Podcast
Questions and Answers
What condition is characterized by painful vesicles and ulcers in a male patient?
What condition is characterized by painful vesicles and ulcers in a male patient?
- Genital warts
- Molluscum contagiosum
- Chancroid
- Herpes (correct)
Which condition would lead to yellowing of the skin but is NOT typically associated with it?
Which condition would lead to yellowing of the skin but is NOT typically associated with it?
- Hepatitis
- Pancreatitis (correct)
- Biliary obstruction
- Liver cirrhosis
Which of the following sexually transmitted infections is most likely to cause episodic outbreaks in males?
Which of the following sexually transmitted infections is most likely to cause episodic outbreaks in males?
- Chancroid
- Human papillomavirus
- Herpes simplex virus (correct)
- Syphilis
In a patient with jaundice, which of these does NOT typically require urgent management?
In a patient with jaundice, which of these does NOT typically require urgent management?
Which of the following conditions is characterized by the presence of ulcers and is associated with a high incidence of pain?
Which of the following conditions is characterized by the presence of ulcers and is associated with a high incidence of pain?
What is a characteristic feature of the ulcers presented by the male patient?
What is a characteristic feature of the ulcers presented by the male patient?
Which diagnosis is characterized by painful ulcers with a necrotic exudate in the inguinal area?
Which diagnosis is characterized by painful ulcers with a necrotic exudate in the inguinal area?
Which one of the following diagnoses is NOT typically associated with painful ulcers?
Which one of the following diagnoses is NOT typically associated with painful ulcers?
What does the presence of LAO in the inguinal chain indicate?
What does the presence of LAO in the inguinal chain indicate?
Which of the following conditions may lead to complications but does not primarily cause painful ulcers?
Which of the following conditions may lead to complications but does not primarily cause painful ulcers?
Which drug is NOT classified as an anti-viral agent for herpes treatment?
Which drug is NOT classified as an anti-viral agent for herpes treatment?
Which medication is primarily used for the treatment of syphilis?
Which medication is primarily used for the treatment of syphilis?
What is a commonly mistaken substitute for Valacyclovir in herpes therapy?
What is a commonly mistaken substitute for Valacyclovir in herpes therapy?
Which option poses a misconception about treating syphilis effectively?
Which option poses a misconception about treating syphilis effectively?
Which of the following is incorrectly associated with herpes treatment?
Which of the following is incorrectly associated with herpes treatment?
Which of these symptoms is least commonly associated with colorectal cancer?
Which of these symptoms is least commonly associated with colorectal cancer?
Which of the following symptoms would be considered atypical for colorectal cancer?
Which of the following symptoms would be considered atypical for colorectal cancer?
Among the listed symptoms, which one does not frequently indicate colorectal cancer?
Among the listed symptoms, which one does not frequently indicate colorectal cancer?
Identify the symptom that is least likely to suggest colorectal cancer.
Identify the symptom that is least likely to suggest colorectal cancer.
Which symptom is incorrectly associated with colorectal cancer in this context?
Which symptom is incorrectly associated with colorectal cancer in this context?
Which statement about types of hernias is incorrect?
Which statement about types of hernias is incorrect?
Which antibiotic is least effective for treating chlamydia infections?
Which antibiotic is least effective for treating chlamydia infections?
Which of the following is true about hernias?
Which of the following is true about hernias?
Which statement about the treatment options for chlamydia is least accurate?
Which statement about the treatment options for chlamydia is least accurate?
Which of these characteristics about hernias is misleading?
Which of these characteristics about hernias is misleading?
Which statement accurately describes a criterion for the diagnosis of IBS?
Which statement accurately describes a criterion for the diagnosis of IBS?
To meet the diagnostic criteria for recurrent abdominal pain, how frequently must the pain occur?
To meet the diagnostic criteria for recurrent abdominal pain, how frequently must the pain occur?
Which of the following statements is true regarding the diagnosis timeline for IBS?
Which of the following statements is true regarding the diagnosis timeline for IBS?
Which statement accurately describes the methodology for diagnosing inflammatory bowel disease?
Which statement accurately describes the methodology for diagnosing inflammatory bowel disease?
Which of the following is NOT a requirement for IBS diagnosis?
Which of the following is NOT a requirement for IBS diagnosis?
Which percussion finding is typically associated with fluid accumulation in Traube's space?
Which percussion finding is typically associated with fluid accumulation in Traube's space?
Which symptom would most likely influence the diagnosis of pancreatitis in the patient presenting with epigastric pain?
Which symptom would most likely influence the diagnosis of pancreatitis in the patient presenting with epigastric pain?
Considering the patient's history of heavy drinking and tobacco use, which diagnosis is the most likely?
Considering the patient's history of heavy drinking and tobacco use, which diagnosis is the most likely?
In the context of abdominal pain presentations, which condition would be least likely in the described patient scenario?
In the context of abdominal pain presentations, which condition would be least likely in the described patient scenario?
Which of the following best describes the nature of the epigastric pain in this patient?
Which of the following best describes the nature of the epigastric pain in this patient?
What DRE finding is most commonly associated with benign prostatic hyperplasia (BPH)?
What DRE finding is most commonly associated with benign prostatic hyperplasia (BPH)?
Which DRE finding would suggest prostatitis?
Which DRE finding would suggest prostatitis?
Which DRE finding is least likely to indicate prostate cancer?
Which DRE finding is least likely to indicate prostate cancer?
What characteristic makes the DRE findings of prostatitis unique compared to BPH?
What characteristic makes the DRE findings of prostatitis unique compared to BPH?
Which of the following statements regarding DRE findings is accurate?
Which of the following statements regarding DRE findings is accurate?
Which of the following conditions is often confused with an emergency referral, but is not categorized as one?
Which of the following conditions is often confused with an emergency referral, but is not categorized as one?
What defining feature characterizes Crohn's disease?
What defining feature characterizes Crohn's disease?
Which symptom is most indicative of the complications associated with Crohn's disease?
Which symptom is most indicative of the complications associated with Crohn's disease?
In the context of malabsorption caused by Crohn's disease, which vitamins might be affected?
In the context of malabsorption caused by Crohn's disease, which vitamins might be affected?
Which of the following statements about the physical examination findings in Crohn's disease is true?
Which of the following statements about the physical examination findings in Crohn's disease is true?
In a patient with a small bowel obstruction, where are hyperactive bowel sounds typically heard?
In a patient with a small bowel obstruction, where are hyperactive bowel sounds typically heard?
Which condition is associated with a slow onset of jaundice, pale stools, cola-colored urine, and severe itching?
Which condition is associated with a slow onset of jaundice, pale stools, cola-colored urine, and severe itching?
What distinguishes the sound of bowel movements in a patient with a small bowel obstruction?
What distinguishes the sound of bowel movements in a patient with a small bowel obstruction?
Which symptom is least likely to be present with biliary obstruction?
Which symptom is least likely to be present with biliary obstruction?
What is the most likely consequence of untreated biliary obstruction on liver function over time?
What is the most likely consequence of untreated biliary obstruction on liver function over time?
Study Notes
Herpes
- Painful vesicles and ulcers
- Episodic outbreaks
- Possible diagnosis for a male patient
Syphilis
- Non-indurated, painful ulcers with a serpiginous border
- Necrotic, purulent exudate
- Inguinal lymphadenopathy (LAO)
- Possible diagnosis for a male patient
Chancroid
- Non-indurated, painful ulcers with a serpiginous border
- Necrotic, purulent exudate
- Inguinal lymphadenopathy (LAO)
- Possible diagnosis for a male patient
HPV
- Possible diagnosis for a male patient
Molluscum Contagiosum
- Possible diagnosis for a male patient
Jaundice
- Yellowing of the skin
- Not a diagnostic feature of pancreatitis
Herpes Anti-Viral Therapy
- Acyclovir
- Valacyclovir
- Famciclovir
- Xylovir is not an anti-viral therapy
Syphilis Treatment
- Intramuscular injection of penicillin
Diverticulosis
- Presence of small pouches (diverticula) in the digestive tract
- Can present with diarrhea
Diverticulitis
- Inflammation of diverticula
- Can cause lower left quadrant (LLQ) abdominal pain
Direct Hernia
- Protrudes through the external ring
Indirect Hernia
- Arises through the deep internal ring and passes through the inguinal canal
Femoral Hernia
- Arises below the inguinal ligament
- Least common type of hernia
Chlamydia Treatment
- Doxycycline
- Azithromycin
- Ciprofloxacin and Levofloxacin are not used to treat chlamydia
Colorectal Cancer Symptoms
- Changes in bowel habits
- Blood in stool
- Abdominal discomfort
- Pencil thin stools
Irritable Bowel Syndrome (IBS)
- Cannot be diagnosed via labs and imaging
- Diagnosed within 4 weeks of symptom onset
- Recurrent abdominal pain at least 5 days per week for the last month
- Diagnosed with at least two of the following: pain related to defecation, change in stool frequency, change in stool appearance
Inflammatory Bowel Disease
- Can be diagnosed via labs and imaging
Digital Rectal Exam (DRE) Findings
- Benign Prostatic Hyperplasia (BPH): Symmetrically enlarged, soft prostate
- Prostatitis: Boggy, fluctuant, or tender prostate; possibly asymmetrical, hard, and protruding into the rectal lumen.
Traube's Space Percussion
- Percussion over Traube's space can reveal:
- Tympany
- Dullness
- Resonance
- No change in sound
Epigastric Pain
- Constant, intense, and boring epigastric pain radiating to the back
- Relief with leaning forward
- History of heavy drinking and tobacco use
- Highly suggestive of pancreatitis
Emergency Referral
- Pancreatitis
- Cholecystitis
- Ulcerative Colitis
- Diverticulitis is not a typical emergency referral
Crohn's Disease
- Inflammation of the GI tract, from stomach through sigmoid colon
- Associated with malabsorption symptoms of vitamin D and B12
- Associated with iron deficiency anemia
- Tenderness to palpation, no organomegaly or masses noted
Small Bowel Obstruction
- Hyperactive bowel sounds heard above the obstruction
Jaundice
- Slow onset
- Pale stools, cola-colored urine, and itching
- Highly suggestive of biliary obstruction
- Not a typical feature of pancreatitis or Hepatitis C
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Description
Test your knowledge on various sexually transmitted infections, including symptoms, diagnoses, and treatments. This quiz covers conditions such as herpes, syphilis, chancroid, HPV, and more. Assess your understanding of these important health topics.