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Abdominal Clinic: Extended Matching Questions Formative Self Assessment

Chris Mulryan 15 questions

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Questions in this quiz (15)

  1. 1A 27-year-old female presents with episodic bilateral loin pain. She does not have symptoms of a urinary tract infection. You are able to balote the kidneys bilaterally and they each have an irregular surface. The remainder of her abdominal examination is unremarkable, although you do appreciate that she has a 3rd-cranial nerve palsy.
    1. AGastric cancer
    2. BIlleus
    3. CVolvulus
    4. DEctopic pregnancy
    5. EIntussusception
    6. FAdrenal tumour
    7. GPolycystic kidney disease
    8. HPeutz-Jeghers syndrome
    9. IMallory-Weiss tear
    10. JAscites
  2. 2A 37-year-old woman presents to you complaining of the development of additional body hair. Her blood pressure is 170/93 mmHg. Other aspects of her abdominal examination are unremarkable. She has three children and her blood glucose is recorded as 5.2 mmol/L
    1. AAcute pancreatitis
    2. BCholecystitis
    3. CEctopic pregnancy
    4. DChrohn’s Disease
    5. ELarge bowel obstruction
    6. FSmall bowel obstruction
    7. GAdrenal tumour
    8. HMesenteric adenitis
    9. IPeutz-Jeghers syndrome
    10. JIntra-hepatic jaundice
  3. 3A 40-year-old woman presents with vomiting. She has pain which is present in here right hypochondrium and epigastric region. The pain is made worse when you attempt to palpate her liver and this precipitates vomiting. You are not able to detect any jaundice. The spleen is not palpable.
    1. AChrohn’s Disease
    2. BEctopic pregnancy
    3. CCholecystitis
    4. DAcute pancreatitis
    5. EGastric cancer
    6. FPortal hypertension
    7. GPeutz-Jeghers syndrome
    8. HAscites
    9. IPolycystic kidney disease
    10. JAdrenal tumour
  4. 4A 33-year-old woman presents with a long history of constipation interspaced with episodes of frequency and diarrhoea which can contain bloody mucus. You note that she has active ulcerations in her mouth and evidence of scaring. There is also some evidence of scaring around her anus when you perform a per rectal examination.
    1. AGastric cancer
    2. BIlleus
    3. CLarge bowel obstruction
    4. DGastro-oesphageal reflux disease
    5. EMallory-Weiss tear
    6. FCrohn's disease
    7. GUlcerative Colitis
    8. HIrritable Bowel Syndrome
    9. IIndirect hernia
    10. JSmall bowel obstruction
  5. 5A 53-year-old man presents with bilateral groin swellings. You are able to reduce each mass when you are applying pressure over the deep inguinal ring and when the patient performs a Valsalva manoeuvre the mass represents. You further test the mass again by reducing it and, by palpating the superficial inguinal ring as the patient performs a second Valsalva manoeuvre, you do not feel a hernia impulse but the mass represents.
    1. AStrangulated Hernia
    2. BIncarcerated Hernia
    3. CIncisional Hernia
    4. DFemoral hernia
    5. EDirect Hernia
    6. FIndirect hernia
    7. GUmbilical Hernia
    8. HIntussusception
    9. IAscites
    10. JObturator Hernia
  6. 6A 61-year-old man presents with a swelling in his left groin. You are able to reduce the mass. After reduction when you are applying pressure over the deep inguinal ring and the patient performs a Valsalva manoeuvre the mass does not re-appear. You further test the mass again by reducing it and, by palpating the superficial inguinal ring as the patient performs a second Valsalva manoeuvre, feel your finger being met by a loop of bowel within a lack superficial inguinal ring.
    1. AObturator Hernia
    2. BStrangulated Hernia
    3. CDirect Hernia
    4. DIndirect Hernia
    5. EFemoral Hernia
    6. FIncisional Hernia
    7. GUmbilical Hernia
    8. HPeutz-Jeghers syndrome
    9. IAortic Dissection
    10. JIntussusception
  7. 7A woman presents with a groin swelling. She says that the swelling is painful and the overlying skin is erythematous. The mass is approximately 7. 6 cm in length by 3 cm. You are not able to reduce the mass and attempts to do this only worsen pain. The fixed portion of the mass originates below the inguinal ligament.
    1. AIncisional Hernia
    2. BDirect Hernia
    3. CIndirect Hernia
    4. DObturator Hernia
    5. EFemoral Hernia
    6. FLocalised peritonitis
    7. GMallory-Weiss tear
    8. HEctopic pregnancy
    9. IPolycystic ovarian syndrome
    10. JCellulitis
  8. 8A 19-year-old female present with abdominal pain she tells you that the pains have “come on today” and that she has vomited twice. The vomit had the appearance of undigested food. She describes the pains as cramping. The pains started around the umbilicus, it is now worse in her right iliac fossa. There is no tenderness present in the umbilical region although there is rebound tenderness present in both iliac fossa. The right iliac fossa is involuntarily guarded.
    1. AGastro-oesphageal reflux disease
    2. BGastroenteritis
    3. CChrohn’s Disease
    4. DEctopic pregnancy
    5. EAcute pancreatitis
    6. FChronic pancreatits
    7. GGeneralised peritonitis
    8. HLocalised peritonitis
    9. ILarge bowel obstruction
    10. JSmall bowel obstruction
  9. 9A 53-year-old man present with epigastric pain. His pain is worse at night but does occasionally occur during the day. His abdominal examination is unremarkable but it is limited by his body mass index of 34. You are not able to detect shifting dullness or a fluid thrill.
    1. AGastric cancer
    2. BIntra-hepatic jaundice
    3. CPre-hepatic Jaundice
    4. DPost-hepatic jaundice
    5. EProstatic hyperplasia
    6. FPolycystic kidney disease
    7. GGastro-oesphageal reflux disease
    8. HMallory-Weiss tear
    9. IGilbert's syndrome
    10. JAchalasia
  10. 10A 26-year-old woman presents having vomited blood. Here abdominal examination is otherwise unremarkable. She reports vomiting the blood after an [alcohol] drinking binge. She does not normally drink alcohol but did so to celebrate her flatmate’s new job. She vomited whilst drunk several times and noticed that her vomit contained blood this morning.
    1. AGastric cancer
    2. BGastro-oesphageal reflux disease
    3. CBarrett's esophagus
    4. DAcute pancreatitis
    5. EPortal hypertension
    6. FPeutz-Jeghers syndrome
    7. GMallory-Weiss tear
    8. HDuodenal Ulcer
    9. IB Cell Lymphoma
    10. JHaematochezia

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This Quiz will test your knowledge of the abdominal examination
Language
English
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