BIO-322 PATHOPHYSIOLOGY EXAM 4
PRACTICE CASE STUDIES
QUESTIONS & ANSWERS 100%
SOLVED
Isaiah is a 38-year-old male who tells his primary caretaker of the continuity of his
condition that he has suffered from for the past years. When asked where he
experiences his pain, he points to his LLQ. From background information, it is
learned that he is of Ashkenazi Jewish descent and that his father and grandfather
both suffered from the same condition. During previous visits he had a colonoscopy
which revealed continuous lesions primarily in his rectum, sigmoid and descending
colon.
Which condition is Isaiah experiencing?
A. Irritable Bowel Syndrome
B. Ulcerative Colitis
C. Celiac Disease
D. Diverticulitis - ANSWERB. Ulcerative Colitis
A 75-year-old male walks in for an annual exam. He describes to his physician that
he has an urgency to frequently urinate, but has difficulty initiating his stream. He
also says that during the night he experiences a bit of dripping. His physician
performed a DRE which confirmed enlargement of his prostate gland.
What hormone is responsible for the enlargement of his prostate gland?
A. Testosterone
B. LH
C. Estradiol
D. FSH - ANSWERC. Estradiol
Cindy is a 45-year-old female who presents to the ER with sudden and severe
abdominal pain after eating McDonald's. She also states that she feels very
nauseous. She reports she gets some mild discomfort when she eats fast food, but
never like this. Vitals revealed a temperature of 102.4 degrees Fahrenheit, blood
pressure of 130/88, a pulse of 80bpm. Palpation of her RUQ reveals moderate
tenderness and observable discomfort. of her Lab results reveal leukocytosis. Which
of the following is the best diagnosis?
A. Cholelithiasis
B. Cholecystitis
C. Choledocholithiasis
D. Cholangitis - ANSWERB. Cholecystitis
, Marcy is a 22-year-old female who comes in complaining of abdominal pain and pain
when urinating. She also informs you that she decided to come in after seeing some
blood in her urine. She reports that when she pees there is pain and that she feels
like she had to pee constantly. There was no costovertebral tenderness. You order a
urine analysis. The urine analysis shows positive for RBCs, bacteria, nitrites,
leukocyte esterase, and WBC's. Marcy most likely has __________.
A. Interstitial Cystitis
B. Cystitis
C. Nephrolithiasis
D. Pyelonephritis - ANSWERB. Cystitis
2. A 55-year-old male patient visits his PCP complaining of upper abdominal pain,
nausea, and vomiting. When asked about when he experiences his pain, he states
that his pain is worse a few hours after he eats. He also states that his stools have
been dark, almost black. His PCP states that he likely has a peptic ulcer and
recommends an endoscopy. Based on his history, where is the likely location of his
peptic ulcer?
A. Esophagus
B. Stomach
C. Duodenum
D. Sigmoid colon
E. Ileum - ANSWERC. Duodenum
Based on the patient above, what is the most common cause of a peptic ulcer?
A. Chronic NSAID use
B. Alcohol
C. Stress
D. Helicobacter pylori - ANSWERD. Helicobacter Pylori
Andy is a 54-year-old male who weighs 297 lbs. He was rushed into the emergency
room after experiencing excruciating pain in his lower abdomen. For the past two
weeks, he has been experiencing diarrhea, but he thought it was due to eating four
Crunch Wrap Supremes and three Beefy Frito Burritos, and a Diet Coke from Taco
Bell. Andy explained to the medical professional that he has not had a colonoscopy.
Upon examination, he had a fever of 102.3 degrees Fahrenheit and palpation of his
abdomen revealed increased pain and guarding over the LLQ. A CBC and CT were
ordered. The CBC concluded that he had an increase in WBC's and the CT scan
showcased both paracolic and colonic inflammation. When analyzing the medical
tests conducted, Andy most likely has?
A. Crohn's Disease
B. Diverticulitis
C. IBS
D. Diverticulosis - ANSWERB. Diverticulitis
An 18-year-old Caucasian woman comes into the doctor complaining about constant
abdominal pain and feeling bloated and gassy after she eats a meal, especially after
breakfast. She told the doctor that she normally eats Krispy Kreme donuts, an
English muffin with peanut butter, or cereal for breakfast. Throughout the day she
has constant diarrhea that "floats in the toilet" and has lost a lot of weight since her
last checkup. She proceeds to tell the doctor that she no longer attends the gym
PRACTICE CASE STUDIES
QUESTIONS & ANSWERS 100%
SOLVED
Isaiah is a 38-year-old male who tells his primary caretaker of the continuity of his
condition that he has suffered from for the past years. When asked where he
experiences his pain, he points to his LLQ. From background information, it is
learned that he is of Ashkenazi Jewish descent and that his father and grandfather
both suffered from the same condition. During previous visits he had a colonoscopy
which revealed continuous lesions primarily in his rectum, sigmoid and descending
colon.
Which condition is Isaiah experiencing?
A. Irritable Bowel Syndrome
B. Ulcerative Colitis
C. Celiac Disease
D. Diverticulitis - ANSWERB. Ulcerative Colitis
A 75-year-old male walks in for an annual exam. He describes to his physician that
he has an urgency to frequently urinate, but has difficulty initiating his stream. He
also says that during the night he experiences a bit of dripping. His physician
performed a DRE which confirmed enlargement of his prostate gland.
What hormone is responsible for the enlargement of his prostate gland?
A. Testosterone
B. LH
C. Estradiol
D. FSH - ANSWERC. Estradiol
Cindy is a 45-year-old female who presents to the ER with sudden and severe
abdominal pain after eating McDonald's. She also states that she feels very
nauseous. She reports she gets some mild discomfort when she eats fast food, but
never like this. Vitals revealed a temperature of 102.4 degrees Fahrenheit, blood
pressure of 130/88, a pulse of 80bpm. Palpation of her RUQ reveals moderate
tenderness and observable discomfort. of her Lab results reveal leukocytosis. Which
of the following is the best diagnosis?
A. Cholelithiasis
B. Cholecystitis
C. Choledocholithiasis
D. Cholangitis - ANSWERB. Cholecystitis
, Marcy is a 22-year-old female who comes in complaining of abdominal pain and pain
when urinating. She also informs you that she decided to come in after seeing some
blood in her urine. She reports that when she pees there is pain and that she feels
like she had to pee constantly. There was no costovertebral tenderness. You order a
urine analysis. The urine analysis shows positive for RBCs, bacteria, nitrites,
leukocyte esterase, and WBC's. Marcy most likely has __________.
A. Interstitial Cystitis
B. Cystitis
C. Nephrolithiasis
D. Pyelonephritis - ANSWERB. Cystitis
2. A 55-year-old male patient visits his PCP complaining of upper abdominal pain,
nausea, and vomiting. When asked about when he experiences his pain, he states
that his pain is worse a few hours after he eats. He also states that his stools have
been dark, almost black. His PCP states that he likely has a peptic ulcer and
recommends an endoscopy. Based on his history, where is the likely location of his
peptic ulcer?
A. Esophagus
B. Stomach
C. Duodenum
D. Sigmoid colon
E. Ileum - ANSWERC. Duodenum
Based on the patient above, what is the most common cause of a peptic ulcer?
A. Chronic NSAID use
B. Alcohol
C. Stress
D. Helicobacter pylori - ANSWERD. Helicobacter Pylori
Andy is a 54-year-old male who weighs 297 lbs. He was rushed into the emergency
room after experiencing excruciating pain in his lower abdomen. For the past two
weeks, he has been experiencing diarrhea, but he thought it was due to eating four
Crunch Wrap Supremes and three Beefy Frito Burritos, and a Diet Coke from Taco
Bell. Andy explained to the medical professional that he has not had a colonoscopy.
Upon examination, he had a fever of 102.3 degrees Fahrenheit and palpation of his
abdomen revealed increased pain and guarding over the LLQ. A CBC and CT were
ordered. The CBC concluded that he had an increase in WBC's and the CT scan
showcased both paracolic and colonic inflammation. When analyzing the medical
tests conducted, Andy most likely has?
A. Crohn's Disease
B. Diverticulitis
C. IBS
D. Diverticulosis - ANSWERB. Diverticulitis
An 18-year-old Caucasian woman comes into the doctor complaining about constant
abdominal pain and feeling bloated and gassy after she eats a meal, especially after
breakfast. She told the doctor that she normally eats Krispy Kreme donuts, an
English muffin with peanut butter, or cereal for breakfast. Throughout the day she
has constant diarrhea that "floats in the toilet" and has lost a lot of weight since her
last checkup. She proceeds to tell the doctor that she no longer attends the gym
