Wiland-Brown and Dunphy Abdominal
Problems/assessment tests Questions with 100% Correct
Answers Latest 2024 Version
While you are obtaining Henry's history he tells you that he had a portacaval shunt done in the
past. What does this imply?
a. a history of liver cancer
b. a history of alcohol abuse
c.a congenital biliary problem
d. heavy tobacco use - ✔✔b----A portacaval shunt (or portal caval shunt) is a treatment for high blood
pressure in the liver. The most common causes of liver disease resulting in portal hypertension are
cirrhosis caused by alcohol abuse and viral hepatitis (hepatitis B and C).
In the ABCs of irritabel bowel syndrome the B stands for
a. bloody stool
b. bad odor to stool
c. bloating or visible distention
d. bowel attack - ✔✔c
Cydney has been given a diagnosis of ascariasis. Which symptoms would you expect to see
a. low-grade fever productive cough with bloodtinged sputum, wheezing and dyspnea
b. nocturnal perianal and perineal pruritus
c. diarrhea, cramps, and malaise
d. ascites and facial and extremity edema - ✔✔a
you are trying to differentiate between functional (acquired)
constipation and hirschsprung's disease ina neonate. Distinguishing features of hirschsprung's disease
includes which of the following?
,a. small ribbonlike stools
b. obvious abdominal pain
c. female gender
d.small weight gain - ✔✔a
The metabolism of which drug is not affected in Marsha, age 74
a. alcohol
b. anticonvulsants
c. psychotropics
d. oral anticoagulants - ✔✔a
rebound tenderness may indicate
a. peritoneal inflammation
b. a ventral hernia
c. portal hypertension
d. Crohn's disease - ✔✔a
Shelby has recently been diagnosed with pancreatitis, which of the following objection findings also
known as Grey Turner's sign, can result from the pancreatic inflammatory process that you might find
an a rare occasion?
a. left sided pleural effusion
b. bluish discoloration over the flanks
c. blusih discoloration over the umbilicus
d. Jaundice - ✔✔b
, Marisa, age 42, has celiac disease she is prone to osteopenic bone disease as a result of impaired
calcium absorption because of
a. increased calcium absorption by the small intestine
b. increased absorption of the fat soluble vitamin D
c. the binding of calcium and magnesium in the intestinal lumen by unabsorbed dietary fatty acids
d. decreased magnesium absorption - ✔✔c
Martin has had an ileostomy for ulcerative colitis. Which self care measures do you teach him to
relieve food blockage
a. lie in a supine position
b. massage the peristomal area
c. take a hot shower or tub bath
d. drink cold fluids - ✔✔b
You suspect that Nikki has a gastroduodenal ulcer caused by helicobacter pylori and plan to treat
her empirically. What medications should you order
a. Bismuth subalicylate ( pepto-Bismol)
b. Bismuth subalicylate (Pepto- Bismol) andomeprazole (Prilosec)
c. Amoxicillin (Amoxil) and omenprazole (Prilosec)
d. Clarithromycin (Biaxin) and metronidazole (Flagyl) - ✔✔a
The most common causes of upper gastrointestinal hemorrhage are
a. esophagitis and carcinomas
b. erosive gastritis and peptic ulcer disease
c. peptic ulcer disease and esophageal varices
d. carcinomas and arteriovenous malformations - ✔✔c
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