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Exam (elaborations)

APEA- Assessment Gastroenterology Exam Questions with Latest Update

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  • Course
  • Gastroenterology
  • Institution
  • Gastroenterology

Abdominal percussion is performed to assess: local inflammation. generalized tenderness. density of tissues and organs. size and placement of the kidneys. - Answer-density of tissues and organs. Indicators of oropharyngeal dysphagia include all of the following symptoms except: drooling. n...

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  • October 8, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Gastroenterology
  • Gastroenterology
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APEA- Assessment Gastroenterology
Exam Questions with Latest Update
Abdominal percussion is performed to assess:
local inflammation.
generalized tenderness.
density of tissues and organs.
size and placement of the kidneys. - Answer-density of tissues and organs.

Indicators of oropharyngeal dysphagia include all of the following symptoms except:
drooling.
nasopharyngeal regurgitation.
cough.
vomiting. - 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 - Answer-Tympany

Stool that appears bloody, mucoid, or with pus, may indicate:
constipation.
a lesion in the sigmoid colon.
hemorrhoids.
Crohn's disease. - 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. - 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. - Answer-psoas sign.

Atypical respiratory symptoms associated with gastroesophageal disease (GERD) may
include all of the following except:
coughing.
wheezing.
aspiration pneumonia.
rhinitis. - 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. - Answer-diabetic gastroparesis.

Pain of biliary tree origin may be referred to the:
right shoulder.
retrosternal area.
left posterior chest.
back. - 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. - 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.
a pilonidal cyst.
a genital wart.
a normal finding. - Answer-a pilonidal cyst.

When examining the abdomen, which of the following symptoms would be suggestive of
appendicitis?
Pain localized halfway between the umbilicus and the right iliac crest
Pain in the left lower quadrant
Presence of borborygmus sounds
Pain radiating from the mid abdomen to the back - Answer-Pain localized halfway
between the umbilicus and the right iliac crest

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