History and Physical Examination: Nausea and Vomiting Definitions
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Questions and Answers

What is the most likely diagnosis for the 65-year-old man based on the provided information?

  • Gastric cancer (correct)
  • Functional dyspepsia
  • Peptic ulcer disease
  • Gastroesophageal reflux disease (GERD)

Which symptom is most concerning as an 'alarm feature' in the patient's presentation?

  • Chronic epigastric pain
  • Difficulty swallowing
  • Early satiety
  • Unexplained weight loss (correct)

Which diagnostic test is mentioned in the text as having high specificity but low sensitivity for GERD?

  • pH monitoring (correct)
  • Endoscopy
  • Barium swallow
  • Manometry

What is the term used to describe a burning feeling confined to the epigastrium?

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

Which condition is characterized by dyspeptic symptoms in individuals with no specific diagnosis and no investigative procedures performed yet?

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

Which symptom is commonly associated with dyspepsia and described as predominant epigastric pain?

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

What is the recommended first step treatment for patients suffering from both GERD and dyspepsia?

<p>PPI treatment (B)</p> Signup and view all the answers

Which of the following is NOT considered an alarm feature associated with dyspepsia?

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

What is the suggested treatment for Helicobacter pylori (HP)-positive patients with dyspepsia?

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

What is a common symptom that may coexist with dyspepsia and includes heartburn, early satiety, and postprandial fullness?

<p>Functional GI symptoms (C)</p> Signup and view all the answers

What is the hallmark symptom of Dyspepsia according to the Rome IV criteria?

<p>Bothersome early satiation (A)</p> Signup and view all the answers

Which of the following sensations is NOT a symptom of Dyspepsia?

<p>Subjective feeling of tissue damage occurring in the stomach (D)</p> Signup and view all the answers

Which condition can be characterized by the dominant symptoms of bothersome postprandial fullness and early satiety?

<p>Post-prandial Distress Syndrome (C)</p> Signup and view all the answers

According to the lecture outline, what is a common characteristic of Functional GI Symptoms?

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

What mechanism is not associated with Functional Dyspepsia?

<p>Hyperactive bowel sounds (C)</p> Signup and view all the answers

What percentage of the population is affected by Dyspepsia according to the text?

<p>20% (C)</p> Signup and view all the answers

Which symptom is NOT typically associated with Aerophagia?

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

Among the following, which is not a potential cause of Chronic Eructation?

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

What type of syndrome involves pain or burning in the epigastrium of moderate severity at least once a week, but the pain is intermittent and not generalized?

<p>Epigastric Pain Syndrome (B)</p> Signup and view all the answers

What accounts for 50-60% of all dyspepsia and often includes chronic and intermittent symptoms?

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

What is NOT commonly associated with dyspepsia symptoms?

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

Which of the following medications is NOT commonly associated with dyspepsia?

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

In chronic use, what is observed in terms of dyspeptic symptoms related to NSAIDs?

<p>NSAIDs and/or ASA can lead to 20% dyspeptic symptoms (D)</p> Signup and view all the answers

Which of the following is NOT listed as a potential cause of dyspepsia?

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

What symptom is the 45-year-old man presenting with, based on the text provided?

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

What is the difference between vomiting and retching?

<p>Vomiting involves expulsion of stomach contents, while retching does not expel gastric contents. (A)</p> Signup and view all the answers

What triggers can cause nausea and vomiting according to the text?

<p>Pregnancy and travelers' nausea (E)</p> Signup and view all the answers

What is the process that precedes actual vomiting to protect the lungs from aspiration?

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

Which medication category has been reported to cause vomiting as a side effect in more than 5% of cases?

<p>Cytostatic and chemotherapeutic agents (B)</p> Signup and view all the answers

What electrolyte and metabolic disorder can result from hyperemesis (excessive vomiting)?

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

Which condition is characterized by the repetitive passage of air through the mouth, accompanied by a belching noise?

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

In the context of digestive disorders, what is the term for excessive gas in the digestive tract that can be released through the anus?

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

What is a common symptom of aerophagia?

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

What condition is associated with passing gas through the mouth and is often a result of swallowing air unintentionally?

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

Which of the following is a feature of functional GI symptoms?

<p>Repetitive eructation (B)</p> Signup and view all the answers

Which condition is often characterized by symptoms not being indicative of an underlying organic disease?

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

What is a possible correlate with chronic eructation in patients with functional GI symptoms?

<p>Male &gt;50 years old (A)</p> Signup and view all the answers

What could be a possible contributor to flatulence and repetitive eructation in a patient with functional GI symptoms?

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

What feature distinguishes flatulence from other functional GI symptoms?

<p>No predictive value for organic disease (D)</p> Signup and view all the answers

In the context of functional GI symptoms, what is the key characteristic of chronic eructation?

<p>Repetitive passage of gas through the mouth (D)</p> Signup and view all the answers

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