Burning pain- thoughts on what it would be? Answer:
Gastroesophageal reflux disease (GERD)
Gastritis
Diverticulitis
What would you think about with constant mild to severe pain
Answer: Pancreatitis
Cholecystitis-Cholelithiasis
What would you think about with crampy or colicky pain? Answer:
Intestinal obstruction
© 2025 All rights reserved
, 4
Inflammatory bowel dz.
Irritable bowel
Salpingitis
Urinary stones
Cholelithiasis
Constipation
Appendicitis is? Answer: the inflammation of the variform appendix
caused by an obstruction and/or infection
Appendicitis is the most common cause of ________ ______ pain
requiring surgical intervention? Answer: acute right lower quadrant
abdominal
How many appendectomies are done annually? Answer: 200,000
Appendicitis occurs at any age but is most common between ages
____ and _____ Answer: 10 and 30
Men are ______ as likely to be diagnosed with appendicitis between
10 and 30 years than women, but this equalizes over the life span.
Answer: twice
© 2025 All rights reserved
