CCFP Exam Questions and
Answers 100% Accurate
A 32-year-old woman presents with a 6-hour history of sharp, localized pain
in the right lower quadrant of her abdomen. She mentions that she missed
her period last month and has been feeling nauseous for the past week.
What is the first investigation you would order for this patient?
List three differential diagnoses for her abdominal pain. - ANSWER-Pregnancy
test (bhCG)
Ectopic pregnancy, Appendicitis, Ovarian torsion
A 45-year-old male presents with a 2-day history of generalized abdominal
pain, which he describes as crampy. He also reports having diarrhea and
blood in his stools.
What are the two most likely causes of his symptoms?
What investigation would you order to confirm the diagnosis? - ANSWER-
Inflammatory bowel disease (Crohn's or Ulcerative colitis), Infectious colitis
Colonoscopy
,A 60-year-old woman presents with a 3-week history of epigastric pain that
worsens after eating. She also mentions experiencing early satiety and has
lost 5 kg in the past month.
What are three differential diagnoses for her symptoms?
Which investigation would help differentiate between these diagnoses? -
ANSWER-Gastric cancer, Peptic ulcer disease, Gastritis
Upper endoscopy
A 25-year-old woman presents with sudden onset of severe, sharp pain in the
left lower quadrant of her abdomen. The pain started 2 hours ago and has
been constant since then.
What is the most urgent diagnosis to rule out in this patient?
What investigation would you order immediately? - ANSWER-Ovarian torsion
Pelvic ultrasound
A 70-year-old man presents with a 4-hour history of severe, tearing
abdominal pain that radiates to his back. He has a history of hypertension
and smokes a pack of cigarettes daily.
What life-threatening condition should be considered in this patient?
What is the first step in managing this patient? - ANSWER-Ruptured
abdominal aortic aneurysm
,Immediate surgical consultation
A 15-year-old girl presents with a 3-day history of abdominal pain and
diarrhea. She mentions that her mother has Crohn's disease. What extra-
intestinal manifestation should you look for in this patient? How would you
manage her symptoms? - ANSWER-Arthritis, Erythema Nodosum, apthous
ulcers, Uveitis
Non-Steroidal Anti-inflammatory Drugs and dietary modifications.
A 50-year-old woman presents with a 6-month history of recurrent abdominal
pain and bloating. She also mentions having alternating diarrhea and
constipation. What is the most likely diagnosis for her symptoms? List two
lifestyle modifications that can help manage her symptoms. - ANSWER-
Irritable bowel syndrome (IBS).
Dietary modifications (low FODMAP diet) and stress management.
A 3-year-old boy is brought to the clinic by his mother, who reports that he
has been crying and pointing to his abdomen since morning. He also vomited
once. What are three differential diagnoses for his abdominal pain based on
his age? What investigation would you order for this patient? - ANSWER-
Gastroenteritis, Appendicitis, Intussusception. Abdominal ultrasound
, An 80-year-old woman presents with a 2-day history of abdominal pain and
vomiting. She has a history of previous abdominal surgeries. What is the
most likely cause of her symptoms? What imaging study would you order to
confirm the diagnosis? - ANSWER-Bowel obstruction due to adhesions.
Abdominal CT scan
A 28-year-old woman presents with a 1-day history of right upper quadrant
pain. She mentions that the pain is associated with meals, especially fatty
foods. What is the most likely diagnosis for her symptoms? What
investigation would you order to confirm the diagnosis? - ANSWER-
Cholecystitis or Cholelithiasis. Ultrasound of the gallbladder.
A 50-year-old woman presents with a 6-month history of recurrent, crampy
abdominal pain. She also reports having diarrhea and occasional blood in her
stools. What is the most likely diagnosis for her symptoms? List two
medications that can help manage her symptoms. - ANSWER-Mesalamine
and corticosteroids
A 30-year-old woman presents with a 1-day history of sharp, localized pain in
the right lower quadrant of her abdomen. She mentions that she is currently
menstruating. What gynecologic etiology should be considered for her
abdominal pain? What investigation would you order to confirm the
Answers 100% Accurate
A 32-year-old woman presents with a 6-hour history of sharp, localized pain
in the right lower quadrant of her abdomen. She mentions that she missed
her period last month and has been feeling nauseous for the past week.
What is the first investigation you would order for this patient?
List three differential diagnoses for her abdominal pain. - ANSWER-Pregnancy
test (bhCG)
Ectopic pregnancy, Appendicitis, Ovarian torsion
A 45-year-old male presents with a 2-day history of generalized abdominal
pain, which he describes as crampy. He also reports having diarrhea and
blood in his stools.
What are the two most likely causes of his symptoms?
What investigation would you order to confirm the diagnosis? - ANSWER-
Inflammatory bowel disease (Crohn's or Ulcerative colitis), Infectious colitis
Colonoscopy
,A 60-year-old woman presents with a 3-week history of epigastric pain that
worsens after eating. She also mentions experiencing early satiety and has
lost 5 kg in the past month.
What are three differential diagnoses for her symptoms?
Which investigation would help differentiate between these diagnoses? -
ANSWER-Gastric cancer, Peptic ulcer disease, Gastritis
Upper endoscopy
A 25-year-old woman presents with sudden onset of severe, sharp pain in the
left lower quadrant of her abdomen. The pain started 2 hours ago and has
been constant since then.
What is the most urgent diagnosis to rule out in this patient?
What investigation would you order immediately? - ANSWER-Ovarian torsion
Pelvic ultrasound
A 70-year-old man presents with a 4-hour history of severe, tearing
abdominal pain that radiates to his back. He has a history of hypertension
and smokes a pack of cigarettes daily.
What life-threatening condition should be considered in this patient?
What is the first step in managing this patient? - ANSWER-Ruptured
abdominal aortic aneurysm
,Immediate surgical consultation
A 15-year-old girl presents with a 3-day history of abdominal pain and
diarrhea. She mentions that her mother has Crohn's disease. What extra-
intestinal manifestation should you look for in this patient? How would you
manage her symptoms? - ANSWER-Arthritis, Erythema Nodosum, apthous
ulcers, Uveitis
Non-Steroidal Anti-inflammatory Drugs and dietary modifications.
A 50-year-old woman presents with a 6-month history of recurrent abdominal
pain and bloating. She also mentions having alternating diarrhea and
constipation. What is the most likely diagnosis for her symptoms? List two
lifestyle modifications that can help manage her symptoms. - ANSWER-
Irritable bowel syndrome (IBS).
Dietary modifications (low FODMAP diet) and stress management.
A 3-year-old boy is brought to the clinic by his mother, who reports that he
has been crying and pointing to his abdomen since morning. He also vomited
once. What are three differential diagnoses for his abdominal pain based on
his age? What investigation would you order for this patient? - ANSWER-
Gastroenteritis, Appendicitis, Intussusception. Abdominal ultrasound
, An 80-year-old woman presents with a 2-day history of abdominal pain and
vomiting. She has a history of previous abdominal surgeries. What is the
most likely cause of her symptoms? What imaging study would you order to
confirm the diagnosis? - ANSWER-Bowel obstruction due to adhesions.
Abdominal CT scan
A 28-year-old woman presents with a 1-day history of right upper quadrant
pain. She mentions that the pain is associated with meals, especially fatty
foods. What is the most likely diagnosis for her symptoms? What
investigation would you order to confirm the diagnosis? - ANSWER-
Cholecystitis or Cholelithiasis. Ultrasound of the gallbladder.
A 50-year-old woman presents with a 6-month history of recurrent, crampy
abdominal pain. She also reports having diarrhea and occasional blood in her
stools. What is the most likely diagnosis for her symptoms? List two
medications that can help manage her symptoms. - ANSWER-Mesalamine
and corticosteroids
A 30-year-old woman presents with a 1-day history of sharp, localized pain in
the right lower quadrant of her abdomen. She mentions that she is currently
menstruating. What gynecologic etiology should be considered for her
abdominal pain? What investigation would you order to confirm the
