Q 1 . A 42-year-old overweight but otherwise healthy woman presents with
sudden onset of right upper abdominal colicky pain 45 minutes after a
meal of fried chicken. The pain is associated with nausea and vomiting,
and any attempt to eat since has caused increased pain. Which of
the following is the most likely cause?
A. Gastric ulcer
B. Cholelithiasis
C. Duodenal ulcer
D. Acute hepatitis
Answer B
Q 2 . Which of the following is the most accurate statement regarding H pylori
infection?
A. It is more common in developed than underdeveloped countries.
B. It is associated with the development of colon cancer.
C. It is believed to be the cause of nonulcer dyspepsia.
D. The route of transmission is believed to be sexually transmitted.
E. It is believed to be a common cause of both duodenal and gastric
ulcers.
Answer E
Q 3 . A 45-year-old man was brought to the emergency room after vomiting
bright red blood. He has a blood pressure of 88/46 mm Hg and heart
rate of 120 bpm. Which of the following is the best next step?
A. Intravenous fluid resuscitation and preparation for a transfusion
B. Administration of a proton pump inhibitor
C. Guaiac test of the stool
D. Treatment for H. pylori
Answer A
Q 4. Which one of the following patients should be promptly referred for
endoscopy?
A. A 65-year-old man with new onset of epigastric pain and weight loss
B. A32-year-old patient whose symptoms are not relieved with ranitidine
C. A 29-year-old H. pylori-positive patient with dyspeptic symptoms
D. A 49-year-old woman with intermittent right upper quadrant pain
following meals
Answer A
