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A 35 year old female patient is seen in the clinic complaining
of abdominal pain. Which of the following should be included
in the history and physical - ✔✔✔ANSWER-nature of the pain,
timing of the pain, palliative and provocative aspects,
associated symptoms (n/v).
,A patient comes to the office complaining of constipation. The
patient lists all of the following medications. Which drug could
be responsible for the contipation - ✔✔✔ANSWER-Pepto-Bismol
A patient is seen with complaints of diarrhea. Which of the
following should be included in the patient's differential diagnosis? -
✔✔✔ANSWER-frequency, amount and fluidity, color and
characteristics. Diet history, recent travel, medication use,
source of drinking water
A 29 year old Englishman is seen in the office with complaints of
pain in his chest and belly. He has been suffering the pain for 2
weeks and gets temporary relief from Alka-Seltzer. The burning
wakes him at night and radiates up to his chest. Which factor favors
a diagnosis of gastric ulcer - ✔✔✔ANSWER-His use of Alka Seltzer
Which of the following is most effective in diagnosing
appendicitis - ✔✔✔ANSWER-History and physical
A 46-year-old patient is seen in the clinic with abdominal
pain. Which of the following tests is essential for this patient?
- ✔✔✔ANSWER-Urine human chorionic gonadotropin
. A 25-year-old accountant is seen in the clinic complaining of
crampy abdominal pain after meals. She is often constipated and
takes laxatives, which are followed by a couple of days of diarrhea.
, She temporarily feels better after a bowel movement. She states
she is embarrassed by flatulence and has abdominal distension.
She has had no weight loss or blood in her stool. This problem has
gone on for about 6 months. What should the next step be? -
✔✔✔ANSWER-Obtain a complete history
A 28-year-old patient is seen in the clinic with colicky abdominal
pain particular with meals. She has frequent constipation,
flatulence, and abdominal distension. Which of the data make a
diagnosis of diverticulitis unlikely? - ✔✔✔ANSWER-Her age
A 28-year-old patient is seen with complaints of diarrhea.
Which of the following responses to the history questions
would help the primary care physician (PCP) establish the
diagnosis of irritable bowel syndrome? - ✔✔✔ANSWER-
Which of the following dietary instructions should be given
to a patient with GERD? - ✔✔✔ANSWER-Eliminate coffee
The patient with GERD should be instructed to eliminate
which of these activities? - ✔✔✔ANSWER-Weight lifting
. A 22-year-old is seen complaining of vague belly pain. This
type of pain is seen at what point in appendicitis? -
✔✔✔ANSWER-Very early