C/o 'burning" epigastric pain of several hours duration. Pt noticed black bowel
movements and about an hour ago he vomited some "stuff that looked like coffee
ground" BP 90/60, HR 140, RR 20, pale and anxious and sits leaning forward.
Abdomen is diffusely tender, guarding but not significant rigidity.
A. Peptic Ulcer Disease
B. Diverticulitis
C. Mesenteric ischemia
D. A leaking abdominal aortic aneurysm
A. Peptic Ulcer Disease
70 year old woman c/o abdominal pain, states she had some diarrhea but didn't
relieve the pain, states she ate a fatty meal and appears in considerable
distress. HR 108, RR 20, BP 160/100
A. Peptic ulcer disease
B. Diverticulitis
C. Cholecystitis
D. Leaking abdominal aortic aneurysm
C. Cholecystitis
52 year old c/o severe abdominal pain getting worse over past 2 days, no bowel
movements. Lies very still on stretcher and pain intensifies with movement of
the stretcher. HR 128, BP 150/80, RR 28.
A. Peptic Ulcer Disease
B. Diverticulitis
C. Mesenteric ischemia
D. A leaking abdominal aortic aneurysm
B. Diverticulitis
30 year old c/o severe abdominal pain in lower right quadrant, history of rectal
bleeding, diarrhea, arthritis, and fever. He further states episodic periods of
similar symptoms.
A. Peptic Ulcer Disease
B. Diverticulitis
C. Crohn disease
D. A leaking abdominal aortic aneurysm
C. Crohn disease
Pain that originates in the abdomen and causes pain in a distal location as a
result of similar paths of the peripheral nerves of the abdomen is considered:
A. referred pain
B. parietal pain
C. somatic pain
D. rebound pain
C. somatic pain
28 year old woman c/o severe vomiting, states she is in the first trimester of
pregnancy and has been suffering form morning sickness. She is now vomiting
blood.
A. Peptic ulcer disease
B. Hemorrhoids
C. Pancreatitis
D. Mallory-Weiss syndrome
D. Mallory-Weiss syndrome
The proper treatment for esophageal varicose includes:
A. narcotic pain relief
B. treatment with 5% dextrose and water
C. fluid resuscitation
D. placement of a laryngeal mask airway to prevent aspiration
C. fluid resuscitation
Pain that is difficult to localize, and described as a burning, cramping,
gnawing, or aching, is called:
A. referred
,B. visceral
C. somatic
D. parietal
B. visceral
26 year old man with a sudden onset of severe abdominal pain, c/o associated
fever, nausea, and vomiting, pain isolated to the RLQ.
A. hypovolemia
B. inflammation of the interstitial lining
C. esophageal varices
D. appendicitis
D. appendicitis
Which of the following would not cause a bowel obstruction?
A. paralysis of the intestines
B. an immune attack against the GI tract
C. infection
D. kidney disease
B. an immune attack against the GI tract
--------------------
A positive Murphy sign is characterized by
a sudden stop in inspiration due to sharp pain when pressure is applied to the
right upper quadrant.
Peristalsis is defined as:
rhythmic contraction.
Filtering of blood and recycling of dead red blood cells are functions of the:
spleen.
A patient with orthostatic vital sign changes:
may faint upon standing.
The ___________ controls the amount of food that moves back up the esophagus.
cardiac sphincter
A 38-year-old man presents with an acute onset of severe right upper quadrant
abdominal pain, pain to his right shoulder, and nausea. He is conscious and
alert, but is restless from the pain. His blood pressure is 150/86 mm Hg, pulse
rate is 120 beats/min and strong, and respirations are 22 breaths/min and
regular. In addition to administering supplemental oxygen, you should:
start an IV with normal saline and set it to keep the vein open, place him in a
position of comfort, and administer 4 mg of morphine and 12.5 mg of
promethazine.
Esophageal varices are a direct result of:
portal hypertension.
The exocrine function of the pancreas produces:
enzymes.
You are caring for a middle-aged man with severe abdominal pain and dark, tarry
stools. He is conscious but very restless. His blood pressure is 78/52 mm Hg,
pulse rate is 130 beats/min and weak, and respirations are 24 breaths/min and
shallow. Further assessment reveals that his skin is cool and clammy and his
radial pulses are weakly present. You should:
administer high-flow oxygen, start two large-bore IV lines, and administer 20-
mL/kg normal saline boluses until his radial pulses strengthen.
In contrast to somatic pain, visceral pain:
, is difficult to localize.
The conversion of glycogen to glucose occurs in the:
liver.
Bile is stored in the _________ and is released into the __________, where it
helps to _______.
gallbladder, duodenum, emulsify fats
Hepatic encephalopathy is a condition in which:
liver disease causes reduced brain function.
Which of the following behaviors does NOT place a person at risk for
gastrointestinal disease?
High-fiber diet
When diarrhea contains more water than it does fecal material:
smaller amounts of electrolytes are lost compared to the amount of lost water.
A sudden onset of discomfort in the throat, severe dysphagia, and vomiting
bright red blood are MOST indicative of:
ruptured esophageal varices.
An incarcerated hernia is one that:
cannot be reduced and becomes trapped.
Common signs of bleeding in the upper gastrointestinal tract include all of the
following, EXCEPT:
hematochezia.
A patient with an advanced bowel obstruction would MOST likely present with:
a feculent breath odor.
Pyloric stenosis is the most common cause of:
infantile intestinal obstruction.
A patient with pancreatitis would MOST likely present with pain that:
goes straight through to the back in the midline of the lower thoracic area.
Drinking alcohol with a fatty meal:
delays gastric emptying.
The portal vein transports venous blood from the gastrointestinal tract directly
to the:
liver.
A protuberant abdomen would MOST likely be encountered in a patient with:
peritoneal fluid accumulation.
An obese 52-year-old woman who presents with severe pain in the right upper
quadrant of her abdomen and pain in her right shoulder is MOST likely
experiencing:
cholecystitis.
A 52-year-old man complains of severe abdominal pain but denies nausea or
vomiting. He is conscious and alert, has a blood pressure of 130/70 mm Hg, a
heart rate of 120 beats/min and strong, and respirations of 20 breaths/min and
regular. In addition to providing supplemental oxygen, you should start an IV
line and give:
nalbuphine, 10 mg.
Icteric sclera and acholic stools are clinical manifestations of:
cirrhosis.
movements and about an hour ago he vomited some "stuff that looked like coffee
ground" BP 90/60, HR 140, RR 20, pale and anxious and sits leaning forward.
Abdomen is diffusely tender, guarding but not significant rigidity.
A. Peptic Ulcer Disease
B. Diverticulitis
C. Mesenteric ischemia
D. A leaking abdominal aortic aneurysm
A. Peptic Ulcer Disease
70 year old woman c/o abdominal pain, states she had some diarrhea but didn't
relieve the pain, states she ate a fatty meal and appears in considerable
distress. HR 108, RR 20, BP 160/100
A. Peptic ulcer disease
B. Diverticulitis
C. Cholecystitis
D. Leaking abdominal aortic aneurysm
C. Cholecystitis
52 year old c/o severe abdominal pain getting worse over past 2 days, no bowel
movements. Lies very still on stretcher and pain intensifies with movement of
the stretcher. HR 128, BP 150/80, RR 28.
A. Peptic Ulcer Disease
B. Diverticulitis
C. Mesenteric ischemia
D. A leaking abdominal aortic aneurysm
B. Diverticulitis
30 year old c/o severe abdominal pain in lower right quadrant, history of rectal
bleeding, diarrhea, arthritis, and fever. He further states episodic periods of
similar symptoms.
A. Peptic Ulcer Disease
B. Diverticulitis
C. Crohn disease
D. A leaking abdominal aortic aneurysm
C. Crohn disease
Pain that originates in the abdomen and causes pain in a distal location as a
result of similar paths of the peripheral nerves of the abdomen is considered:
A. referred pain
B. parietal pain
C. somatic pain
D. rebound pain
C. somatic pain
28 year old woman c/o severe vomiting, states she is in the first trimester of
pregnancy and has been suffering form morning sickness. She is now vomiting
blood.
A. Peptic ulcer disease
B. Hemorrhoids
C. Pancreatitis
D. Mallory-Weiss syndrome
D. Mallory-Weiss syndrome
The proper treatment for esophageal varicose includes:
A. narcotic pain relief
B. treatment with 5% dextrose and water
C. fluid resuscitation
D. placement of a laryngeal mask airway to prevent aspiration
C. fluid resuscitation
Pain that is difficult to localize, and described as a burning, cramping,
gnawing, or aching, is called:
A. referred
,B. visceral
C. somatic
D. parietal
B. visceral
26 year old man with a sudden onset of severe abdominal pain, c/o associated
fever, nausea, and vomiting, pain isolated to the RLQ.
A. hypovolemia
B. inflammation of the interstitial lining
C. esophageal varices
D. appendicitis
D. appendicitis
Which of the following would not cause a bowel obstruction?
A. paralysis of the intestines
B. an immune attack against the GI tract
C. infection
D. kidney disease
B. an immune attack against the GI tract
--------------------
A positive Murphy sign is characterized by
a sudden stop in inspiration due to sharp pain when pressure is applied to the
right upper quadrant.
Peristalsis is defined as:
rhythmic contraction.
Filtering of blood and recycling of dead red blood cells are functions of the:
spleen.
A patient with orthostatic vital sign changes:
may faint upon standing.
The ___________ controls the amount of food that moves back up the esophagus.
cardiac sphincter
A 38-year-old man presents with an acute onset of severe right upper quadrant
abdominal pain, pain to his right shoulder, and nausea. He is conscious and
alert, but is restless from the pain. His blood pressure is 150/86 mm Hg, pulse
rate is 120 beats/min and strong, and respirations are 22 breaths/min and
regular. In addition to administering supplemental oxygen, you should:
start an IV with normal saline and set it to keep the vein open, place him in a
position of comfort, and administer 4 mg of morphine and 12.5 mg of
promethazine.
Esophageal varices are a direct result of:
portal hypertension.
The exocrine function of the pancreas produces:
enzymes.
You are caring for a middle-aged man with severe abdominal pain and dark, tarry
stools. He is conscious but very restless. His blood pressure is 78/52 mm Hg,
pulse rate is 130 beats/min and weak, and respirations are 24 breaths/min and
shallow. Further assessment reveals that his skin is cool and clammy and his
radial pulses are weakly present. You should:
administer high-flow oxygen, start two large-bore IV lines, and administer 20-
mL/kg normal saline boluses until his radial pulses strengthen.
In contrast to somatic pain, visceral pain:
, is difficult to localize.
The conversion of glycogen to glucose occurs in the:
liver.
Bile is stored in the _________ and is released into the __________, where it
helps to _______.
gallbladder, duodenum, emulsify fats
Hepatic encephalopathy is a condition in which:
liver disease causes reduced brain function.
Which of the following behaviors does NOT place a person at risk for
gastrointestinal disease?
High-fiber diet
When diarrhea contains more water than it does fecal material:
smaller amounts of electrolytes are lost compared to the amount of lost water.
A sudden onset of discomfort in the throat, severe dysphagia, and vomiting
bright red blood are MOST indicative of:
ruptured esophageal varices.
An incarcerated hernia is one that:
cannot be reduced and becomes trapped.
Common signs of bleeding in the upper gastrointestinal tract include all of the
following, EXCEPT:
hematochezia.
A patient with an advanced bowel obstruction would MOST likely present with:
a feculent breath odor.
Pyloric stenosis is the most common cause of:
infantile intestinal obstruction.
A patient with pancreatitis would MOST likely present with pain that:
goes straight through to the back in the midline of the lower thoracic area.
Drinking alcohol with a fatty meal:
delays gastric emptying.
The portal vein transports venous blood from the gastrointestinal tract directly
to the:
liver.
A protuberant abdomen would MOST likely be encountered in a patient with:
peritoneal fluid accumulation.
An obese 52-year-old woman who presents with severe pain in the right upper
quadrant of her abdomen and pain in her right shoulder is MOST likely
experiencing:
cholecystitis.
A 52-year-old man complains of severe abdominal pain but denies nausea or
vomiting. He is conscious and alert, has a blood pressure of 130/70 mm Hg, a
heart rate of 120 beats/min and strong, and respirations of 20 breaths/min and
regular. In addition to providing supplemental oxygen, you should start an IV
line and give:
nalbuphine, 10 mg.
Icteric sclera and acholic stools are clinical manifestations of:
cirrhosis.
