Deck 23: Abdominal and Gastrointestinal Disorders

Question 1

Which organ uses enzymes to break down food molecules and is the main site of food absorption?

A) Stomach
B) Pancreas
C) Small intestine
D) Large intestine

Answer 1

Small intestine

Question 2

In which quadrant of the abdominal cavity are the liver, gallbladder, pancreas, and portions of the stomach found?

A) Right-lower quadrant
B) Left-upper quadrant
C) Left-lower quadrant
D) Right-upper quadrant

Answer 2

Right-upper quadrant

Question 3

In which quadrant of the abdominal cavity are the spleen and portions of the stomach and pancreas found?

A) Right-upper quadrant
B) Left-upper quadrant
C) Right-lower quadrant
D) Left-lower quadrant

Answer 3

Left-upper quadrant

Question 4

Which quadrant of the abdomen contains the cecum, appendix, large and small intestine, and also an ovary and fallopian tube in female patients?

A) Left-lower quadrant
B) Left-upper quadrant
C) Right-lower quadrant
D) Right-upper quadrant

Question 5

Which quadrant of the abdominal cavity contains only the large and small intestines?

A) Right-lower quadrant
B) Left-upper quadrant
C) Left-lower quadrant
D) Right-upper quadrant

Question 6

Which of the following is the process where nutrients, water, and electrolytes are moved into the circulatory system so they can be used by body cells?

A) Digestion
B) Defecation
C) Ingestion
D) Absorption

Question 7

In which process is food chemically broken down into small parts?

A) Ingestion
B) Defecation
C) Absorption
D) Digestion

Question 8

What is considered the accessory organ of digestion?

A) Pharynx
B) Salivary Glands
C) Esophagus
D) Mouth

Question 9

What is the primary organ of the digestive system?

A) Small intestine
B) Gallbladder
C) Pancreas
D) Liver

Question 10

Pain that is reported in the lower back most likely is referred pain from the

A) gallbladder.
B) pancreas.
C) kidneys.
D) heart.

Question 11

Which of the following conditions is characterized by acute abdominal pain and, occasionally, hemorrhaging?

A) Bronchiolitis
B) Pericarditis
C) Meningitis
D) Gastritis

Question 12

Your patient is reporting nausea, vomiting, abdominal tenderness, a fever and tachycardia. You should suspect

A) hyperemesis gravidarum.
B) pancreatitis.
C) substance abuse.
D) food poisoning.

Question 13

Your patient has pain in the right upper quadrant of the abdomen that began 3 hours after her last meal. She reports that the pain is severe, steady, and worsens when she moves. She is also nauseous, has vomited, and is belching excessively. You should suspect

A) pelvic inflammatory disease.
B) cholecystitis.
C) gastroenteritis.
D) sickle cell anemia.

Question 14

Which type of Hepatitis is NOT spread through contact with infected blood?

A) D
B) A
C) B
D) C

Question 15

Your patient is lying still on his back and trying not to move at all. He complains of severe abdominal pain. You suspect

A) gastroenteritis.
B) intestinal obstruction.
C) peritonitis.
D) a peptic ulcer.

Question 16

Your patient is running a fever and reports that he has had a headache, vomiting, and the chills for the past 24 hours. You find generalized abdominal tenderness during your exam. You should suspect

A) gastroenteritis.
B) hepatitis.
C) cholecystitis.
D) appendicitis.

Question 17

Your patient has a fever, slightly elevated blood pressure and reports lower abdominal pain that radiates to her lower back. She also mentions that she's had abnormal vaginal discharge for the last few days. You should suspect

A) Hepatitis.
B) premenstrual syndrome.
C) kidney stones.
D) pelvic inflammatory disease.

Question 18

Your patient is reporting abdominal pain and discomfort, and she has an altered mental status. You should

A) look to see if abdominal distention is present.
B) observe the patient's position and breath sounds.
C) perform a primary survey and transport.
D) perform a focused physical examination.

Question 19

Your patient is reporting pain in her neck, jaw and shoulders, as well as her pectoral muscles. This might be referred pain from the

A) pancreas.
B) heart.
C) kidneys.
D) gallbladder.

Question 20

Your patient is reporting pain below and between his shoulder blades. His pain might be referred from the

A) pancreas.
B) gallbladder.
C) appendix.
D) kidneys.

Question 21

Your 74 year old patient complains of a sudden, sharp pain in his upper abdomen. He rates the pain a 9 out of 10 on the pain scale. You suspect

A) acute gastritis.
B) an abdominal aortic aneurysm.
C) a peptic ulcer flare up.
D) acute appendicitis.

Question 22

Your patient has nausea, vomiting, and a burning pressure in her left upper quadrant of the abdomen and back that she says gets worse a few hours after she eats. You suspect

A) lower gastrointestinal bleeding.
B) a peptic ulcer.
C) pelvic inflammatory disease.
D) gastritis.

Question 23

Which of the following conditions can be caused by tumors, esophagitis, and esophageal varices?

A) Gastritis
B) Upper GI Bleeding
C) Peptic Ulcers
D) Lower GI Bleeding

Question 24

Your patient is reporting rectal bleeding, increased frequency of bowel movement, and a cramping pain in his abdomen. You suspect

A) lower gastrointestinal bleeding.
B) gastritis.
C) upper gastrointestinal bleeding.
D) food poisoning.

Question 25

Your patient is vomiting bright red blood. Her husband tells you that she has been fatigued and complaining of shortness of breath for the past few days. She also fainted the previous day but attributed it to hypoglycemia. You suspect

A) upper gastrointestinal bleeding.
B) gastritis.
C) appendicitis.
D) lower gastrointestinal bleeding.

Question 26

When using the OPQRST tool on a patient with abdominal discomfort, the "P" reminds you to assess provocation, palliation, and

A) pulse.
B) pelvis.
C) pain level.
D) position.

Question 27

You are working at a marathon. One of the runners comes to the first aid tent complaining of tearing pain in his upper abdomen. He says that it began 10 minutes ago. He wants you to assess him quickly so that he can continue the race. You should

A) begin a thorough physical examination while your partner interviews the patient.
B) place the patient in the position of comfort while you assess his vital signs.
C) encourage the patient to drink some water and rest.
D) call an ALS team for immediate treatment and transportation to the hospital.

Question 28

Your patient complains of abdominal pain, says she hasn't had a bowel movement in several days, and her vomit smells like feces. You are having trouble assessing her because she is rocking back and forth in an attempt to find a comfortable position. You suspect

A) upper gastrointestinal bleeding.
B) appendicitis.
C) an intestinal obstruction.
D) a peptic ulcer.

Question 29

Your patient is reporting nausea and vomiting, a loss of appetite over the past week, abdominal tenderness and intermittent cramping, decreased passage of stool, and a fever. You suspect

A) kidney stones.
B) intestinal obstruction.
C) gallbladder disease.
D) gastritis.

Question 30

Your assessment finds that your patient is experiencing moderate to severe pain under the right side of her rib cage. She is also nauseous, has vomited several times, and reports a lot of burping and belching recently. You suspect

A) an intestinal obstruction.
B) gastritis.
C) kidney stones.
D) gallbladder disease.

Question 31

Your male patient complains of nausea, vomiting, and blood in his urine. He is sweaty and complains of lower abdominal pain that radiates to his groin. You suspect

A) kidney stones.
B) gallbladder disease.
C) appendicitis.
D) an intestinal obstruction.

Question 32

Your patient is complaining of abdominal pain. She has unequal femoral and pedal pulses. Her skin is cold, pale, and moist. Her breathing is shallow and her pupils are dilated. Her blood pressure dropped dramatically during your assessment. You suspect

A) acute peritonitis.
B) transient ischemic attack.
C) abdominal aortic aneurysm.
D) opiate overdose.

Question 33

Your patient is reporting pain in his genitalia and the lateral areas of the abdomen. His pain could be referred from the

A) pancreas.
B) kidneys.
C) gallbladder.
D) heart.

Question 34

Your patient is running a high fever, has been vomiting, and reports pain that began around her umbilicus but has shifted to the lower right area of her abdomen. You suspect

A) kidney stones.
B) an intestinal obstruction.
C) gallbladder disease.
D) appendicitis.