Ch 8 Digestive System

A 50-year-old woman complains of burning chest pain after meals, especially when lying down. She reports frequent regurgitation and a sour taste in her mouth.

• Peptic ulcer disease

• Gastroesophageal reflux disease (GERD)

• Gallstones

• Gastritis

A 50-year-old woman complains of burning chest pain after meals, especially when lying down. She reports frequent regurgitation and a sour taste in her mouth. Which diagnostic test is most commonly used to confirm GERD?

• Colonoscopy

• Endoscopy

• Abdominal ultrasound

• CT scan

A 50-year-old woman complains of burning chest pain after meals, especially when lying down. She reports frequent regurgitation and a sour taste in her mouth. Which is the best first-line treatment?

• Antacids, proton pump inhibitors (PPIs), lifestyle changes

• High-fat meals and lying down after eating

• Gallbladder removal

• Antibiotics

A 35-year-old man presents with right lower quadrant abdominal pain, fever, nausea, and rebound tenderness.

• Cholecystitis

• Diverticulitis

• Appendicitis

• IBS

A 35-year-old man presents with right lower quadrant abdominal pain, fever, nausea, and rebound tenderness.

• Chest X-ray

• Abdominal CT scan

A 60-year-old woman with a history of heavy alcohol use reports severe epigastric pain radiating to the back. Labs show elevated amylase and lipase.

• Gastric ulcer

• Pancreatitis

• Cholelithiasis

• Hepatitis

A 60-year-old woman with a history of heavy alcohol use reports severe epigastric pain radiating to the back. Labs show elevated amylase and lipase. What is the most common cause of pancreatitis in alcohol users?

• Viral infection

• Alcohol-induced inflammation

• Trauma

• Bacterial infection

A 60-year-old woman with a history of heavy alcohol use reports severe epigastric pain radiating to the back. Labs show elevated amylase and lipase.

• Fasting (NPO), IV fluids, pain management

• Broad-spectrum antibiotics

• Proton pump inhibitors only

• Gallbladder removal

A 22-year-old college student reports cramping abdominal pain, alternating diarrhea and constipation, bloating, and relief after bowel movements. Colonoscopy is normal.

A 45-year-old woman presents with severe right upper quadrant pain after a fatty meal. Ultrasound reveals gallstones. What is the diagnosis?

• Cholelithiasis

• Pancreatitis

• Hepatitis

• GERD