EMED EOR Practice Questions - Gastrointestinal
/ Nutritional | 100% Correct Answers | Verified |
Latest 2024 Version
Which is the term used for blue discoloration around the umbilicus?
A. Cullen sign
B. Murphy sign
C. Roxving sign
D. Turner sign - ✔✔A. Cullen sign - blue discoloration around umbilicus - hemorrhagic pancreatitis
A 65 year-old homeless male with a history of pancreatitis is seen in the emergency department for
vomiting, upper abdominal pain, back pain and weakness. He is cachetic, pale and jaundiced. A 4-5 cm
mass is palpable in the mid to right hypochondrium. What is the most likely diagnosis?
A. Chronic cholecystitis
B. Carcinoma of head of pancreas
C. Fibrolipoma
D. Primary biliary cirrhosis - ✔✔B. Carcinoma of head of pancreas - 75 % of pancreatic cancers found in
the head - RF = age, tocacco use, obesity, chronic pancreatitis, fam hx and previous abdominal radiation
A patient presents with abdominal pain in the RLQ examination reveals increased pain in the RLQ on
deep palpation on the LLQ. This is known as which of the following?
A. Psoas sign
B. Murphys sign
C. Rovsings sign
D. Obturator sign - ✔✔C. Rovsings sign - increased pain occurs in the right lower quadrant in the LLQ
Which of the following pathophysiological procresses is believed to intitiate acute appendicitis?
A. Obstruction
B. Perforation
C. Hemorrhage
D. Vascular compromise - ✔✔A. Obstruction - obstruction of the appendiceal lumen by lymphoid
hyperplasia, a fecalith or foreign body inititates most cases of appendicitis
, which of the following clinical findings would be seen in a ptatient with food poisoning caused by
staphylococcus aureus?
A. Ingestion of mayonnaise-based salads 48 hrs earlier
B. Bloody diarrhea with mucous for 1 week
C. Abdominal cramps and vomiting for 48 hrs
D. High fever for 1 week - ✔✔C. Abdominal cramps and vomiting for 48 hrs - abdominal cramps, nausea,
vomiting and watery diarrhea last 1-2 days
A 32 year-old presents with a 3-day history of diarrhea. The patient denies blood, mucus, or night
awakening with diarrhea. He recently returned from a business trip to Canada. On physical examination,
the patient is afebrile and vital signs reveal BP 115/80, pulse is 76, and respirations are 14. The
abdominal examination reveals hyperactive bowel sounds, but is otherwise unremarkable. Which of the
following is the most appropriate initial intervention?
A. Stool for culture, ova, and parasites
B. Proctosigmoidoscopy
C. Metronidazole (Flagyl)
D. Supportive treatment - ✔✔D. Supportive treatment - dietary management and OTC antidiarrheals for
afebrile pts. with watery diarrhea of less than 5 day duration
The initial sign or symptom of iron poisoning in a 3 yr old is?
A. Vomiting and bloody diarrhea
B. Convulsions and tetany
C. Somnolence and coma
D. Ataxia and colicky abdominal pain - ✔✔A. Vomiting and bloody diarrhea - iron causes localized
necrosis and hemorrhage at the point of contact in the GI system
An 8 year-old patient presents with fever, nausea, vomiting, and diarrhea, 12 hours after playing with a
turtle. The stools are watery, non-bloody and of moderate volumes. Which of the following laboratory
tests will be most helpful in making the diagnosis?
A. Stool for ova and parasites
B. Scotch tape test
C. Widal test
/ Nutritional | 100% Correct Answers | Verified |
Latest 2024 Version
Which is the term used for blue discoloration around the umbilicus?
A. Cullen sign
B. Murphy sign
C. Roxving sign
D. Turner sign - ✔✔A. Cullen sign - blue discoloration around umbilicus - hemorrhagic pancreatitis
A 65 year-old homeless male with a history of pancreatitis is seen in the emergency department for
vomiting, upper abdominal pain, back pain and weakness. He is cachetic, pale and jaundiced. A 4-5 cm
mass is palpable in the mid to right hypochondrium. What is the most likely diagnosis?
A. Chronic cholecystitis
B. Carcinoma of head of pancreas
C. Fibrolipoma
D. Primary biliary cirrhosis - ✔✔B. Carcinoma of head of pancreas - 75 % of pancreatic cancers found in
the head - RF = age, tocacco use, obesity, chronic pancreatitis, fam hx and previous abdominal radiation
A patient presents with abdominal pain in the RLQ examination reveals increased pain in the RLQ on
deep palpation on the LLQ. This is known as which of the following?
A. Psoas sign
B. Murphys sign
C. Rovsings sign
D. Obturator sign - ✔✔C. Rovsings sign - increased pain occurs in the right lower quadrant in the LLQ
Which of the following pathophysiological procresses is believed to intitiate acute appendicitis?
A. Obstruction
B. Perforation
C. Hemorrhage
D. Vascular compromise - ✔✔A. Obstruction - obstruction of the appendiceal lumen by lymphoid
hyperplasia, a fecalith or foreign body inititates most cases of appendicitis
, which of the following clinical findings would be seen in a ptatient with food poisoning caused by
staphylococcus aureus?
A. Ingestion of mayonnaise-based salads 48 hrs earlier
B. Bloody diarrhea with mucous for 1 week
C. Abdominal cramps and vomiting for 48 hrs
D. High fever for 1 week - ✔✔C. Abdominal cramps and vomiting for 48 hrs - abdominal cramps, nausea,
vomiting and watery diarrhea last 1-2 days
A 32 year-old presents with a 3-day history of diarrhea. The patient denies blood, mucus, or night
awakening with diarrhea. He recently returned from a business trip to Canada. On physical examination,
the patient is afebrile and vital signs reveal BP 115/80, pulse is 76, and respirations are 14. The
abdominal examination reveals hyperactive bowel sounds, but is otherwise unremarkable. Which of the
following is the most appropriate initial intervention?
A. Stool for culture, ova, and parasites
B. Proctosigmoidoscopy
C. Metronidazole (Flagyl)
D. Supportive treatment - ✔✔D. Supportive treatment - dietary management and OTC antidiarrheals for
afebrile pts. with watery diarrhea of less than 5 day duration
The initial sign or symptom of iron poisoning in a 3 yr old is?
A. Vomiting and bloody diarrhea
B. Convulsions and tetany
C. Somnolence and coma
D. Ataxia and colicky abdominal pain - ✔✔A. Vomiting and bloody diarrhea - iron causes localized
necrosis and hemorrhage at the point of contact in the GI system
An 8 year-old patient presents with fever, nausea, vomiting, and diarrhea, 12 hours after playing with a
turtle. The stools are watery, non-bloody and of moderate volumes. Which of the following laboratory
tests will be most helpful in making the diagnosis?
A. Stool for ova and parasites
B. Scotch tape test
C. Widal test
