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44 Cards in this Set
- Front
- Back
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What percentage of the male population in the US has peptic ulcer disease?
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10%
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What percentage of those over 40 in the US has diverticular disease?
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5%
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What is the third leading cause of cancer cases and deaths?
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Colorectal cancer
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Patients with congenital polyposis have what risk of getting colorectal cancer?
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100%
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Ulcerative colitis patients have what risk per decade of developing colorectal cancer?
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20%
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A perforated gastric ulcer would present with what type of pain?
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Burning
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A dissecting aneurysm would present with what type of pain?
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Tearing
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An intestinal obstruction would present with what type of pain?
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Gripping
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Pyelonephritis would present with what type of pain?
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Dull, aching
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Biliary or renal colic would present with what type of pain?
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Colicky, crampy
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A peptic ulcer presents with pain how long after eating?
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30-60 minutes
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A duodenal ulcer presents with pain how long after eating?
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2-3 hours
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The pain of acute cholecystitis often refers to what site?
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Right shoulder
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What is the Apley rule?
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The farther from the navel the pain, the more likely it will be organic in origin
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What 3 conditions can cause nausea without vomiting?
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Hepatocellular disease
Pregnancy Metastatic disease |
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What condition causes pain a few hours before vomiting?
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Acute appendicitis
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Greenish-yellow vomitus indicates what?
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Biliary colic
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Bilious then feculent vomitus indicates what?
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Intestinal obstruction
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Projectile vomiting indicates what?
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pyloric stenosis
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Decreases lower esophageal sphincter pressure causes what?
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Reflux
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Surgical jaundice is what?
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Extrahepatic biliary obstruction
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Medical jaundice is what?
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Intrahepatic biliary obstruction
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Obstructive jaundice presents with what?
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Slowly developing icterus with clay-colored stools and cola-colored urine
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If obstructive jaundice is present with fever & chills, what condition is it?
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Cholangitis
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What are the seven F's of abdominal distention?
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Fat
Fluid Feces Fetus Flatus Fibroid Fatal tumor |
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What is the normal span of the liver at the midclavicular line?
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6-12 cm
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What is the normal span of the liver at the midsternal line?
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4-8 cm
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What kidney is more likely to be palpable?
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Right
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Which moves late in inspiration, the kidney or spleen?
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Kidney
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Which moves early in inspiration, the kidney or spleen?
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Spleen
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A positive Psoas sign indicates what?
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Inflamed appendix
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A positive obturator sign indicates what?
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Inflamed appendix
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Cutaneous hyperesthesia indicates what?
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Inflammation of visceral or parietal peritoneum
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What is Mittelschmerz?
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Rupture of ovarian follicle
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Describe the pain of diverticulitis.
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epigastric, radiating down left side of abdomen especially after eating, may be referred to back
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The pain of pancreatitis may be referred where?
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Left shoulder
Midback |
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What does a positive Grey Turner sign indicate?
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Pancreatitis
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Where is the pain of salpingitis?
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Lower quadrant, worse on left
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Venous flow appears to radiate from the umbilicus in what condition?
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Portal hypertension
(flow called caput medusae) |
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Inflammation confined to the mucosa of the colon, starting in the rectum is associated with what?
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Ulcerative colitis
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A thickened transmural bowel wall, narrowed lumen, and a cobblestone appearance are associated with what?
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Crohn disease
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What GI disease can occur anywhere in the GI tract?
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Crohn disease
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Folate deficiency, periumbilical colic, fissure, fistula, and abscess formation are associated with what?
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Crohn disease
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Bloody, watery diarrhea, no localized peritoneal signs, weight loss, and fatigue are associated with what?
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Ulcerative colitis
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