GI Quiz 7
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Questions and Answers

Which symptom may indicate a malignant obstruction of the bile ducts?

  • Painful jaundice
  • Abdominal pain
  • Anorexia
  • Painless jaundice (correct)

What should be considered in patients with symptoms and abdominal pain and tenderness?

  • Relief of pain by vomiting
  • Polyp, which may indicate cancer and needs biopsy
  • Ischemia, which requires urgent cross-sectional imaging and surgical consultation (correct)
  • Infectious origin, as in hepatitis A and cholangitis

What does the knowledge of where the viscera are positioned in the abdominal cavity help with?

  • Providing insight into the differential diagnosis
  • Determining the cause of pain migration
  • Narrowing the differential diagnosis to the potential affected organs (correct)
  • Determining the underlying pathophysiologic process of the patient's pain

What may provide insight into the differential diagnosis of abdominal pain?

<p>Palliative, Provoking, or Associated Factors (A)</p> Signup and view all the answers

Which type of pain is typically nonspecific and difficult to localize?

<p>Visceral pain (B)</p> Signup and view all the answers

What type of pain originates from inflammation of the parietal peritoneum and is usually more severe than visceral pain?

<p>Somatic pain (B)</p> Signup and view all the answers

In which condition should palpation not be performed to avoid complications?

<p>Abdominal aortic aneurysm (AAA) (B)</p> Signup and view all the answers

What is associated with projectile vomiting?

<p>Pyloric stenosis (D)</p> Signup and view all the answers

Which condition may cause painful swallowing (odynophagia)?

<p>Esophageal ulceration (C)</p> Signup and view all the answers

What should be considered if there is chronic pain in the quadrants of the lower abdomen?

<p>Irritable bowel syndrome (IBS) (C)</p> Signup and view all the answers

What does jaundice (icterus) indicate?

<p>Elevated bilirubin levels (B)</p> Signup and view all the answers

Which type of jaundice occurs from obstruction of the extrahepatic bile ducts?

<p>Extrahepatic jaundice (A)</p> Signup and view all the answers

What happens to the stools when excretion of bile into the intestine is completely obstructed?

<p>They become gray or light colored (C)</p> Signup and view all the answers

What is the diagnostic criteria for irritable bowel syndrome (IBS)?

<p>Intermittent pain for 12 weeks of the preceding 12 months (D)</p> Signup and view all the answers

What type of pain is typically felt in more distant sites than the disordered structures?

<p>Referred pain (B)</p> Signup and view all the answers

What may cause pain referred to the right posterior thorax or the right scapular region?

<p>Gallstones (A)</p> Signup and view all the answers

Which condition should be suspected if there is chronic pain in the quadrants of the lower abdomen and a palpable mass is present?

<p>Late-stage colon cancer (C)</p> Signup and view all the answers

What type of pain originates from inflammation of the parietal peritoneum and is usually more severe than visceral pain?

<p>Parietal pain (D)</p> Signup and view all the answers

What is the diagnostic criteria for irritable bowel syndrome (IBS)?

<p>Intermittent pain for 12 weeks of the preceding 12 months with relief from defecation (A)</p> Signup and view all the answers

What does jaundice (icterus) indicate?

<p>Increased levels of bilirubin (A)</p> Signup and view all the answers

What type of jaundice occurs from obstruction of the extrahepatic bile ducts?

<p>Extrahepatic jaundice (D)</p> Signup and view all the answers

What may cause pain referred to the right posterior thorax or the right scapular region?

<p>Pancreatitis (A)</p> Signup and view all the answers

What is associated with projectile vomiting?

<p>Pyloric stenosis (B)</p> Signup and view all the answers

Which type of pain is typically nonspecific and difficult to localize?

<p>Visceral pain (C)</p> Signup and view all the answers

What happens to the stools when excretion of bile into the intestine is completely obstructed?

<p>They become gray or light colored (B)</p> Signup and view all the answers

What does the knowledge of where the viscera are positioned in the abdominal cavity help with?

<p>Identifying the cause of referred pain (C)</p> Signup and view all the answers

In which condition should palpation not be performed to avoid complications?

<p>Abdominal aortic aneurysm (AAA) (D)</p> Signup and view all the answers

What type of pain may indicate an emergent cause and require urgent cross-sectional imaging and surgical consultation?

<p>Painful jaundice (A)</p> Signup and view all the answers

What may provide insight into the differential diagnosis of abdominal pain?

<p>Relief of pain by vomiting (C)</p> Signup and view all the answers

What does the knowledge of where the viscera are positioned in the abdominal cavity help with?

<p>Identifying the affected organs (B)</p> Signup and view all the answers

What type of pain originates from inflammation of the parietal peritoneum and is usually more severe than visceral pain?

<p>Somatic pain (C)</p> Signup and view all the answers

What happens to the stools when excretion of bile into the intestine is completely obstructed?

<p>They become pale (A)</p> Signup and view all the answers

What type of jaundice occurs from obstruction of the extrahepatic bile ducts?

<p>Obstructive jaundice (B)</p> Signup and view all the answers

What should be considered if there is chronic pain in the quadrants of the lower abdomen?

<p>Colorectal cancer (C)</p> Signup and view all the answers

What is associated with projectile vomiting?

<p>Cholangitis (A)</p> Signup and view all the answers

Which symptom may indicate a malignant obstruction of the bile ducts?

<p>Painless jaundice (D)</p> Signup and view all the answers

What should be considered in patients with symptoms and abdominal pain and tenderness?

<p>Ischemia (C)</p> Signup and view all the answers

What may cause pain referred to the right posterior thorax or the right scapular region?

<p>Gallstones (D)</p> Signup and view all the answers

What type of pain is typically felt in more distant sites than the disordered structures?

<p>Referred pain (B)</p> Signup and view all the answers

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