Chapter 6

Instructions

Choose your answers from a-d by clicking the radio button next to each choice and then press 'Submit' to get your score.

Which of the following is true of haematemesis?

a) A low blood pressure (<90mmHg systolic) and a tachycardia (>100/min) are worrying features

b) A pulse rate of 80/min in a patient taking Bisoprolol is reassuring

c) Abdominal pain is always present

d) An alcohol history is not essential

Which of the following is true about abdominal pain?

a) Peptic ulcer pain is usually experienced in the hypogastrium

b) The pain of irritable bowel syndrome is usually well localised

c) The pain of oesophagitis is usually retrosternal in site

d) The pain of pancreatitis usually radiates to the groin

Which of the following is true about jaundice?

a) Pale stools and dark urine are characteristic of the jaundice of haemalytic anaemia

b) Bilirubin is used by the liver in the synthesis of red blood cells

c) Itching may be a sign of obstructive jaundice

d) Putting a danger of infection sticker on blood samples from an intravenous drug user with jaundice is optional

Which of the following is true of hepatomegaly?

a) Emphysema is a cause

b) The liver enlarges downwards from the left hypochondrium

c) The presence of jaundice, spider naevi and purpura suggest alcohol as a cause

d) The liver is usually resonant to percussion

Which of the following is true about an abdominal mass?

a) A pulsatile mass is always due to an aortic aneurysm

b) An enlarged kidney is dull to percussion

c) A large mass arising out of the pelvis which disappears following urethral catheterization is caused by an ovarian cyst

d) An indentible mass is caused by faecal loading of the colon