A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which of the following
should be included in the examination?
a. Lumbar puncture
b. Family history of cardiac problems
c. Contrast venography
d. Pelvic exam - correct answer-d. Pelvic exam
Which of these is one of the most common dietary triggers of IBS?
a. Gluten-free items
b. Lactose
c. Honey
d. Meat - correct answer-b. Lactose
Which of the following is a condition that results in colicky abdominal pain?
a. Peptic ulcers
b. Glisson's capsule around the liver
c. Peritoneum irritation
d. Gallstones - correct answer-d. Gallstones
Which of the following causes of gastrointestinal bleeding is found in the lower gastrointestinal tract?
a. Erosive esophagitis
b. Duodenal ulcer
c. Meckel's diverticulum
d. Gastric ulcer - correct answer-c. Meckel's diverticulum
On further questioning, the 21-year-old patient with the chief complaints of fatigue, headache, anorexia,
and a runny nose explains that she is sexually active only with her boyfriend, does not use injectable
drugs, and works as an aide in a day-care center. Which of the following tests would be most helpful in
confirming your diagnosis?
a. Anti-HAV IgM
b. HAV IgG
c. Anti-HCV
d. IgM anti-HBs - correct answer-a. Anti-HAV IgM
A 29-year-old is seen in the office with complaints of pain in his chest and belly. He quit smoking 6
months ago. He has been suffering the pain for 2 weeks and gets temporary relief from Alka-Seltzer and
Pepto-Bismol. The burning pain wakes him at night and radiates up to his chest. Which factor favors a
diagnosis of gastric ulcer?
a. His use of Pepto-Bismol
b. His age
c. His use of Alka-Seltzer
d. His smoking cessation - correct answer-c. His use of Alka-Seltzer
A 45-year-old patient presents with chief complaint of generalized abdominal pain. Her physical
examination is remarkable for the left lower quadrant tenderness. At this time, which of the following
should be considered in the differential diagnosis?