GIT ASSESSMENT 4th

Question 1

Which among the following is consistent with small intestine diarrhea?

• Diarrhea with increased mucus
• Diarrhea with pus
• Diarrhea associated with bleeding
• High-volume watery diarrhea

Answer 1

High-volume watery diarrhea

Question 2

A 38 years old male was brought to SWU-MC due to back pain. He is a chronic alcoholic, and 30 pack year smoker. Work up was done showing acute pancreatitis. What is the pattern of pain the patient is presenting?

Answer 2

Referred pain

Question 3

The type of pain perceived by patients with peritonitis?

Answer 3

Parietal pain

Question 4

A sharp increase in right upper quadrant abdominal tenderness with inspiratory effort.

Answer 4

Murphy’s sign

Question 5

The following are “alarm” symptoms except?

• Heartburn
• Recurrent vomiting
• Anemia
• Odynophagia

Answer 5

Heartburn

Question 6

A 48 years old male is seen in the emergency room because of recurrent vomiting. He complains of generalized abdominal pain. On examination abdomen is protuberant, hypoactive bowel sounds, and tympanitic. What is the likely cause of his condition?

Answer 6

Intestinal obstruction

Question 7

What is the usual characteristic of abdominal pain in early acute bowel obstruction?

Answer 7

Crampy abdominal pain

Question 8

Refers as chronic or recurrent discomfort or pain centered in the upper abdomen, characterized by postprandial fullness, early satiety, and epigastric pain or burning.

Answer 8

Dyspepsia

Question 9

Your senior resident instructed you to assess if his patient has ascites. Which maneuver or technique will you elicit?

Answer 9

Shifting dullness

Question 10

Pain in the right lower quadrant is elicited during left-sided pressure.

Answer 10

Rovsing sign

Question 11

A pink – purple striae on the abdomen are a hallmark of what disease?

Answer 11

Cushing syndrome

Question 12

Mr. Peter is a college professor who drinks 10 ounces of wine per day. How will you classify his drinking?

Answer 12

Moderate drinking

Question 13

Abdominal protrusion through an operative scar.

Answer 13

Incisional hernia

Question 14

You are evaluating a 37 years old male with problems of dysphagia. He verbalized that he has dysphagia to both solids and liquids. What will you most likely consider?

Answer 14

Achalasia

Question 15

The ideal sequence for examining the abdomen should be

Answer 15

Inspection, auscultation, percussion, and palpation

Question 16

Mr. Shaibel is a 78 years old male who consulted you for his routine screening. he wants to screen himself for colorectal cancer. What will you advise him?

Answer 16

Screening not advised for him

Question 17

A 48 years old male was rushed to the ER because of abdominal pain. He noted that the pain score is 10/10. He has been having anorexia stating he has “fear of food intake”. The abdominal examination is normal. What would be the likely cause of the symptom?

Answer 17

Mesenteric Ischemia

Question 18

Which among the following is a test to assess for possible ascites?

• Romberg maneuver
• Shifting dullness
• Rovsing sign
• Buerger test

Answer 18

Shifting dullness

Question 19

This refers to the unusually intense and immediate desire to void.

Answer 19

Urgency

Question 20

A 46 years old female was referred to you because of gastroesophageal reflux disease. She has been having episodes of GERD since last year. you will assess the patient if she has “alarm symptoms” which include the following except?

• Odynophagia
• Painless jaundice
• Dysphagia
• Weight gain

Answer 20

Weight gain

Question 21

Refers to a rising retrosternal burning pain or discomfort occurring weekly or more often. It is typically aggravated by foods such as alcohol, chocolate, citrus fruits, onions, and peppermint.

Answer 21

Heartburn

Question 22

A 24-year-old male medical student was playing basketball and was accidentally kneed in the epigastric area during a scuffle for the ball. The following day, he presented in the clinic with pain in the epigastric area and a tender epigastric mass that is still palpable on muscular contraction. What is your impression?

Answer 22

rectus sheath hematoma

Question 23

A 19 years old male was referred to your service because of body malaise. On physical examination, there was significant pallor, and the abdominal exam revealed a palpable notch on the left medial border with edge extending to the midline. Percussion of the left upper quadrant was dull, and your fingers can probe deep to the medial and lateral borders but not between the mass and costal margin. What does your examination tell you?

Answer 23

Splenomegaly is detected

Question 24

What is the likely cause of dysphagia to both solid and liquid?

• Esophageal strictures
• Schatzki ring
• Achalasia
• Esophageal malignancy

Answer 24

Achalasia