MN551 ADVANCED PATHOPHYSIOLOGY FINAL EXAM

MN551 ADVANCED PATHOPHYSIOLOGY FINAL EXAM
1. A 35yearold female patient is seen in the clinic complaining of abdominal pain. Which of the
following should be included in the history and physical exam?
Digital rectal exam
Pelvic exam
Sexual history
All of the above
Hiatal hernia – protrusion of the stomach or regurgitation of the stomach contents into the
esophagus
2. A patient is seen in the office and is complaining of constipation. The patient lists all of the
following medications. Which drug could be responsible for the constipation?
Multivitamin
Magnesium hydroxide
PeptoBismol
Ibuprofen
3. A patient with complaints of diarrhea is seen. Which of the following should be included
on the differential diagnosis list for a patient with diarrhea?
Gastroenteritis
Inflammatory bowel disease
Lactase deficiency All
of the above
4. Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he
has had intermittent heartburn for several months for which he takes Tums with temporary
relief. He has been waking during the night with a burning sensation in his chest. Which
additional information would lead you to believe that gastroesophageal reflux disease (GERD) is
the cause of his pain?
The pain seems better when he smokes to relieve his nerves.
Coffee and fried foods do not bother him.
He awakens at night coughing with a bad taste in his mouth. All of
the above
5. A 29yearold Englishman is seen in the office with complaints of pain in his chest and belly for
2 weeks. He gets temporary relief from Alka Seltzer. The burning pain wakes him at night and
radiates up into his chest. Which factor favors a diagnosis of gastric ulcer? Pg 1181
His gender
His age
His use of Alka Seltzer

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