Question 2

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Dashboard My courses Clin Diag 2B 1st Sem SY 2021 MD2-W,X,Y,Z MAJOR EXAMS OSPE 1 Case #1
A 59-year old male came in at the emergency room due to abdominal enlargement. 3 months prior, he
noticed gradual enlargement of the abdomen with associated easy fatigability, early satiety, decreased
appetite and bilateral leg swelling. No other associated symptoms such as fever, cough, and dysuria.
Persistence prompted consult. The patient is a known Hypertensive for 10 years, maintained on Amlodipine 5
Started on Thursday, 9 September 2021, 3:21 PM
mg/tab once a day, non diabetic, non asthmatic. He is a chronic alcoholic beverage drinker consuming 5-6
State Finished
bottles of beer a day, 3-4x per week for 40 years, and is a non smoker
Completed on Thursday, 9 September 2021, 3:35 PM
Time taken 14 mins 21 secs
Upon closer inspection, you see a collection of superficial blood vessels on the abdomen. This finding is
Grade 12.00 out of 15.00 (80%)
called:

Question 1
Correct

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Case #1

A 59-year old male came in at the emergency room due to abdominal enlargement. 3 months prior, he
noticed gradual enlargement of the abdomen with associated easy fatigability, early satiety, decreased
appetite and bilateral leg swelling. No other associated symptoms such as fever, cough, and dysuria.
Persistence prompted consult. The patient is a known Hypertensive for 10 years, maintained on Amlodipine 5
a. Caput Medusae 
mg/tab once a day, non diabetic, non asthmatic. He is a chronic alcoholic beverage drinker consuming 5-6
bottles of beer a day, 3-4x per week for 40 years, and is a non smoker b. Erythema Toxicum

Describe the patient’s abdomen as shown in this picture c. Spider Angioma

d. Burrow Lesions

The correct answer is: Caput Medusae

Question 3
Correct

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CASE 1
59 yo male in ER due to abdominal enlargement.

3 months gradual enlargement of the abdomen with easy fatigability, early satiety, decreased appetite and
a. Flat bilateral leg swelling. No fever, cough, and dysuria.
b. Globular
HTN - 10 years, non diabetic, non asthmatic,
c. Protuberant 
chronic alcohol drinker( 5-6 bottles of beer a day, 3-4x week for 40 years, and is a non smoker
d. Scaphoid

Which of the following parameters is most probably decreased in this patient?

The correct answer is: Protuberant

a. PT and PTT
b. Total bilirubin
c. Albumin 
d. SGPT

The correct answer is: Albumin

Question 4 Question 5
Incorrect Correct

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Case #1 Case #1
A 59-year old male came in at the emergency room due to abdominal enlargement. 3 months prior, he
59 yo male in ER due to abdominal enlargement.
noticed gradual enlargement of the abdomen with associated easy fatigability, early satiety, decreased
3 months gradual enlargement of the abdomen with easy fatigability, early satiety, decreased appetite and appetite and bilateral leg swelling. No other associated symptoms such as fever, cough, and dysuria.
bilateral leg swelling. No fever, cough, and dysuria. Persistence prompted consult. The patient is a known Hypertensive for 10 years, maintained on Amlodipine 5
HTN - 10 years, non diabetic, non asthmatic, mg/tab once a day, non diabetic, non asthmatic. He is a chronic alcoholic beverage drinker consuming 5-6
bottles of beer a day, 3-4x per week for 40 years, and is a non smoker
chronic alcohol drinker( 5-6 bottles of beer a day, 3-4x week for 40 years, and is a non smoker
Which of the following is likely the CT scan finding in the patient? What is the most likely diagnosis for this case?

a. Chronic Pancreatitis
b. Intraabdominal Mass
a. 
c. Right Sided Heart Failure
d. Liver Cirrhosis 

The correct answer is: Liver Cirrhosis

b.

Question 6
Correct

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Case #2
c.
A 35-year old Caucasian male came in at the ER due to loose stools for 3 days. 2 days prior to consult, after
eating from a nearby restaurant, patient experienced recurrent loose stools, non-bloody, non-foul smelling,
with associated nausea and intermittent crampy abdominal pain, relieved by defecation, no noted fever,
chills and dysuria. Patient took ORS. Few hours prior, symptoms persisted hence the consult. He mentioned
that he just arrived in the Philippines 4 days ago for vacation.
Which of the following would you most likely expect when you auscultate this patient’s abdomen?

a. Hyperactive bowel sounds 

b. Hypoactive bowel sounds
c. Absent bowel sounds
d. Normoactive bowel sounds

The correct answer is:

The correct answer is: Hyperactive bowel sounds
Question 7 Question 8
Incorrect Correct

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CASE 2 CASE 2

A 35-year old Caucasian male came in at the ER due to loose stools for 3 days. 2 days prior to consult, after
eating from a nearby restaurant, patient experienced recurrent loose stools, non-bloody, non-foul smelling,
with associated nausea and intermittent crampy abdominal pain, relieved by defecation, no noted fever,
chills and dysuria. Patient took ORS. Few hours prior, symptoms persisted hence the consult. He mentioned
that he just arrived in the Philippines 4 days ago for vacation.
Which of the following is the most likely to be found in his feces?
A 35-year old Caucasian male came in at the ER due to loose stools for 3 days. 2 days prior to consult, after
eating from a nearby restaurant, patient experienced recurrent loose stools, non-bloody, non-foul smelling,
with associated nausea and intermittent crampy abdominal pain, relieved by defecation, no noted fever,
chills and dysuria. Patient took ORS. Few hours prior, symptoms persisted hence the consult. He mentioned
that he just arrived in the Philippines 4 days ago for vacation. What is the Bristol type?

a.

a. 4
b.  b. 7 
c. 5
d. 6

The correct answer is: 7

c.

d.

The correct answer is:

Question 9 Question 10
Correct Correct

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CASE 2 Case #2
A 35-year old Caucasian male came in at the ER due to loose stools for 3 days. 2 days prior to consult, after
A 35-year old Caucasian male came in at the ER due to loose stools for 3 days. 2 days prior to consult, after
eating from a nearby restaurant, patient experienced recurrent loose stools, non-bloody, non-foul smelling,
eating from a nearby restaurant, patient experienced recurrent loose stools, non-bloody, non-foul smelling,
with associated nausea and intermittent crampy abdominal pain, relieved by defecation, no noted fever,
with associated nausea and intermittent crampy abdominal pain, relieved by defecation, no noted fever,
chills and dysuria. Patient took ORS. Few hours prior, symptoms persisted hence the consult. He mentioned
chills and dysuria. Patient took ORS. Few hours prior, symptoms persisted hence the consult. He mentioned
that he just arrived in the Philippines 4 days ago for vacation.
that he just arrived in the Philippines 4 days ago for vacation.
Which of the following is the most likely radiographic finding in the patient? What is the most likely diagnosis for this case?

a. Acid Peptic Disease

b. Inflammatory Bowel Disease
a. 
c. Acute Gastroenteritis 
d. Acute Diverticulosis

The correct answer is: Acute Gastroenteritis

b. Question 11
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Case 3
A 24-year-old male came in to the emergency room complaining of a 2-day history of 7-8/10 periumbilical
pain. This was associated with loss of appetite and persistent vomiting up to 5 episodes. Vital signs were as
c.
follows: BP 110/70, HR = 85, RR = 19, Temp = 37.9c, O2Sat = 98%.

When you asked the patient to stand on his toes, and then suddenly drop to his heels, pain was elicited at the
right lower quadrant. This is indicative of:

a. Jarring / Markle sign 

b. Obturator sign
c. Rovsing Sign
d. Rebound Tenderness

The correct answer is: Jarring / Markle sign

The correct answer is:

Question 12 Question 13
Correct Incorrect

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CASE 3 CASE 3

A 24-year-old male came in to the emergency room complaining of a 2-day history of 7-8/10 periumbilical
pain. This was associated with loss of appetite and persistent vomiting up to 5 episodes. Vital signs were as
follows: BP 110/70, HR = 85, RR = 19, Temp = 37.9c, O2Sat = 98%.
You want to get his ABG to correct his metabolic balance so your perform the Allen test. Interpret the result
A 24-year-old male came in to the emergency room complaining of a 2-day history of 7-8/10 periumbilical
pain. This was associated with loss of appetite and persistent vomiting up to 5 episodes. Vital signs were as
follows: BP 110/70, HR = 85, RR = 19, Temp = 37.9c, O2Sat = 98%.
You need to give IV fluids because he is dehydrated. Which of the following POCT tests will help you determine
which fluid to give.?

a.

a. Positive Allen Test, do NOT proceed with the arterial puncture

b. Positive Allen Test, proceed with the arterial puncture 
c. Negative Allen Test, do NOT proceed with the arterial puncture
d. Negative Allen Test, proceed with the arterial puncture

The correct answer is: Positive Allen Test, proceed with the arterial puncture
b.

c.

d. 
 Question 14
Correct

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CASE 3

A 24-year-old male came in to the emergency room complaining of a 2-day history of 7-8/10 periumbilical
pain. This was associated with loss of appetite and persistent vomiting up to 5 episodes. Vital signs were as
follows: BP 110/70, HR = 85, RR = 19, Temp = 37.9c, O2Sat = 98%.
Which of the following is the most likely the ultrasound finding in the patient?
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a.

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