eQuizShow

GI Jeopardy

Symptoms

Question: Heartburn that increases after meals, and is aggravated by bending down is the primary symptoms of this common disorder
Answer: GERD

Question: Symptoms of this common disorder can last many days, and include nausea, vomiting,epigastric pain
Answer: Gastritis

Question: You patient has symptoms consistent with appendicitis. Name three
Answer: 1. Right lower quadrant pain
2. shake tenderness
3. n+v
4. constipation
5.fever


Question: Your patient comes in complaining of 2 days of epigastric pain that radiates up into their shoulder.  She recently lost 25 lbs. It became worse after eating a meal, and is associated with vomiting. What is the most likely cause?
Answer: Acute Cholecystitis

Question: This GI disease commonly presents with long-standing left lower quadrant pain, blood in the stools, frequent diarrhea and weight loss
Answer: Crohn's Disease

PE Findings

Question: If your patient had a bowel obstruction, what would you expect to find initially on abdominal exam?
Answer: bloating or decreased bowel sounds

Question: In a patient who had thrombosed hemorrhoids, what would you expect to see on rectal exam?
Answer: Dark purple or black hemorrhoid protruding through anus

Question: Your patient has symptoms that are consistent with diverticulitis. Where would you expect to find tenderness on abdominal exam?
Answer: Left lower quadrant

Question: You should never be able to palpate this on abdominal exam unless the patient is very unwell
Answer: Spleen

Question: Tea coloured urine is a finding you might see on a patient who has which condition?
Answer: Jaundice due to pancreatic duct obstruction or liver disease

Diagnostic tests

Question: If we thought that a patient had GERD, which test would we order?
Answer: Upper GI series

Question: For a patient who has complaints of rectal bleeding, what would be your first diagnostic test choice?
Answer: DRE

Question: This test checks for H pylori
Answer: Urea Breath Test

Question: Your patient may be charged for this test which checks for a disorder many in North America falsely think they have
Answer: Celiac Disease bloodwork

Question: Your patient has been anemic despite iron supplements. What diagnostic test would you order to begin to rule out alternate diagnosis? hint- it's not bloodwork
Answer: Fectal Occult Blood Test

Differential Diagnosis

Question: 10 yr old presents with no fever, nausea and vomiting for 7 days. moderate abdominal pain. Your Ddx include?
Answer: -gastroenteritis
-appy
-gall stones
- bowel obstruction


Question: Your patient presents with abdominal pain that radiates up into mid back. Your Ddx are
Answer: -gall stones
- GI bleed
-AAA
-GERD
-MSK


Question: Your patient presents with left upper quadrant pain. It does not radiate. There is no fever, some nausea. He is obese and pre diabetic. Ddx include
Answer: -gallstones
-fatty liver disease
-malignancy
-hepatitis


Question: Your patient presents with black stools. Has had some mild diffuse abdominal pain. Has had a hx of GERD. What are you Ddx?
Answer: -Bleeding Ulcer
- diverticulosis
- lower GI bleed
- malignancy
- internal hemorrhoids


Question: Your patient presents with sudden severe diffuse abdominal pain, nausea and vomiting without fever. Pt is 33 yr old female. Has had some episodes of "heartburn" after meals in the last month. Lipase is slightly elevated on B/w. Ddx ?
Answer: - pancreatitis
- obstructing gallstones
-malignancy
- bleeding ulcer
- tubal pregnancy


Np Scope

Question: NP can order abdominal u/s. T or F
Answer: T

Question: An NP should consult if a patient with GERD is not responding to initial treatment. T or F
Answer: T

Question: An NP must consult for a patient who has fatty liver disease. T or F
Answer: F

Question: An NP is allowed to order a CT scan if initial u/s comes back recommending it. T or F
Answer: F

Question: Who does an NP consult with if a patient has routine b/w come back demonstrating hepatitis.
Answer: GI as well as the hepatitis clinic in Kingston