#1
Which of the following is NOT a common cause of abdominal pain in emergency medical care?
Migraine
ExplanationAbdominal pain is not typically associated with migraines.
#2
Which medication is commonly used to treat gastroesophageal reflux disease (GERD) presenting with epigastric pain?
Omeprazole
ExplanationOmeprazole, a proton pump inhibitor, is effective in managing GERD-related symptoms.
#3
Which medication should be avoided in patients suspected of having acute appendicitis?
Nonsteroidal anti-inflammatory drugs (NSAIDs)
ExplanationNSAIDs can mask symptoms and increase the risk of perforation in acute appendicitis.
#4
Which laboratory test is typically elevated in acute cholecystitis?
C-reactive protein (CRP)
ExplanationElevated CRP levels are indicative of inflammation and commonly seen in acute cholecystitis.
#5
Which imaging modality is preferred for diagnosing acute cholecystitis in pregnant patients?
Ultrasound
ExplanationUltrasound is the preferred imaging modality in pregnancy due to its safety and effectiveness.
#6
Which imaging modality is often the initial choice for evaluating abdominal pain?
Ultrasound
ExplanationUltrasound is commonly used due to its non-invasiveness and lack of radiation exposure.
#7
What is the most common cause of acute abdominal pain requiring emergency surgery?
Gallstones
ExplanationGallstones frequently lead to acute abdominal pain necessitating emergency surgical intervention.
#8
Which physical examination finding is commonly associated with acute cholecystitis?
Murphy's sign
ExplanationMurphy's sign, indicative of tenderness upon inspiration during palpation of the gallbladder, is often present in acute cholecystitis.
#9
Which laboratory test is typically elevated in acute pancreatitis?
Amylase
ExplanationElevated levels of amylase are characteristic of acute pancreatitis.
#10
What is the first-line treatment for uncomplicated diverticulitis?
High-fiber diet and oral antibiotics
ExplanationA high-fiber diet along with oral antibiotics constitutes the primary management for uncomplicated diverticulitis.
#11
Which of the following symptoms might indicate a potentially life-threatening cause of abdominal pain?
Rectal bleeding
ExplanationRectal bleeding can suggest serious underlying conditions requiring immediate medical attention.
#12
What is the primary pharmacological treatment for biliary colic?
Opioid analgesics
ExplanationOpioid analgesics are commonly used to manage the severe pain associated with biliary colic.
#13
Which anatomical region corresponds to referred pain in acute appendicitis?
Periumbilical region
ExplanationPain initially presents in the periumbilical region before migrating to the right lower quadrant in acute appendicitis.
#14
What is the initial management approach for a patient with suspected mesenteric ischemia?
Fluid resuscitation and urgent imaging
ExplanationImmediate fluid resuscitation and imaging are crucial for suspected mesenteric ischemia to prevent bowel necrosis.
#15
Which of the following is a characteristic symptom of acute mesenteric ischemia?
Sudden onset severe abdominal pain
ExplanationAcute mesenteric ischemia typically presents with sudden and severe abdominal pain.