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Worksheetsabdominal pain
Total questions: 89
Worksheet time: 45mins
Which of the following best describes acute abdominal pain?
Pain that persists for weeks to months
Pain that is poorly localized and crampy
Pain with sudden onset over hours to days, often requiring urgent evaluation
Pain that radiates from the back to the chest
Which type of abdominal pain is typically spread across the abdomen and difficult to pinpoint?
Localized pain
Diffuse pain
Referred pain
Parietal pain
What distinguishes chronic abdominal pain from acute pain?
It is always surgical
It is sudden and severe
It lasts for weeks to months and is often medical
It is always associated with vomiting
Which of the following is an example of localized abdominal pain?
Pain felt all over the abdomen
Pain confined to the right lower quadrant
Pain that radiates to the shoulder
Pain that worsens after eating
A patient presents with RUQ pain, fever, and positive Murphy’s sign. What is the most likely diagnosis?
Pancreatitis
Cholecystitis
Appendicitis
Diverticulitis
Which condition typically causes LLQ pain and may present with fever and leukocytosis?
Crohn’s disease
Diverticulitis
Appendicitis
IBS
Epigastric pain radiating to the back with elevated lipase suggests which diagnosis?
Peptic ulcer
Pancreatitis
Gastritis
Hepatitis
RLQ pain with rebound tenderness and anorexia is most consistent with
Ectopic pregnancy
Appendicitis
Renal colic
UTI
Which condition is most likely in a patient with suprapubic pain, dysuria, and urinary frequency?
PID
UTI
IBS
Crohn’s disease
Which type of abdominal pain is sharp, intense, and worsens with movement or palpation?
Visceral pain
Referred pain
Parietal pain
Functional pain
What type of pain is typically dull, crampy, and poorly localized?
Parietal pain
Visceral pain
Referred pain
Neuropathic pain
Which of the following is an example of referred pain?
RLQ pain in appendicitis
Shoulder tip pain from diaphragmatic irritation
Epigastric pain in gastritis
LLQ pain in diverticulitis
Which condition typically begins with visceral pain and evolves into parietal pain?
IBS
Gastroenteritis
Appendicitis
UTI
Pain from ureteric colic is often referred to which area?
Shoulder
Back
Groin or testicle
Chest
Which type of pain is often midline due to bilateral visceral afferents?
Parietal pain
Referred pain
Visceral pain
Somatic pain
Which of the following mechanisms causes visceral pain?
Muscle spasm
Organ distension
Skin trauma
Nerve compression
Which type of pain is best described as “felt in a different place than the actual problem”?
Parietal pain
Referred pain
Visceral pain
Functional pain
Which condition is most likely to cause parietal pain due to chemical irritation?
IBS
Perforated ulcer
UTI
Constipation
Which type of pain is often the first sign in abdominal emergencies before localization occurs?
Parietal pain
Referred pain
Visceral pain
Neuropathic pain
Which of the following is a cause of parietal peritoneal pain due to chemical irritation?
IBS
Perforated ulcer
Renal colic
Functional dyspepsia
Which condition is a vascular emergency causing severe pain out of proportion to exam findings?
Diverticulitis
Mesenteric ischemia
UTI
IBS
Which of the following is a mechanical cause of abdominal pain?
Pancreatitis
Small bowel obstruction
Hepatitis
PID
Which condition causes referred abdominal pain from a non-abdominal source?
Pneumonia (lower lobe)
Cholecystitis
Appendicitis
Diverticulitis
Which inflammatory condition typically causes RUQ pain and fever?
Crohn’s disease
Cholecystitis
IBS
UTI
Which functional disorder causes abdominal pain relieved by defecation and linked to stress?
IBS
Diverticulitis
Gastritis
Pyelonephritis
Which gynecologic condition can cause sudden lower abdominal pain and internal bleeding?
Mittelschmerz
PID
Ectopic pregnancy rupture
Functional dyspepsia
Which genitourinary condition causes flank pain and fever due to kidney infection?
UTI
Renal colic
Pyelonephritis
IBS
Which metabolic condition can cause diffuse abdominal pain and altered mental status?
Lead poisoning
Diabetic ketoacidosis
IBS
Crohn’s disease
Which condition causes visceral pain due to organ distension in early stages?
Early appendicitis
Peritonitis
IBS
PID
Which combination of signs indicates shock and requires urgent resuscitation?
Fever + vomiting + diarrhea
Hypotension + tachycardia + altered mental status
RLQ pain + rebound tenderness
Melena + constipation
Which symptom suggests upper GI bleeding when a patient vomits blood?
Melena
Hematuria
Hematemesis
Dysuria
Which GI symptom is most typical of small bowel obstruction?
Diarrhea
Vomiting
Hematemesis
Melena
Which urinary symptom suggests a possible kidney stone or tumor?
Dysuria
Hematuria
Melena
Constipation
Which symptom combination suggests diverticulitis?
LLQ pain + fever + leukocytosis
RLQ pain + vomiting + anorexia
Epigastric pain + melena
Suprapubic pain + dysuria
Why is asking about LMP important in women with abdominal pain?
To rule out IBS
To assess for UTI
To identify possible ectopic pregnancy
To confirm menopause
Which symptom suggests peritonitis when the abdomen is rigid and painful to touch?
Diarrhea
Guarding
Hematuria
Melena
Which GI symptom is most typical of infectious colitis or IBD?
Constipation
Vomiting
Diarrhea
Hematemesis
Which systemic sign is most concerning for ruptured abdominal aortic aneurysm?
Fever
Hypotension
Vomiting
Hematuria
Which symptom combination suggests UTI?
Suprapubic pain + dysuria + frequency
RLQ pain + vomiting + fever
LLQ pain + diarrhea + bleeding
Epigastric pain + melena + anorexia
Which combination of signs defines clinical shock?
Fever + vomiting + diarrhea
Hypotension + tachycardia + altered mental status
RLQ pain + rebound tenderness
Melena + constipation
Which condition is most likely in a woman with sudden lower abdominal pain, hypotension, and missed period?
UTI
IBS
Ruptured ectopic pregnancy
PID
Which sign indicates peritoneal irritation when pain worsens upon releasing pressure?
Guarding
Rigidity
Rebound tenderness
Murphy’s sign
Which condition causes sudden epigastric pain due to gastric acid leaking into the abdomen?
IBS
Perforated ulcer
Pancreatitis
Diverticulitis
Which vascular emergency presents with severe pain but minimal abdominal findings?.
Cholecystitis
Mesenteric ischemia
Appendicitis
UTI
Which sign describes involuntary muscle tension during abdominal palpation?
Guarding
Rigidity
Rebound tenderness
Pulsation
Which condition is most likely in an elderly patient with atrial fibrillation and sudden abdominal pain?
IBS
Mesenteric ischemia
Diverticulitis
UTI
Which sign indicates a rigid, board-like abdomen due to peritonitis?
Guarding
Rigidity
Rebound tenderness
Murphy’s sign
Which condition is most likely in a patient with sudden back pain, hypotension, and pulsating abdominal mass?
Pancreatitis
AAA rupture
Renal colic
IBS
Which sign is most concerning for perforation of a hollow organ?
Fever
Guarding
Sudden severe pain + free air on CT
Diarrhea
Which history feature suggests a ruptured organ or perforation?
Gradual onset
Sudden, severe pain
Crampy pain relieved by defecation
Pain after eating fatty food
Which physical sign is most concerning for peritonitis?
Visible peristalsis
Guarding
Tympany
Bruit over renal artery
Which auscultation finding suggests paralytic ileus or peritonitis?
Hyperactive bowel sounds
Absent bowel sounds
Bruit over aorta
High-pitched tinkling
Which percussion finding indicates ascites?
Tympany
Dullness in LUQ
Shifting dullness
Hyperresonance
Which sign is positive when RUQ palpation during inspiration causes pain?
McBurney’s point
Murphy’s sign
Rovsing’s sign
Cullen’s sign
Which finding on inspection suggests aortic aneurysm?
Visible peristalsis
Pulsating abdominal mass
Umbilical hernia
Surgical scar
Which sign is positive when LLQ pressure causes RLQ pain?
Murphy’s sign
Rovsing’s sign
McBurney’s point
Grey-Turner’s sign
Which sign indicates retroperitoneal bleeding with flank bruising?
Cullen’s sign
Grey-Turner’s sign
Murphy’s sign
Guarding
Which finding suggests hepatomegaly on percussion?
.
Tympany
Dullness in RUQ
Shifting dullness
Hyperresonance
Which history clue helps differentiate pancreatitis from gastritis?
Pain relieved by food
Pain radiating to back
Pain after spicy meals
Pain in LLQ
Which lab test is most specific for diagnosing acute pancreatitis?
ALT
CRP
lipase
amylase
Which test is best for detecting gallstones and cholecystitis in a pregnant woman?
CT scan
Colonoscopy
Ultrasound
Endoscopy
Which lab test helps detect dehydration and kidney stress in bowel obstruction?
LFTs
U&E
CRP
CRP
Which imaging modality is most sensitive for detecting bowel perforation?
Ultrasound
CT abdomen
X-ray
MRI
Which test is used to evaluate suspected upper GI bleeding with hematemesis?
Colonoscopy
CT scan
Endoscopy
ECG
Which lab test is elevated in biliary obstruction?
ALT
AST
ALP/GGT
CRP
Which test helps rule out cardiac causes of epigastric pain?
CT abdomen
ECG
CRP
Lipase
Which lab test is most useful for detecting inflammation in appendicitis or diverticulitis?
Lipase
CRP
ALT
U &E
Which test is best for evaluating lower GI bleeding and suspected colitis?
Endoscopy
Colonoscopy
CT scan
Ultrasound
Which urine finding suggests a urinary tract infection?
Hematuria
Pyuria
Proteinuria
Ketones
What is the first priority in managing a patient with abdominal pain and signs of shock?
Give antibiotics
Perform CT scan
Stabilize ABC and give IV fluids
Start analgesia
Which medication is most appropriate for severe pain in pancreatitis?
Paracetamol
NSAIDs
Morphine
Antispasmodics
Which condition requires emergency surgery?
IBS
UTI
Appendicitis with peritonitis
Functional dyspepsia
Which treatment is appropriate for uncomplicated UTI?
Surgery
IV fluids only
Antibiotics
Antispasmodics
Which condition is managed with supportive care including NPO and IV fluids?
IBS
Pancreatitis
Appendicitis
Diverticulitis
Which medication helps relieve nausea and vomiting in abdominal emergencies?
NSAIDs
Antispasmodics
Ondansetron
Paracetamol
Which condition is typically managed with lifestyle changes and antispasmodics?
IBS
Appendicitis
Cholecystitis
Pancreatitis
Why is repeat CRP or WBC monitoring useful in abdominal pain?
To confirm diagnosis
To assess pain level
To track inflammation and response to treatment
To detect bleeding
Which imaging is best for follow-up of pancreatic necrosis or abscess?
Ultrasound
CT scan
MRI
Which action is most appropriate if a patient develops guarding and rebound tenderness during observation?
Give antacids
Surgical consult
Repeat urinalysis
Discharge home
Which condition typically presents with epigastric pain that radiates to the back and elevated lipase?
Gastritis
Pancreatitis
Peptic ulcer
IBS
RUQ pain with fever and positive Murphy’s sign suggests:
Hepatitis
Cholecystitis
Pancreatitis
Appendicitis
Which condition causes periumbilical pain that later localizes to the RLQ?
Diverticulitis
Appendicitis
UTI
IBS
LLQ pain with fever and leukocytosis is most consistent with:
Crohn’s disease
Diverticulitis
IBS
Ectopic pregnancy
Suprapubic pain with dysuria and urinary frequency suggests:
PID
UTI
IBS
Appendicitis
Which condition causes generalized abdominal pain with diarrhea and vomiting?
Peritonitis
Gastroenteritis
IBS
Pancreatitis
RLQ pain with rebound tenderness and anorexia is most likely:
Ectopic pregnancy
Appendicitis
Renal colic
UTI
Which condition presents with periumbilical pain and vomiting, with no stool passage
IBS
Small bowel obstruction
Pancreatitis
UTI
Which condition causes LLQ pain and may present with bleeding and fever?
Crohn’s disease
Diverticulitis
IBS
PID
Which condition causes suprapubic pain with vaginal discharge and fever?
UTI
PID
IBS
Appendicitis
