Gastrointestinal Symptoms Quiz

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Which scoring system is most sensitive for assessing the severity of alcoholic pancreatitis?

Ranson’s Criteria (correct)

Acute Physiology and Chronic Health Evaluation (APACHE II)

CT Severity Index Balthazar scoring system

Glasgow or Imrie Criteria

What is the cutoff level of CRP, which has been shown to have a diagnostic accuracy comparable to the Ranson/Glasgow criteria and the APACHE II scores?

100 mg/L

200 mg/L

150 mg/L (correct)

250 mg/L

What is the mnemonic provided for remembering the Glasgow or Imrie Criteria?

HEART

PANCREAS (correct)

LIVER

KIDNEY

Which scoring system was originally devised to predict mortality in the intensive care setting but has been used to predict severity in acute pancreatitis?

Acute Physiology and Chronic Health Evaluation (APACHE II) Signup and view all the answers

Which symptom is commonly reported by patients with pancreatic exocrine insufficiency?

Oily or floating malodorous stool Signup and view all the answers

What is the recommended treatment choice for antibiotics if indicated in severe pancreatitis?

Meropenem Signup and view all the answers

Why has the use of prophylactic antibiotics been discouraged in severe pancreatitis?

Newer evidence did not show any benefit in reducing mortality, infected pancreatic necrosis and non-pancreatic infection Signup and view all the answers

What is the most common symptom in chronic pancreatitis?

Abdominal pain Signup and view all the answers

Which condition is characterized by the subjective sensation of difficult or abnormal swallowing?

Dysphagia Signup and view all the answers

What could dark tarry stool indicate?

Gastrointestinal bleeding Signup and view all the answers

Which condition is characterized by pain in the affected limb due to inadequate arterial flow?

Rest pain Signup and view all the answers

Which condition presents with Charcot’s Triad: Fever/Rigors, Jaundice, RUQ Abdominal Pain?

Ascending Cholangitis Signup and view all the answers

What is the most common symptom of nephrolithiasis?

Flank pain Signup and view all the answers

Which condition presents with epigastric discomfort that can be localized to one side and aggravated by movement?

Acute Myocardial Infarction (MI) Signup and view all the answers

What might be a sign of splenic rupture?

LUQ/Left flank pain Signup and view all the answers

Which investigation may be used to diagnose hepatobiliary disease and appendicitis?

+/- Contrast CT Signup and view all the answers

What is a possible cause of epigastric pain radiating to the back, associated with vomiting and relieved by sitting forward?

Acute pancreatitis Signup and view all the answers

Which symptom is a classical triad associated with Budd-Chiari Syndrome?

Ascites, hepatic encephalopathy, lower extremity oedema Signup and view all the answers

What might be a sign of acute hepatitis in addition to RUQ pain?

Dark urine and pale stools Signup and view all the answers

What is a characteristic symptom of claudication?

Pain in buttock, calf or thigh precipitated by exercise and relieved by rest Signup and view all the answers