Gastroenterology Symptoms

Question 1

Loss or lack of appetite

Answer 1

Anorexia

Question 2

Inability to eat a full meal

Answer 2

Early satiety

Question 3

Retrosternal burning sensation resulting from excess gastroesophageal reflux

Answer 3

Heartburn

Question 4

Difficulty in swallowing

Answer 4

Dysphagia

Question 5

Painful swallowing

Answer 5

Odynophagia

Question 6

Frequent discharge of feces in very soft or liquid form

Answer 6

Diarrhea

Question 7

Complete constipation with no passage of either feces or gas

Answer 7

Obstipation

Question 8

Intense urge with straining but little or no result

Answer 8

Tenesmus

Question 9

Vomitus of red blood or coffee-ground material

Answer 9

Hematemesis

Question 10

Black, tarry, foul-smelling stool

Answer 10

Melena

Question 11

Melena implies

Answer 11

Bleeding proximal to ligament of Treitz (upper bleed)

And that blood has been in the GIT for at least 14 hours

Question 12

melena generally occurs when at least ___ volume is present in the GI tract

Answer 12

50-100 mL

Question 13

Passage of bright red or maroon blood from the rectum which usually implies bleeding from the colon (lower bleed)

Answer 13

Hematochezia

Question 14

Identified in the absence of overt bleeding by a fecal occult blood test or the presence of iron deficiency

Answer 14

Occult GI bleeding

Question 15

Yellowing of the skin or sclerae arising from obstruction in the bile duct, liver disease

Answer 15

Jaundice

Question 16

The action of bringing swallowed food up in the mouth

Answer 16

Regurgitation

Question 17

Differentials for abdominal pain

Answer 17

Appendicitis
Gallstone disease
Pancreatitis
Diverticulitis
Ulcer Disease
Esophagitis
GI Obstruction
Inflammatory Bowel Disease
Functional Bowel Disorder
Vascular Disease
Gynecologic
Renal stone

Question 18

Diarrhea differential diagnosis

Answer 18

Infection
Poorly absorbed sugars
Inflammatory bowel disease 
Microscopic colitis
Functional bowel disorders
Celiac disease
Pancreatic insufficiency
Hyperthyroidism
Ischemia
Endocrine Tumor

Question 19

GI bleeding differential diagnosis

Answer 19

Peptic ulcer disease
Esophagitis 
Varices
Vascularlesions
Neoplasm
Diverticula
Hemorrhoids
Fissures
Inflammatory Bowel Disease
Infectious Colitis

Question 20

High-pitched rumbling sounds of hyperperistalsis that correspond with crampy abdominal painm bruits, or friction rubs

Answer 20

Borborygmi

Question 21

Violaceous striae is usually seen in

Answer 21

Cushing’s syndrome

Question 22

Umbilical bugle suggested

Answer 22

Ventral hernia

Question 23

Initial procedure for evaluation of dysphagia (evaluates subtle rings, strictures and achalasia)

Answer 23

Barium swallow

Question 24

Radiography that reliable diagnoses small intestinal tumors and chron’s ileutis

Answer 24

Small-bowel contrast radiography