GI

Question 1

Where does esophagus pain refer to?

Answer 1

T5-T10

Question 2

Where do liver and respiratory diaphragm pains refer to?

Answer 2

C3-C5

Question 3

Where do the gallbladder, stomach, pancreas, and small intestine refer pain to?

Answer 3

T6-T9

Question 4

Where do the colon, appendix and pelvic viscera refer pain to?

Answer 4

T10-T11

Question 5

Where do the sigmoid colon, rectum and testes refer pain to?

Answer 5

T11-L1

Question 6

What are the signs of a GI bleed?

Answer 6

• Coffee ground emesis (vomit) – indicative of perforated peptic or duodenal ulcer

• Bloody diarrhea – indicative of
ulcerative colitis

• Bright red blood – indicative of
pathology close to the rectum

• Melena – black, tarry stool –
indicative of large quantities of blood
in the stool

Question 7

What do coffee ground emesis indicate?

Answer 7

indicative of perforated peptic or duodenal ulcer

Question 8

What does bloody diarrhea indicate?

Answer 8

indicative of

ulcerative colitis

Question 9

What does bright red blood when someone goes to the bathroom indicate?

Answer 9

indicative of pathology close to the rectum

Question 10

What does melena indicate? What does it look like?

Answer 10

black, tarry stool –
indicative of large quantities of blood
in the stool

Question 11

Pain associated with gastric ulcer – pain

begins ____-____ minutes after eating

Answer 11

30 to 90 minutes

Question 12

Pain associated with duodenal or pyloric

ulcers – pain may occur __-__ hours after meals

Answer 12

2-4 hours

Question 13

Food (does/ doesn’t) relieve the pain of a gastric ulcer

Answer 13

Doesn’t

Question 14

Food (does/ doesn’t) relieve the symptoms of a duodenal ulcer

Answer 14

Does, maybe

Question 15

Intense, boring pain associated with

cancer (is/ isn’t) relieved with food

Answer 15

Isn’t

Question 16

Acute diarrhea with associated fever, cramps, and

blood or pus in the stool indicates…

Answer 16

invasive enteric infection

Question 17

Chronic diarrhea, associated with weightloss is indicative of…

Answer 17

neoplastic or inflammatory bowel disease

Question 18

True or false; antibiotics can cause diarrhea

Answer 18

True

Question 19

Which anaerobic bacterium is associated with diarrhea?

Answer 19

Clostridium difficile: (C.difficile)

Question 20

What are the signs and symptoms of a psoas abscess?

Answer 20

• Fever  ( up and down)
• Night Sweats
• Abdominal pain
• Loss of appetite  or GI upset
• Back, pelvic, abdominal, hip, and/or
knee  pain 
• Antalgic gait 
• Palpable,  tender mass

Question 21

What are they typical symptoms of GERD?

Answer 21

• heart burn
• regurgitation with bitter taste in mouth
• belching

Question 22

What are the atypical symptoms of GERD?

Answer 22

• check pain unrelated to activity
• sensation of a lump in the throat
• difficulty swallowing (dysphagia)
• painful swallowing (odynophagia)
• wheezing, coughing, hoarseness
• asthma
• sore throat, laryngitis
• weight loss
• anemia

Question 23

What are the signs and symptoms of a peptic ulcer?

Answer 23

• heart burn aggravated by food but relieved by other food, milk, antacids or vomiting
• night pain
• radiating back pain
• right shoulder pain (rare)
• light headed/ fainting
• nausea
• vomiting
• anorexia
• weight loss
• bloody stools
• black tarry stools

Question 24

What are the signs and symptoms of pancreatitis?

Answer 24

• epigastric pain radiating to the back
• nausea and vomiting
• fever and sweating
• tachycardia
• malaise
• weakness
• bluish discoloration of abdomen or flanks
• jaundice

Question 25

What are the signs and symptoms of pancreatic carcinoma?

Answer 25

• Epigastric/ upper abdominal pain radiating to the back
• LBP *could be the only symptom
• jaundice
• anorexia and weight loss
• light colored stool
• constipation
• nausea and vomiting
• weakness

Question 26

Signs and symptoms of irritable bowel syndrome

Answer 26

• Painful abdominal cramps
• Constipation
• Diarrhea
• Nausea and vomiting
• Anorexia
• Flatulence
• Foul breath