GI Quiz 7

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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?

Palliative, Provoking, or Associated Factors Signup and view all the answers

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

Visceral pain 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?

Somatic pain Signup and view all the answers

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

Abdominal aortic aneurysm (AAA) Signup and view all the answers

What is associated with projectile vomiting?

Pyloric stenosis Signup and view all the answers

Which condition may cause painful swallowing (odynophagia)?

Esophageal ulceration Signup and view all the answers

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

Irritable bowel syndrome (IBS) Signup and view all the answers

What does jaundice (icterus) indicate?

Elevated bilirubin levels Signup and view all the answers

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

Extrahepatic jaundice Signup and view all the answers

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

They become gray or light colored Signup and view all the answers

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

Intermittent pain for 12 weeks of the preceding 12 months Signup and view all the answers

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

Referred pain Signup and view all the answers

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

Gallstones 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?

Late-stage colon cancer 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?

Parietal pain Signup and view all the answers

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

Intermittent pain for 12 weeks of the preceding 12 months with relief from defecation Signup and view all the answers

What does jaundice (icterus) indicate?

Increased levels of bilirubin Signup and view all the answers

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

Extrahepatic jaundice Signup and view all the answers

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

Pancreatitis Signup and view all the answers

What is associated with projectile vomiting?

Pyloric stenosis Signup and view all the answers

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

Visceral pain Signup and view all the answers

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

They become gray or light colored Signup and view all the answers

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

Identifying the cause of referred pain Signup and view all the answers

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

Abdominal aortic aneurysm (AAA) Signup and view all the answers

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

Painful jaundice Signup and view all the answers

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

Relief of pain by vomiting Signup and view all the answers

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

Identifying the affected organs 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?

Somatic pain Signup and view all the answers

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

They become pale Signup and view all the answers

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

Obstructive jaundice Signup and view all the answers

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

Colorectal cancer Signup and view all the answers

What is associated with projectile vomiting?

Cholangitis Signup and view all the answers

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

Painless jaundice Signup and view all the answers

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

Ischemia Signup and view all the answers

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

Gallstones Signup and view all the answers

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

Referred pain Signup and view all the answers

GI Quiz 7

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Questions and Answers

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

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

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

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

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

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

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

What is associated with projectile vomiting?

Which condition may cause painful swallowing (odynophagia)?

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

What does jaundice (icterus) indicate?

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

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

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

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

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

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

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

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

What does jaundice (icterus) indicate?

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

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

What is associated with projectile vomiting?

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

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

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

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

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

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

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

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

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

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

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

What is associated with projectile vomiting?

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

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

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

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

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