Abdominal Pain MCQs :-
1. Localized pain: older patient with abdominal tenderness and sometimes fever.
- Esophagitis /GERD
- Peptic ulcer
- Gastroenteritis
- Diverticular disease
2. Most common in elderly; constant pain in RLQ or LLQ that worsens with coughing or straining: hernia or mass that is non-reducible.
- Incarcerated hernia
- Diverticular disease
- Simple constipation
- Dysmenorrheal
3. Burning, gnawing pain in mid-epigastria that worsens with recumbence: pain occurs after eating and may be relieved with antacids: in infants: failure to thrive. irritability, postprandial spitting and vomiting.
- Esophagitis /GERD
- Peptic ulcer
- Gastritis
- Gastroenteritis
4. Pain related to menses or intercourse; palpable myomas: no suspicion of other pelvic disorders.
- Uterine fibroids
- Dysmenorrhea
- Ectopic pregnancy
- Ovarian cysts
5. This condition is found in children 5 to 10 years of age: history of environmental or psychological stress.
- Irritable bowel syndrome
- Functional dyspepsia
- Recurrent abdominal pain (RAP)
- Diverticular disease
6. Vague complaints of indigestion, heartburn, gaseousness, or fullness: belching, abdominal distention, and occasionally nausea.
Functional dyspepsia
Irritable bowel syndrome
Recurrent abdominal pain (RAP)
Diverticular disease
7. Sudden onset of pain in infant: occurs with sudden relief, then pain again: fever, vomiting, currant jelly stools.
Intussusceptions
Ileus
Irritable bowel syndrome
Malrotation / volvulus
8. A soft abdomen characterizes peritoneal irritation and may signal an acute condition that needs attention.
True
False
9. Appears in adults more than children, females more than males; colicky pain with progression to constant pain; pain in RUQ that may radiate to right scapular area; pain of cholelithiasis is constant, progressively rising to plateau and falling gradually; nausea, vomiting, history of dark urine andlor light stools.
Mesenteric
Ureterolithiasis
Cholecystitis/lithiasis
Acute pancreatitis
10. Fever, pain in RLQ, with other symptoms suggestive of appendicitis.
ureterolithiasis
Cholecystitis / lithiasis
Mesenteric adenitis
Acute pancreatitis
11. Seen in children 2 to 8 years of age: rash on lower extremities! buttocks: arthralgias and hematuria.
Pneumonia
Henoch-Schonlein purpura
Malrotation / volvulus
Lactose intolerance
12. Constant burning pain in epigastria areas that may be accompanied by nausea, vomiting. diarrhea, or fever; alcohol, NSAIDS, and salicylates make pain worse.
Esophagi is /GERD
Peptic ulcer
Gastroenteritis
Gastritis
13. There is a sudden onset of severe intense, steady epigastric pain that radiates to sides, back or right shoulder: history of burning, gnawing pain that worsens with empty stomach.
ureterolithiasis
Appendicitis
Peptic ulcer perforation
Mesenteric adenitis
14. Children 2 to 5 years of age may present only with abdominal pain and fever; tachypnea. retractions, pallor, nasal flaring and crackles.
Malrotation / volvulus
Lactose intolerance
Henoch-Schonlein purpura
Pneumonia
15. Ecchymosed around the umbilicus is associated with hem peritoneum caused by pancreatitis.
False
True
16. Sudden onset of campy pain usually in umbilical area of epigastria: vomiting or diarrhea may occur. Fecal mass may be palpated; abdominal distention: empty rectum upon digital examination.
urinary tract infection
Pelvic inflammatory disease
Irritable bowel syndrome
Obstruction
17. Campy pain after drinking milk or eating milk products.
Simple constipation
Esophagitis
Lactose intolerance
Diverticular disease
18. Begins in adolescence, young adult years; hypo gastric pain; crampy, variable infrequent duration; associated with bowel function; associated with gas. bloating, distention; relief with passage of flatus or feces.
Lactose intolerance
Irritable bowel syndrome
Habitual constipation
Diverticular disease
19. Gastritis is commonly known as “heartburn.”
False
True
20. History of cholelithiasis or alcohol abuse: pain is steady and boring in quality and is unrelieved by change of position: located in LUQ and radiates to back: nausea, vomiting and diaphoresis.
Ureterolithiasis
Acute pancreatitis
Cholecystitis / lithiasis
Mesenteric
21. Colicky or dull and steady pain that does not progress or worsen; fecal mass palpable, stool in rectum.
Irritable bowel syndrome
Diverticular disease
Simple constipation
Peptic ulcer
22. Occurs most often in elderly; sudden onset of severe pain that is diffuse and worsens with movement or coughing.
Myocardial infarction
Acute pancreatitis
Dissection of aortic aneurysm
Peritonitis
23. Abdominal distention, vomiting, obstipation and cramps; minimal or absent peristalsis on auscultation.
lleus
Intussusceptions
Irritable bowel syndrome
Malrotation I volvulus
24. High pitched tinkling bowel sounds may indicate ileus
True
False
25. A child that has intermittent, dull, per umbilical pain that occurs daily for several hours with complete recovery between episodes likely has functional dyspepsia.
True
False