GNUR 699 EXAM 4 QUESTIONS
COMPLETE WITH 100% VERIFIED
ANSWERS
\Q\.Which of the following best describes visceral abdominal pain?
A. Sharp, localized pain from the parietal peritoneum
B. Pain radiating to the right shoulder from cholecystitis
C. Dull, deep, and poorly localized pain due to distension or ischemia
D. Cramping pain from the muscular wall of the abdomen - ANSWERS✔-Answer: C
C. Dull, deep, and poorly localized pain due to distension or ischemia
\Q\.A patient presents with sudden, severe abdominal pain and hypotension. What diagnosis
should be strongly considered based on the timing and severity?
A. Gastroenteritis
B. Ruptured abdominal aortic aneurysm
C. Acute pancreatitis
D. Peptic ulcer disease - ANSWERS✔-Answer: B
B. Ruptured abdominal aortic aneurysm
\Q\.Periumbilical pain is most often associated with pathology in which of the following?
A. Stomach and pancreas
B. Large bowel and rectum
C. Small bowel and appendix
D. Gallbladder and liver - ANSWERS✔-Answer: C
,C. Small bowel and appendix
\Q\.In a patient with acute abdominal pain, which finding would most likely lead you to suspect
mesenteric ischemia?
A. Gradual onset of epigastric pain
B. History of alcohol use
C. Immediate onset of severe pain
D. Lower quadrant tenderness - ANSWERS✔-Answer: C
C. Immediate onset of severe pain
\Q\.Which of the following lab tests is most essential to order in a female patient of childbearing
age with acute abdominal pain?
A. Serum lipase
B. Coagulation panel
C. Liver function tests
D. Pregnancy test - ANSWERS✔-D. Pregnancy test
Answer: D
\Q\.A bedside ultrasound reveals gallstones and a stone in the common bile duct. What imaging
finding confirms this diagnosis?
A. Enlarged liver with fatty infiltration
B. Free fluid in the abdomen
C. Shadowing stone visible in the common bile duct
D. Bowel wall thickening - ANSWERS✔-Answer: C
C. Shadowing stone visible in the common bile duct
,\Q\.Which of the following is NOT a typical component of nonoperative management for acute
abdominal issues?
A. NPO status
B. Intravenous hydration
C. Immediate surgical exploration
D. Pain control and antibiotics - ANSWERS✔-Answer: C
C. Immediate surgical exploration
\Q\.What is a key indication for using a CT scan with contrast in evaluating abdominal pain?
A. Suspected gallbladder stones in a thin patient
B. Suspected mesenteric ischemia or bleeding
C. Patient history of constipation
D. Routine imaging for all patients with nausea - ANSWERS✔-Answer: B
B. Suspected mesenteric ischemia or bleeding
\Q\.What is the purpose of leaving the abdomen open with dressings and drains after an initial
surgical intervention?
A. To allow direct wound healing by secondary intention
B. To delay surgical treatment until resources are available
C. To provide temporary stabilization and allow reoperation after edema subsides
D. To reduce the cost of operative closure - ANSWERS✔-Answer: C
C. To provide temporary stabilization and allow reoperation after edema subsides
\Q\.Which of the following is a postoperative complication associated with acute abdominal
problems?
A. Abdominal aortic aneurysm rupture
B. Referred shoulder pain
, C. Postoperative ileus
D. Pancreatic pseudocyst - ANSWERS✔-Answer: C
C. Postoperative ileus
\Q\.What is the most common cause of appendicitis?
A. Viral infection of the GI tract
B. Obstruction of the appendiceal lumen
C. Autoimmune inflammation
D. Hemorrhagic infarction - ANSWERS✔-Answer: B
B. Obstruction of the appendiceal lumen
\Q\.Which patient population is at highest risk for mortality from appendicitis?
A. Children under 10
B. Young adult females
C. Elderly adults
D. Athletes - ANSWERS✔-Answer: C
C. Elderly adults
\Q\.A patient presents with vague abdominal pain that later migrates to the right lower
quadrant and becomes sharp. This pain is most likely located at:
A. Hesselbach's triangle
B. McBurney's point
C. Murphy's point
D. Rovsing's point - ANSWERS✔-Answer: B
B. McBurney's point
COMPLETE WITH 100% VERIFIED
ANSWERS
\Q\.Which of the following best describes visceral abdominal pain?
A. Sharp, localized pain from the parietal peritoneum
B. Pain radiating to the right shoulder from cholecystitis
C. Dull, deep, and poorly localized pain due to distension or ischemia
D. Cramping pain from the muscular wall of the abdomen - ANSWERS✔-Answer: C
C. Dull, deep, and poorly localized pain due to distension or ischemia
\Q\.A patient presents with sudden, severe abdominal pain and hypotension. What diagnosis
should be strongly considered based on the timing and severity?
A. Gastroenteritis
B. Ruptured abdominal aortic aneurysm
C. Acute pancreatitis
D. Peptic ulcer disease - ANSWERS✔-Answer: B
B. Ruptured abdominal aortic aneurysm
\Q\.Periumbilical pain is most often associated with pathology in which of the following?
A. Stomach and pancreas
B. Large bowel and rectum
C. Small bowel and appendix
D. Gallbladder and liver - ANSWERS✔-Answer: C
,C. Small bowel and appendix
\Q\.In a patient with acute abdominal pain, which finding would most likely lead you to suspect
mesenteric ischemia?
A. Gradual onset of epigastric pain
B. History of alcohol use
C. Immediate onset of severe pain
D. Lower quadrant tenderness - ANSWERS✔-Answer: C
C. Immediate onset of severe pain
\Q\.Which of the following lab tests is most essential to order in a female patient of childbearing
age with acute abdominal pain?
A. Serum lipase
B. Coagulation panel
C. Liver function tests
D. Pregnancy test - ANSWERS✔-D. Pregnancy test
Answer: D
\Q\.A bedside ultrasound reveals gallstones and a stone in the common bile duct. What imaging
finding confirms this diagnosis?
A. Enlarged liver with fatty infiltration
B. Free fluid in the abdomen
C. Shadowing stone visible in the common bile duct
D. Bowel wall thickening - ANSWERS✔-Answer: C
C. Shadowing stone visible in the common bile duct
,\Q\.Which of the following is NOT a typical component of nonoperative management for acute
abdominal issues?
A. NPO status
B. Intravenous hydration
C. Immediate surgical exploration
D. Pain control and antibiotics - ANSWERS✔-Answer: C
C. Immediate surgical exploration
\Q\.What is a key indication for using a CT scan with contrast in evaluating abdominal pain?
A. Suspected gallbladder stones in a thin patient
B. Suspected mesenteric ischemia or bleeding
C. Patient history of constipation
D. Routine imaging for all patients with nausea - ANSWERS✔-Answer: B
B. Suspected mesenteric ischemia or bleeding
\Q\.What is the purpose of leaving the abdomen open with dressings and drains after an initial
surgical intervention?
A. To allow direct wound healing by secondary intention
B. To delay surgical treatment until resources are available
C. To provide temporary stabilization and allow reoperation after edema subsides
D. To reduce the cost of operative closure - ANSWERS✔-Answer: C
C. To provide temporary stabilization and allow reoperation after edema subsides
\Q\.Which of the following is a postoperative complication associated with acute abdominal
problems?
A. Abdominal aortic aneurysm rupture
B. Referred shoulder pain
, C. Postoperative ileus
D. Pancreatic pseudocyst - ANSWERS✔-Answer: C
C. Postoperative ileus
\Q\.What is the most common cause of appendicitis?
A. Viral infection of the GI tract
B. Obstruction of the appendiceal lumen
C. Autoimmune inflammation
D. Hemorrhagic infarction - ANSWERS✔-Answer: B
B. Obstruction of the appendiceal lumen
\Q\.Which patient population is at highest risk for mortality from appendicitis?
A. Children under 10
B. Young adult females
C. Elderly adults
D. Athletes - ANSWERS✔-Answer: C
C. Elderly adults
\Q\.A patient presents with vague abdominal pain that later migrates to the right lower
quadrant and becomes sharp. This pain is most likely located at:
A. Hesselbach's triangle
B. McBurney's point
C. Murphy's point
D. Rovsing's point - ANSWERS✔-Answer: B
B. McBurney's point
