MCQs for Family Master

You are evaluating a 36-year-old man in your office with the chief complaint of abdominal pain. Which of the following characteristics of the pain, if present, would lead you toward an emergent evaluation?

The pain is located in the right lower quadrant

The pain began suddenly

The pain is described as a “gnawing” sensation

The pain is worse after eating

The pain is associated with emesis

A 42-year-old woman presents to your office complaining of abdominal pain. She describes upper abdominal pain that radiates to her scapula. For which of the following is this description classic

A 26-year-old man presents with 3 months of heartburn. He also complains of regurgitation, belching, and occasional dry cough. His symptoms are worse when he is lying down. He denies melena, weight loss, or dysphagia. What is the appropriate next step, if you suspect gastroesophageal reflux disease (GERD) in this patient?

Treat with H2 receptor antagonists, a proton pump inhibitor or a prokinetic agent and evaluate the response

Obtain a barium swallow

Obtain a CT scan of the abdomen with oral and IV contrast

Obtain an ultrasound of the abdomen

Perform an esophagogastroduodenoscopy (EGD)

A 21-year-old woman is being evaluated for fatigue. Further history reveals weakness, exercise intolerance and a craving for chewing ice that has occurred over the last few weeks. Laboratory analysis reveals a hemoglobin of 8.7 g/dL. What is the likely cause of her anemia?

You are caring for a 64-year-old woman with longstanding type 2 diabetes mellitus. She comes to you complaining of fatigue. Screening laboratory analysis reveals a glycosolated hemoglobin level of 9.8%. Her hemoglobin is 10.4 g/dL, and her mean corpuscular volume is 76 fL (L). Further laboratory analysis reveals a serum iron of 40 mcg/dL (L), a total iron binding capacity of 188 mcg/dL (L), and a ferritin of 333 ng/mL (H). Which of the following treatments are indicated in this patient?