Abdomen

Question 0

Abdominal pain and loss of appetite in a child

Answer 0

Appendicitis

Question 1

Grey Turner sign
Loin pain
Increased serum amylase

Answer 1

Pancreatitis

Question 2

High fever (104-105F)
Pain in abdomen

Answer 2

Seat of problem is thorax or kidney

Question 3

Resistance and tenderness of quadratus lumborum and adjacent muscles

Answer 3

Perinephric abscess , inflamed kidney, inflamed retrocecal appendix

Question 4

Pain in the back that radiates to the groin, perineum or scrotum
Pulsatile mass

Answer 4

Ruptured aortic aneurysm

Question 5

Thoracic pain that radiates down the left arm and later spreads down the abdomen
Femoral pulse obliterated

Answer 5

Dissecting aneurysm

Question 6

Intermittent claudication

Abdominal angina

Answer 6

Mesenteric thrombosis

Question 7

What must be examined to exclude SBO?

Answer 7

All hernial orifices esp the femoral rings

Question 8

Ladder pattern of abdominal distention

Answer 8

Lower ileum obstruction

Question 9

Abdominal pain
Constipation
Steadily increasing distention
Little or no vomiting

Answer 9

Sigmoid obstruction

Question 10

Male infant 6-18 months
Screams and draws up legs
Sausage-shaped swelling in epigastrum or left side
Blood or mucus seen on rectal exam

Answer 10

Intussusception

Tx: barium enema

Question 11

Severe general abdominal pain
Initial collapse
Board-like rigidity of abdominal wall
Pain on top of shoulder

Answer 11

Perforated peptic ulcer

Question 12

May be indistinguishable from diverticulitis

Answer 12

Crohn’s colitis

Question 13

Why should barium contrast not be given by mouth if colon obstruction is suspected?

Answer 13

It convert an incomplete obstruction to a complete one

Question 14

What must be done in order to detect a perforation by upright film?

Answer 14

Patient must be upright 5-10 min

Question 15

Environmental factors associated with Crohns

Answer 15

Smoking

NSAIDs

Question 16

Functions of the spleen

Answer 16

1. Removes old blood cells or those tagged with IgG
2. Opsonin production
3. Synthesizes antibodies
4. Stores 1/3 of platelets

Question 17

Organisms that cause postsplenectomy sepsis

Answer 17

S pneumoniae, N meningitidis, H influenzae

Question 18

Most common reason for elective splenectomy

Answer 18

ITP

Question 19

infundibulum

Hartmann’s pouch

Answer 19

other names for the GB

Question 20

volume of the GB

Answer 20

50 ml

Question 21

XR evidence of small bowel obstruction

Air in biliary tree

Answer 21

Gallstone ileus

Question 22

jaundice
RUQ pain
fever

Answer 22

Charcot’s triad

Question 23

jaundice
RUQ pain
fever
hypotension
altered mental status

Answer 23

Reynold’s pentad

Question 24

preop management for GSW to the abdomen

Answer 24

foley
large bore IV for fluids
broad spectrum Abx