2nd BLOCK Exam

Question 1

A 38 years old male was brought to SWU-MC due to back pain. He is a chronic alcoholic, and 30 pack year smoker. Work up was done showing acute pancreatitis. What is the pattern of pain the patient is presenting?

Answer 1

Referred pain

Question 2

A 48 year old male was rushed to the ER because of abdominal pain. He noted that the pain score is 10/10. He has been having anorexia stating he has “fear of food intake”. The abdominal examination is normal. What would be the likely cause of the symptom?.”

Answer 2

Mesenteric Ischemia

Question 3

You are evaluating a 37 years old male with problems of dysphagia. He verbalized that he has dysphagia to both solids and liquids. What will you most likely consider?

Answer 3

Achalasia

Question 4

A 48 years old male is seen in the emergency room because of recurrent vomiting. He complains of generalized abdominal pain. On examination abdomen is protuberant, hypoactive bowel sounds, and tympanitic. What is the likely cause of his condition?

Answer 4

Intestinal obstruction

Question 5

A 60 year old male presented in the ER due to body malaise and change in stools. He verbalized that his stool caliber is pencil thin. You noted generalized pallor. What should be your primary consideration?

Answer 5

Villous adenoma

Question 6

A 65 years old male was brought to SWU-MC due to difficulty in urinating. The condition has been progressive and worsening for the past month. Physical examination findings are as follows: No perirectal lesions or fissures. External sphincter tone intact. Rectal vault without masses. Left lateral prostate lobe with 1 × 1 cm firm, hard nodule; right lateral lobe smooth; median sulcus obscured. Stool brown; no fecal blood. What is your primary impression?

Answer 6

Prostate cancer

Question 7

A 28 years old male was referred to you because of painful urination. He is a commercial sex worker catering to both sexes. The condition started 2 days prior to consultation and noted to be increasing in severity. Physical examination findings are as follows: Perirectal area inflamed; no ulcerations, warts, or discharge. Unable to examine external sphincter, rectal vault, or prostate because of spasm of external sphincter and marked inflammation and tenderness of anal canal. What would be an appropriate impression for the case?

Answer 7

Proctitis

Question 8

This is an inflammatory tract or tube that opens at one end into the anus or rectum and at the other end onto the skin surface or into another viscus?

Answer 8

anorectal fistula

Question 9

What is the ideal position in examining the rectum and prostate in a male patient?

Answer 9

Side lying

Question 10

These are dilated hemorrhoidal veins that originate below the pectinate line.

Answer 10

External hemorrhoids

Question 11

You are the intern monitoring patients in the labor room. you are assigned to a 17 year old, 37 weeks AOG patient. you are tasked to monitor her blood pressure. Her latest BP is 140/90 mmHg. She was not hypertensive before the pregnancy so you reviewed her chart and you noted proteinuria of 500mg/24 and a ++ urine dipstick. What is the impression of the patient?

Answer 11

Preeclampsia

Question 12

Hormone responsible in promoting endometrial growth that supports the early embryo.

Answer 12

Progesterone

Question 13

A systolic blood pressure greater than 140 mmHg or diastolic BP greater than 90 mmHg that predates the pregnancy is called ______________.

Answer 13

Chronic hypertension