Abdominal pain can be as a result of numerous causes, test yourself against a few different ones here in this quiz! Good luck!
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Approach to the patient with Chronic Abdominal Pain
Stem 1, question 1 of 4
Victoria, a 44 year old female, presents with a 6 month history of intermittent aching abdominal pain under her right rib cageWhich of the following is NOT a risk factor for gall stone disease?
Stem 1, question 2 of 4Why do Victoria's symptoms worsen after the consumption of foods such as cheeseburgers, cream cakes and chips?
Fatty acids stimulate the duodenum endocrine cells to release lipase, which in turn stimulates contraction of the gallbladder
Fatty acids stimulate the duodenum endocrine cells to release cholecystokinin (CCK), which in turn stimulates contraction of the gallbladder
Fatty acids stimulate the duodenum endocrine cells to release leptin, which in turn inhibits contraction of the gallbladder
Fatty acids inhibits the duodenum endocrine cells to release renin, which in turn inhibits contraction of the gallbladder
Fatty acids inhibit the duodenum endocrine cells to release cholecystokinin (CCK), which in turn stimulates contraction of the gallbladder
Stem 1, question 3 of 4What is the initial imaging that should be done for gallstone disease?
Erect abdominal X-ray
CT abdomen and pelvis
Magnetic resonance cholangiopancreatography (MRCP)
Ultrasound scan of gallbladder
Stem 1, question 4 of 4
Victoria continues to have episodes of biliary colic. The GP refers her to the general surgeonsWhat is the definitive management of gallstone disease?
Lifestyle and dietary changes
Stem 2, question 1 of 4
Simon, a 40 year old man, presents to A&E with chronic epigastric pain that radiates to his back, eased by leaning forwards. He states he has been in constant pain for 5 months. He does not drink alcohol, and has been trying to loose some weight due to a recent high cholesterol blood test.What is the most likely cause of Simon's pain?
Peptic ulcer disease
Chronic pelvic inflammatory disease
Stem 2, question 2 of 4What is the innervation of the foregut?
Stem 2, question 3 of 4What biomarker is most likely to be raised in Simon?
Stem 2, question 4 of 4During his admission Simon is given pancreatin, what is the mechanism of action?
Blockade of smooth muscle transporters
Gastric acid neutralisation
Helicobacter pylori eradication
Restoration of pancreatic enzymes
Restoration of stomach mucus barrier
Marcus, a 45 year old male, presents with chronic nausea, vomiting, epigastric pain, bloating and early satiety. No mechanical obstruction has been detected with extensive investigationsWhat is the most likely diagnosis?
Irritable bowel syndrome
Eloise, a 32 year old female, presents with chronic pelvic and abdominal pain.What are the examination findings in chronic pelvic inflammatory disease? Select all that apply
Cervical motion tenderness