Exam (elaborations)

APEA- Assessment Gastroenterology Exam Pack.

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apea assessment gastroenterology exam pack

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APEA- Assessment Gastroenterology
Exam Pack.

Abdominal percussion is performed to assess:

local inflammation.

generalized tenderness.

density of tissues and organs.

size and placement of the kidneys. - CORRECT ANSWER density of tissues and organs.

Indicators of oropharyngeal dysphagia include all of the following symptoms except:

drooling.

nasopharyngeal regurgitation.

cough.

vomiting. - CORRECT ANSWER vomiting.

Of the five percussion notes, which one produces a drum-like sound heard over air filled structures
during the abdominal examination?

Tympany

Dullness

Flatness

Hyperresonance - CORRECT ANSWER Tympany

Stool that appears bloody, mucoid, or with pus, may indicate:

constipation.

,a lesion in the sigmoid colon.

hemorrhoids.

Crohn's disease. - CORRECT ANSWER Chron's disease

A patient is experiencing a dull achy pain in the epigastric area with eating. This type pain is consistent
with:

a gastric ulcer.

a duodenal ulcer.

pancreatitis.

dumping syndrome. - CORRECT ANSWER a gastric ulcer

duodenal = relieved with food

gastric = worsens with food

A 30-year-old male presents with generalized abdominal pain. With flexion of the legs at the hip an
increase in his abdominal pain is noted. This finding elicited a positive:

psoas sign.

Rovsing's sign.

Murphy's sign.

obturator sign. - CORRECT ANSWER psoas sign.

Atypical respiratory symptoms associated with gastroesophageal disease (GERD) may include all of the
following except:

coughing.

wheezing.

aspiration pneumonia.

rhinitis. - CORRECT ANSWER rhinitis.

, A patient complains of an unpleasant abdominal fullness after a light meal. This complaint may be
consistent with:

diabetic gastroparesis.

peptic ulcer.

gastritis.

gastrocolic fistula. - CORRECT ANSWER diabetic gastroparesis.

Pain of biliary tree origin may be referred to the:

right shoulder.

retrosternal area.

left posterior chest.

back. - CORRECT ANSWER right shoulder.

or right posterior chest

referred pain = pain felt more distal than the initial pain location

If a patient describes his stool as thin and "pencil-like", this could be associated with:

constipation.

a lesion in the sigmoid colon.

hemorrhoids.

Crohn's disease. - CORRECT ANSWER a lesion in the sigmoid colon.

When examining the buttocks and rectum, a small tuft of hair surrounded by a halo of erythema was
observed at the sacral area. This finding is most likely:

an external hemorrhoid.

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