2

Question 1

Gastroenteritis

Answer 1

Nausea, extensive vomiting, diarrhea, myalgia, fever, mild abdominal tenderness

Question 2

Acute gastritis

Answer 2

Burning/gnawing epigastric pain, NSAID use, mild abdominal tenderness

Question 3

Right upper quadrant/epigastric pain radiating to around the right back, nausea, vomiting, fever, Murphy’s sign

Answer 3

Acute cholecystitis

Question 4

Intermittent burning epigastric pain that is better (duodenal ulcer) or worse (gastric ulcer) with food intake, nausea, Helicobacter pylori infection, NSAID use, steroids

Answer 4

Peptic ulcer disease (PUD)

Question 5

Initial epigastric pain, followed by diffuse tenderness, abdominal rigidity, rebound tenderness

Answer 5

Perforated ulcer

Question 6

Pancreatitis

Answer 6

Epigastric pain radiating to the back, nausea, vomiting, anorexia, fever, tachycardia, cholelithiasis, alcohol abuse

Question 7

Appendicitis

Answer 7

Periumbilical pain migrating toward the right lower quadrant (McBurney’s point), associated with nausea, vomiting, anorexia, fever, Rovsing’s sign, psoas sign

Question 8

Adhesions, hernia, neoplasms, dilated loops of bowel with air fluid levels, absence of distal colonic gas on plain radiograph

Answer 8

Small bowel obstruction

Question 9

Severe abdominal pain out of proportion to physical exam,” nausea, most often cardiac embolus to superior mesenteric artery from atrial %brillation, bloody diarrhea in severe cases

Answer 9

Mesenteric ischemia

Question 10

Raptured AAA

Answer 10

Severe abdominal/back/left flank pain, pulsatile abdominal mass, hypotension, elderly male smoker

Question 11

Severe abdominal/back/left flank pain, pulsatile abdominal mass, hypotension, elderly male smoker

Answer 11

Raptured AAA

Question 12

Atypical presentation more common in women and diabetics, cardiovascular disease, obesity, hypercholesterolemia

Answer 12

Referred pain from myocardial infarction

Question 13

She has had prior episodes of pain, which have resolved within a few hours, after eating heavy meals, which is characteristic of ……….

Answer 13

symptomatic gallstones.

Question 14

How Do You Diagnose Acute Pancreatitis?

Answer 14

Atlanta criteria

Question 15

Atlanta criteria

Answer 15

1. Sudden, severe, persistent epigastric pain radiating to the back
2. Elevated lipase or amylase to three times greater than the upper limit of normal
3. Characteristic findings of acute pancreatitis on imaging (i.e., enlarged pancreas, sentinel loops [dilated small bowel], colon cutoff sign, etc.)

Question 16

Characteristic findings of acute pancreatitis

Answer 16

enlarged pancreas, sentinel loops [dilated small
bowel], colon cutoff sign, etc.