Gastrointestinal Health and Dyspepsia
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Questions and Answers

What percentage of dyspepsia cases are due to functional idiopathic or nonulcer causes?

  • 25%
  • 90%
  • 50%
  • 75% (correct)

Which of the following is NOT an organic cause of dyspepsia?

  • Irritable bowel syndrome (correct)
  • Gastric or esophageal cancer
  • Carbohydrate malabsorption
  • Gastroesophageal reflux disease (GERD)

What is the term used to describe a dominant history of heartburn or regurgitation in a patient with dyspepsia?

  • Dyspepsia syndrome
  • Functional dyspepsia
  • Peptic ulcer disease
  • GERD (correct)

What is the primary concern of a patient with dyspepsia according to the American College of Gastroenterology?

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

What is a red flag finding in the history of a patient with dyspepsia?

<p>Unintentional weight loss (D)</p> Signup and view all the answers

What is an example of an infiltrative disease of the stomach that can cause dyspepsia?

<p>Crohn's disease (A)</p> Signup and view all the answers

What is suggested by the presence of severe episodic epigastric or right upper quadrant abdominal pain lasting at least 30 minutes?

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

What could be indicated by nausea and vomiting, with or without weight loss, occurring with recurrent or persistent upper abdominal pain?

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

What may be raised by radiation of pain to the back or personal or family history of pancreatitis?

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

What could be suggested by significant weight loss, anorexia, vomiting, dysphagia, odynophagia, and a family history of GI cancers?

<p>Underlying GI malignancy (D)</p> Signup and view all the answers

What is a possible implication of unstable vital signs?

<p>Immediate referral to the emergency department (D)</p> Signup and view all the answers

What is a potential consequence of aspirin and other NSAID use?

<p>NSAID dyspepsia and PUD (A)</p> Signup and view all the answers

Which of the following physical examination findings is most likely to distinguish organic dyspepsia from functional dyspepsia?

<p>Palpable mass or lymphadenopathy (B)</p> Signup and view all the answers

What is the primary goal of performing laboratory tests in patients with dyspepsia?

<p>To identify alarm features and underlying metabolic diseases (D)</p> Signup and view all the answers

Which of the following is NOT an alarm feature of dyspepsia?

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

A patient with dyspepsia presents with a positive test for occult blood in stool. What is the most likely diagnosis?

<p>Organic dyspepsia due to NSAID use (B)</p> Signup and view all the answers

What is the primary difference between organic and functional dyspepsia?

<p>Presence of alarm features (B)</p> Signup and view all the answers

A patient with dyspepsia presents with unintentional weight loss and dysphagia. What is the most likely diagnosis?

<p>Organic dyspepsia with an underlying malignancy (D)</p> Signup and view all the answers

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