13 Questions
Which structure is included in the right upper quadrant and can cause abdominal pain?
Head of the pancreas
In the presence of biliary ductal visualization, failure to image the gallbladder may indicate:
Surgical absence of the organ
What time frame describes early cholecystectomy?
Within 24 hrs
Efficient fluid resuscitation in the management of acute pancreatitis (AP) is indicated if which parameter is observed?
Decrease hematocrit and BUN
A sudden knifelike pain felt in the epigastric area radiating to the back is usually presented by:
Pancreatitis
Which condition may contribute to abdominal pain and be associated with Mittelschmerz?
Mittelschmerz
Which of the following is true in the history taking of a patient with abdominal pain?
Narcotics and Analgesics should be withheld until a definitive diagnosis or definite plan has been formulated
What condition is most likely present in a patient with liver cirrhosis who prefers to lie quietly in bed, trying to avoid motion?
Peritonitis
Which abdominal structure is affected in a patient with left lower quadrant pain?
Sigmoid colon
How would you best describe the pain from the visceral peritoneum?
Poorly localized
Which drug is commonly associated with acute pancreatitis?
Anticonvulsants
What is the management for a patient with small gallstones but no complaints of abdominal pain?
Observe and do annual follow up
What is true regarding the use of sonographic studies in evaluating the gallbladder?
It is best used in identification of gallstone ileus and calcification of gallstones
Test your knowledge of abdominal pain with these questions related to pain origin, specific structures, and imaging. Questions are based on references from 'Harrison’s Principles of Internal Medicine 21E' and 'Bates’ Guide to Physical Examination & History Taking 12E'.
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