Diarrhea Multiple Choice Questions :-
1. The symptoms are acute onset 8 to 20 hours after ingestion: lasts 12 to 24 hours: large amounts of watery. non-bloody diarrhea: abdominal pain and cramping. Physical findings show hyperactive. bowel sounds and diffuse. pain on abdominal palpation.
- Viral gastroenteritis
- Shigella
- Clostridium perfringens food poisoning
- S. aurous food poisoning
- Salmonella food poisoning
2. The symptoms range from transient mild diarrhea to active colitis with bloody diarrhea, abdominal pain and fever. There is lower quadrant tenderness.
- Antibiotic-induced
- Necrotizing enter colitis
- Irritable bowel syndrome (IBS)
- Pseudo membranous colitis
- Hemolytic uremic syndrome (HUS)
3. Self-limited diarrhea (viral infections) usually presents cramping and severe abdominal pain.
- True
- False
4. Osmotic or malabsorptive diarrhea occurs when non-absorbable water-soluble solutes remain in the bowel and retain water.
- True
- False
5. The symptoms are gastrointestinal bleeding 2 to 3 days postnatal: history of lack of vitamin K injection and mother on anticonvulsants prenatally. Physical findings include bruising, and mild to moderate bleeding.
- Antibiotic-induced
- Hemolytic uremic syndrome (HUS)
- Necrotizing
- Pseudo membranous colitis
- Hemorrhagic disease of the newborn
6. Cystic fibrosis can lead to fat malabsorption, producing fatty, foul-smelling diarrhea.
False
True
7. The symptoms are acute onset 12 to 24 hours after exposure; lasts 3 to 7 days; large amounts of bloody diarrhea with abdominal cramping and vomiting. Examination shows lower abdominal tenderness, hyperactive bowel sounds, and no peritoneal irritation.
S. aurous food poisoning
Viral gastroenteritis
Clostridium perfringens food poisoning
Salmonella food poisoning
Shigella
8. The symptoms are greasy, fatty. malodorous stools; associated with deficiencies of vitamins K, A, and D. Physical findings show rectal prolapsed. poor weight gain, abdominal distention.
Ulcerative colitis
Celiac sprue I protein hypersensitivity
Guardia parasite
Fat malabsorpbon
Carbohydrate malabsorption
9. Changes in stool color is may be due to food eaten and not necessarily to blood.
True
False
10. Bright red blood limited to small spots on the toilet tissue is likely due to bleeding from hemorrhoids, and not from a diarrheal process higher in the gastrointestinal tract.
True
False
11. The symptoms are acute onset 3 to 5 days after exposure: lasts 3 to 7 days: moderate amounts of bloody diarrhea. Physical findings include fever and lower quadrant abdominal pain.
Campylobacter jejuni
Vibrio cholerae
Endameba histolytic parasite
Antibiotic-induced
Enter toxic E coli
12. The symptoms are a premature or low-birth weight infant who presents with feeding intolerance. The physical findings include vomiting, abdominal distention, lethargy, loose, bloody, mucous stools.
Irritable bowel syndrome (IBS)
Necrotizing enter colitis
Pseudo membranous colitis
hemolytic uremic syndrome (HUS)
Antibiotic-induced
13. The symptoms are recurrent episodes: variable amounts of watery, non-bloody diarrhea:
amounts can be massive. Physical findings show weight loss, severe right upper quadrant abdominal pain with billary tract involvement.
HIV enteropathy
Ulcerative colitis
Irritable bowel syndrome (PBS)
Cryptosporidium protozoan parasites
Guardia parasite
14. Anal … practices are NOT related to diarrhea.
False
True
15. The symptoms are watery, foul diarrhea; common in day care, among travelers, and in male homo……. . The physical findings show low-grade fever and weight loss.
Irritable bowel syndrome (IBS)
Giardia parasite
HIV enteropathy
Cryptosporidium protozoan parasites
Ulcerative colitis
16. The most common causes of acute diarrhea are parasites, medications, lBS. lactose intolerance, and inflammatory bowel disease.
True
False
17. Diarrhea with abdominal pain and flatulent stools is characteristic of a malabsorptive process.
False
True
18. Persistent diarrhea that awakens the patient from sleep usually indicates a serious organic disease such as diabetes or HIV.
True
False
19. Campylobacter jejuni infection can be acquired from dogs and cats.
False
True
20. The symptoms are acute onset 12 to 24 hours after ingestion of contaminated food or water: large amounts of bloody diarrhea: abdominal cramping and vomiting. Physical findings Include right lower quadrant abdominal pain: and In a small number of cases hepatic abscess forms.
Endameba histolytic parasite
Vibrio
Campylobacter jejuni
Enterotoxic E coIl
Antibiotic-induced
21. Secretary diarrhea occurs in the presence of mucosal inflammation or ulceration which results in an outpouring of plasma, serum proteins, blood and mucus.
True
False
22. Which of the following conditions will have watery diarrhea as a symptom?
Hemolytic uremic syndrome (HUS)
Endameba parasite
Food poisoning
Vibrio cholera
Viral gastroenteritis
23. The symptoms are mild, watery diarrhea: crimpy abdominal pain. Physical results show diffuse abdominal pain on palpation but there is no fever.
Antibiotic-induced
Pseudo membranous colitis
Hemolytic uremic syndrome (HUS)
Irritable bowel syndrome (IBS)
Necrotizing enter colitis
24. The symptoms occur in children less than 4 years of age with a history of gastroenteritis; history of bloody diarrhea, fever, and irritability.
Irritable bowel syndrome (IBS)
Pseudo membranous colitis
Antibiotic-induced
Necrotizing
Hemolytic uremic syndrome (HUS)
25. Irritable bowel syndrome (IBS) frequently awakens patients from their sleep.
True
False