GIT Assessment 2nd Flashcards

1
Q

65 years old male, known diabetic and hypertensive presenting with sudden, severe pulsating abdominal pain
associated with shock.

A

Catastrophic, immediate surgery

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2
Q

When should the area of the stomach with the pain be palpated?

A

Last

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3
Q

According to established statistical data, the most common diagnosis for surgical abdomen is:

A

Non specific abdominal pain

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4
Q

Originates from the intra-abdominal viscera.

A

Visceral pain

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5
Q

Referred pain felt at the periumbilical region will be least likely to originate from which organ?

A

Cecum

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6
Q

According to statistical data, what is the most common discharge diagnosis for patients presenting to the emergency department (ED) with acute abdominal pain?

A

Non specific abdominal pain

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7
Q

Right upper quadrant pain, radiating to the right scapula, fever

A

Inflammatory group. Lowest priority in urgency of surgery

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8
Q

Pain characterized by poor localization

A

Visceral pain

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9
Q

Colic pain

  • Is caused by a change in pH of the intra abdominal contents
  • Is caused by violent peristalsis
  • Always originates from a hollow viscera
  • Is associated with bowel ischemia
A

Always originates from a hollow viscera

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10
Q

Pain characterized by severe onset that is intensified by movement of the abdominal wall

A

Somatic pain

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11
Q

Which of the ff. statements regarding the acute abdomen is MOST correct?

  • The pain is usually of the referred pain type
  • The pain is oftentimes preceded by vomiting
  • The pain is usually colicky in nature
  • The initial pain associated with an acute abdomen tends to be vague and poorly localized.
A

The pain is oftentimes preceded by vomiting

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12
Q

The most common presenting clinical symptom of acute abdomen is:

A

Abdominal pain

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13
Q

Pain that originates from intra-abdominal organs but is felt in areas outside the abdominal region such as the flank, neck, chest region.

A

Reffered pain

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14
Q

Missed menstrual period; right adnexal tender mass, signs of blood loss and shock

A

Catastrophic, immediate surgery

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15
Q

Low grade fever, radiation from epigastrium to RLQ, RLQ point tenderness.

A

Inflammatory group. Lowest priority in urgency of surgery

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16
Q

Pain midway between menstrual period, short duration.

A

No surgery is needed / non surgical

17
Q

Sudden severe abdominal pain associated with hypotension is usually

A

Is a sign of peritonitis

18
Q

All of the following causes of acute abdominal pain occur more frequently in patients older than age 50 years than in patients younger than age 50 years EXCEPT:

  • Diverticular disease
  • Cholecystitis
  • Appendicitis
  • Intestinal obstruction
  • Vascular-related pathology
A

Appendicitis

19
Q

Abdominal pain that is gradual in onset may be observed in which of the following?

  • Inflammation of the appendix
  • Perforation of the stomach
  • Volvulus of the sigmoid colon
  • Rupture of an abdominal aneurysm
A

Inflammation of the appendix

20
Q

Abdominal pain with borborygmus on abdominal auscultation signifies:

A

Intestinal obstruction

21
Q

T/F
In a patient presenting with acute abdominal pain, the abdomen should be immediately examined before the other regions in order to avoid diagnostic delay.

A

TRUE

22
Q

In a severely ill or shocked patient with obvious physiologic dysfunction, which of the following should be observed?

  • First obtain a complete history
  • Resuscitation is done after performing a complete history to avoid missing important clinical findings.
  • Do a primary survey first.
  • Take an abdominal x ray immediately
A

Resuscitation is done after performing a complete history to avoid missing important clinical findings.

23
Q

An abdominal x ray will be most helpful in the diagnosis as to the cause of acute abdominal pain in which of the following?

  • Perforated bowel
  • Intestinal ischemia
  • Acute appendicitis
  • Intestinal obstruction
A

Intestinal obstruction

24
Q

Patients presenting with abdominal colic:

  • Maybe not be admitted
  • Needs emergent surgical intervention
  • Will benefit further observation and laboratory examinations
  • Usually have an immediate catastrophic problem
A

Will benefit further observation and laboratory examinations

25
Q

Which of the following is somatic type of pain?

  • Colicky pain from a ureteral stone
  • Pain at the right scapula in gallbladder inflammation
  • Pin point pain and tenderness at the right lower quadrant in acute appendicitis
  • Pain from a duodenal ulcer which is non perforated
A

Pin point pain and tenderness at the right lower quadrant in acute appendicitis