Question 1

What labs should be ordered for a patient with hemataemesis and melana?

Accepted Answer

CBC

Question 2

What scenario is appropriate for using an abdominal ultrasound?

Accepted Answer

A patient with suspected cholecystitis

Question 3

What scenario is appropriate for ordering a CT with contrast?

Accepted Answer

A 33 y/o with suspected diverticulitis

Question 4

What is the modality of choice to confirm your diagnosis of patient with a positive murphy sign ?

Accepted Answer

Abdominal US

Question 5

A patient presents with a CC of abdominal pain. She has symptoms of steady, deep LLQ pain with tenesmus, nausea and a temperature of 101.2. What is the likely diagnosis of this patient?

Accepted Answer

Diverticulitis

Question 6

How should you manage a patient presenting with a temperature of 102F, 10/10 pain in the RUQ,  and scleral icterus?

Accepted Answer

Admit for ERCP

Question 7

A patient w/ a PMH of coma is finally concious! A few dys later they c/o severe pain that radiates to the shoulders. Vitals are normal except: temp of 101F and a BP of 80/40. What is the likely cause?

Accepted Answer

Esophageal Perforation

Question 8

You are treating patient with a suspected lower GI bleed, a BP of 65/40, Hgb 5, and a temp of 102.1. IV access and crystalloids have been initiated. What is the next best step in treatment?

Accepted Answer

Consider blood transfusion

Question 9

You are palpating a hernia and note that it is protuding, firm, and causing pain to the patient during PE. What are they at greatest risk of contracting with this condition?

Accepted Answer

Gangrene

Question 10

Which of the following is a risk of developing ischemic colitis?

Accepted Answer

Prolonged exercise

Question 11

A 72 y/o man with a PMH of billiary colic, AUD, and obesity presents with nausea, vomiting, and epigastric pain that radiates to the mid-back. What is the most likely diagnosis?

Accepted Answer

Acute Pancreatitis

Question 12

What diagnostic modality should be avoided in pediatric patients unless absolutely necessary?

Accepted Answer

CT

Question 13

A 55 year old patient with a history of smoking presents with dizziness and diffuse flank pain. Thier vitals are: temp 99F, bp 90/40,rr 14. Based on hx and PE what is the likely cause of his symptoms?

Accepted Answer

Aortic Aneurysm

Question 14

What medication is given to a patient with a confirmed upper GI bleed who is hemodynamically stable?

Accepted Answer

PPI's

Question 15

What scenario would prompt you to order a CTA?

Accepted Answer

Pain out of proportion to PE findings

Question 16

A 10 year old patient complains of abdominal pain. On PE, they have a positive obturator sign and tenderness in the RLQ w/ palpation of the LLQ.  What imaging will confirm your diagnosis?

Accepted Answer

Ultrasound

Question 17

What is the most common cause of SBO (small bowel obstruction)?

Accepted Answer

PMH of Abdominal Surgery

Question 18

The best imaging method (increased sensitivity) for a 69 y/o patient with tenesmus, bowel changes and fever is :

Accepted Answer

CT with Oral Contrast

Question 19

What diagnosis would you suspect in a patient presenting with abdominal distension, cramping and hypoactive bowel sounds?

Accepted Answer

Bowel Obstruction

Question 20

A 78 y/o male with a PMH of heart failure, DM and AUD presents with a CC of mild abdominal pain and rectal bleeding and bloody stool. What diagnostic test should be ordered for this patient?

Accepted Answer

Colonoscopy

ED Final - Abdominal Emergencies

2) What scenario is appropriate for using an abdominal ultrasound?

3) What scenario is appropriate for ordering a CT with contrast?

4) What is the modality of choice to confirm your diagnosis of patient with a positive murphy sign ?

5) A patient presents with a CC of abdominal pain. She has symptoms of steady, deep LLQ pain with tenesmus, nausea and a temperature of 101.2. What is the likely diagnosis of this patient?

6) How should you manage a patient presenting with a temperature of 102F, 10/10 pain in the RUQ, and scleral icterus?

7) A patient w/ a PMH of coma is finally concious! A few dys later they c/o severe pain that radiates to the shoulders. Vitals are normal except: temp of 101F and a BP of 80/40. What is the likely cause?

8) You are treating patient with a suspected lower GI bleed, a BP of 65/40, Hgb 5, and a temp of 102.1. IV access and crystalloids have been initiated. What is the next best step in treatment?

9) You are palpating a hernia and note that it is protuding, firm, and causing pain to the patient during PE. What are they at greatest risk of contracting with this condition?

10) Which of the following is a risk of developing ischemic colitis?

11) A 72 y/o man with a PMH of billiary colic, AUD, and obesity presents with nausea, vomiting, and epigastric pain that radiates to the mid-back. What is the most likely diagnosis?

12) What diagnostic modality should be avoided in pediatric patients unless absolutely necessary?

13) A 55 year old patient with a history of smoking presents with dizziness and diffuse flank pain. Thier vitals are: temp 99F, bp 90/40,rr 14. Based on hx and PE what is the likely cause of his symptoms?

14) What medication is given to a patient with a confirmed upper GI bleed who is hemodynamically stable?

15) What scenario would prompt you to order a CTA?

16) A 10 year old patient complains of abdominal pain. On PE, they have a positive obturator sign and tenderness in the RLQ w/ palpation of the LLQ. What imaging will confirm your diagnosis?

17) What is the most common cause of SBO (small bowel obstruction)?

18) The best imaging method (increased sensitivity) for a 69 y/o patient with tenesmus, bowel changes and fever is :

19) What diagnosis would you suspect in a patient presenting with abdominal distension, cramping and hypoactive bowel sounds?

20) A 78 y/o male with a PMH of heart failure, DM and AUD presents with a CC of mild abdominal pain and rectal bleeding and bloody stool. What diagnostic test should be ordered for this patient?