Approach to Abdominal Exam 2

Question 1

The Rome III Criteria provides us with criteria that helps classify and categorize GI symptoms. According to Rome III, 2/5 symptoms must occur over a 3 month period for Constipation to be declared. What are those 5 criteria?

Answer 1

1. Fewer than 3 bowel movements/week
2. Straining
3. Lumpy or hard stools
4. Sensation of incomplete defecation
5. Manual maneuvering required to defecate
   * “Few Strains have Sensational Lumps Man”*

Question 2

The BRistol Stool Scale allows PTs and doctors to agree on the look and feel of feces so that they can be on the same page when describing poops. The poop types go from 1-7. Which of the following Types are consider to be the most normal?

A. Type 1 and Type 2

B. Type 3 and Type 4

C. Type 5 and Type 6

D. Type 7 only

Answer 2

B. Type 3 and Type 4

Question 3

Which of the following discriptions of poop would be categorized as a Type 3?

A. Seperate hard lumps, like nuts (hard to pass)

B. Sausage shaped but lumpy

C. Sausage shaped but with cracks on the surface

D. Sausage or snake like, smooth and soft

E. Watery, no solid pieces

Answer 3

Sausage shaped but with cracks on the surface

Question 4

Which of the following discriptions of poop would be categorized as a Type 6?

A. Seperate hard lumps, like nuts (hard to pass)

B. Sausage shaped but lumpy

C. Sausage shaped but with cracks on the surface

D. Fluffy peices with ragged edges, mushy

E. Watery, no solid pieces

Answer 4

Fluffy peices with ragged edges, mushy

Question 5

Which of the following correctly describes Gastroenteritis?

A. Diarrhea

B. a non-specific term who’s primary manifestation is nausea, vomiting and abdominal pain, and secondary manifestation is diarrhea

C. What most people consider the “stomach flu”

D. None of the above

Answer 5

What most people consider the “stomach flu”

Question 6

Which of the following has the largest etiology of Gastroenteritis?

A. Virus

B. Bacteria

C. Parasitic

D. Food-borne

Answer 6

A. Virus

Question 7

Which of the follwoing bacterial gastroenteritis is the most common-hospital acquired GI illlness?

A. Salmonella

B. E. Coli

C. C. Diff

D. Giardia

Answer 7

C. Diff

Question 8

Which of the following is a hallmark of cholera?

A. Large volumes of stools

B. Small volume of stools

C. White/bulky stools

D. Rice water diarrhea

Answer 8

Rice water diarrhea

Question 9

Which of the following is a great OMM technique when a patient is constipated?

A. Mesenteric Release

B. Gangloin Inhibition

Answer 9

Mesenteric Release

Question 10

Which of the following is a great OMM technique when a patient has diarrhea?

A. Mesenteric Release

B. Gangloin Inhibition

Answer 10

Gangloin Inhibition

here’s what they look like