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abdominal pain

Total questions: 89

Worksheet time: 45mins

Name
Class
Date
1.

Which of the following best describes acute abdominal pain?

a)
  1. Pain that persists for weeks to months

b)
  1. Pain that is poorly localized and crampy

c)

Pain with sudden onset over hours to days, often requiring urgent evaluation

d)
  1. Pain that radiates from the back to the chest

2.

Which type of abdominal pain is typically spread across the abdomen and difficult to pinpoint?

a)
  1. Localized pain

b)
  1. Diffuse pain

c)

Referred pain

d)

Parietal pain

3.

What distinguishes chronic abdominal pain from acute pain?

a)
  1. It is always surgical

b)

It is sudden and severe

c)

It lasts for weeks to months and is often medical

d)
  1. It is always associated with vomiting

4.

Which of the following is an example of localized abdominal pain?

a)

Pain felt all over the abdomen

b)
  1. Pain confined to the right lower quadrant

c)
  1. Pain that radiates to the shoulder

d)

Pain that worsens after eating

5.

A patient presents with RUQ pain, fever, and positive Murphy’s sign. What is the most likely diagnosis?

a)
  1. Pancreatitis

b)

Cholecystitis

c)
  1. Appendicitis

d)
  1. Diverticulitis

6.

Which condition typically causes LLQ pain and may present with fever and leukocytosis?

a)
  1. Crohn’s disease

b)

Diverticulitis

c)
  1. Appendicitis

d)
  1. IBS

7.

Epigastric pain radiating to the back with elevated lipase suggests which diagnosis?

a)
  1. Peptic ulcer

b)

Pancreatitis

c)
  1. Gastritis

d)
  1. Hepatitis

8.

RLQ pain with rebound tenderness and anorexia is most consistent with

a)

Ectopic pregnancy

b)
  1. Appendicitis

c)
  1. Renal colic

d)
  1. UTI

9.

Which condition is most likely in a patient with suprapubic pain, dysuria, and urinary frequency?

a)
  1. PID

b)

UTI

c)
  1. IBS

d)
  1. Crohn’s disease

10.

Which type of abdominal pain is sharp, intense, and worsens with movement or palpation?

a)
  1. Visceral pain

b)

Referred pain

c)

Parietal pain

d)

Functional pain

11.

What type of pain is typically dull, crampy, and poorly localized?

a)
  1. Parietal pain

b)
  1. Visceral pain

c)
  1. Referred pain

d)
  1. Neuropathic pain

12.

Which of the following is an example of referred pain?

a)
  1. RLQ pain in appendicitis

b)
  1. Shoulder tip pain from diaphragmatic irritation

c)
  1. Epigastric pain in gastritis

d)
  1. LLQ pain in diverticulitis

13.

Which condition typically begins with visceral pain and evolves into parietal pain?

a)
  1. IBS

b)

Gastroenteritis

c)
  1. Appendicitis

d)
  1. UTI

14.

Pain from ureteric colic is often referred to which area?

a)
  1. Shoulder

b)
  1. Back

c)
  1. Groin or testicle

d)
  1. Chest

15.

Which type of pain is often midline due to bilateral visceral afferents?

a)
  1. Parietal pain

b)
  1. Referred pain

c)
  1. Visceral pain

d)
  1. Somatic pain

16.

Which of the following mechanisms causes visceral pain?

a)
  1. Muscle spasm

b)
  1. Organ distension

c)
  1. Skin trauma

d)

Nerve compression

17.

Which type of pain is best described as “felt in a different place than the actual problem”?

a)
  1. Parietal pain

b)

Referred pain

c)
  1. Visceral pain

d)

Functional pain

18.

Which condition is most likely to cause parietal pain due to chemical irritation?

a)

IBS

b)
  1. Perforated ulcer

c)
  1. UTI

d)

Constipation

19.

Which type of pain is often the first sign in abdominal emergencies before localization occurs?

a)
  1. Parietal pain

b)

Referred pain

c)

Visceral pain

d)
  1. Neuropathic pain

20.

Which of the following is a cause of parietal peritoneal pain due to chemical irritation?

a)
  1. IBS

b)
  1. Perforated ulcer

c)

Renal colic

d)
  1. Functional dyspepsia

21.

Which condition is a vascular emergency causing severe pain out of proportion to exam findings?

a)
  1. Diverticulitis

b)
  1. Mesenteric ischemia

c)
  1. UTI

d)
  1. IBS

22.

Which of the following is a mechanical cause of abdominal pain?

a)
  1. Pancreatitis

b)
  1. Small bowel obstruction

c)
  1. Hepatitis

d)
  1. PID

23.

Which condition causes referred abdominal pain from a non-abdominal source?

a)
  1. Pneumonia (lower lobe)

b)

Cholecystitis

c)

Appendicitis

d)
  1. Diverticulitis

24.

Which inflammatory condition typically causes RUQ pain and fever?

a)

Crohn’s disease

b)
  1. Cholecystitis

c)
  1. IBS

d)

UTI

25.

Which functional disorder causes abdominal pain relieved by defecation and linked to stress?

a)
  1. IBS

b)

Diverticulitis

c)
  1. Gastritis

d)
  1. Pyelonephritis

26.

Which gynecologic condition can cause sudden lower abdominal pain and internal bleeding?

a)

Mittelschmerz

b)

PID

c)
  1. Ectopic pregnancy rupture

d)
  1. Functional dyspepsia

27.

Which genitourinary condition causes flank pain and fever due to kidney infection?

a)
  1. UTI

b)
  1. Renal colic

c)
  1. Pyelonephritis

d)

IBS

28.

Which metabolic condition can cause diffuse abdominal pain and altered mental status?

a)
  1. Lead poisoning

b)
  1. Diabetic ketoacidosis

c)
  1. IBS

d)

Crohn’s disease

29.

Which condition causes visceral pain due to organ distension in early stages?

a)

Early appendicitis

b)

Peritonitis

c)

IBS

d)
  1. PID

30.

Which combination of signs indicates shock and requires urgent resuscitation?

a)
  1. Fever + vomiting + diarrhea

b)
  1. Hypotension + tachycardia + altered mental status

c)
  1. RLQ pain + rebound tenderness

d)

Melena + constipation

31.

Which symptom suggests upper GI bleeding when a patient vomits blood?

a)
  1. Melena

b)
  1. Hematuria

c)
  1. Hematemesis

d)
  1. Dysuria

32.

Which GI symptom is most typical of small bowel obstruction?

a)

Diarrhea

b)
  1. Vomiting

c)
  1. Hematemesis

d)
  1. Melena

33.

Which urinary symptom suggests a possible kidney stone or tumor?

a)

Dysuria

b)
  1. Hematuria

c)
  1. Melena

d)
  1. Constipation

34.

Which symptom combination suggests diverticulitis?

a)
  1. LLQ pain + fever + leukocytosis

b)
  1. RLQ pain + vomiting + anorexia

c)

Epigastric pain + melena

d)
  1. Suprapubic pain + dysuria

35.

Why is asking about LMP important in women with abdominal pain?

a)

To rule out IBS

b)
  1. To assess for UTI

c)
  1. To identify possible ectopic pregnancy

d)
  1. To confirm menopause

36.

Which symptom suggests peritonitis when the abdomen is rigid and painful to touch?

a)

Diarrhea

b)

Guarding

c)
  1. Hematuria

d)

Melena

37.

Which GI symptom is most typical of infectious colitis or IBD?

a)
  1. Constipation

b)
  1. Vomiting

c)
  1. Diarrhea

d)

Hematemesis

38.

Which systemic sign is most concerning for ruptured abdominal aortic aneurysm?

a)

Fever

b)

Hypotension

c)

Vomiting

d)
  1. Hematuria

39.

Which symptom combination suggests UTI?

a)

Suprapubic pain + dysuria + frequency

b)

RLQ pain + vomiting + fever

c)
  1. LLQ pain + diarrhea + bleeding

d)
  1. Epigastric pain + melena + anorexia

40.

Which combination of signs defines clinical shock?

a)
  1. Fever + vomiting + diarrhea

b)
  1. Hypotension + tachycardia + altered mental status

c)
  1. RLQ pain + rebound tenderness

d)
  1. Melena + constipation

41.

Which condition is most likely in a woman with sudden lower abdominal pain, hypotension, and missed period?

a)

UTI

b)

IBS

c)

Ruptured ectopic pregnancy

d)

PID

42.

Which sign indicates peritoneal irritation when pain worsens upon releasing pressure?

a)

Guarding

b)
  1. Rigidity

c)

Rebound tenderness

d)
  1. Murphy’s sign

43.

Which condition causes sudden epigastric pain due to gastric acid leaking into the abdomen?

a)

IBS

b)
  1. Perforated ulcer

c)

Pancreatitis

d)

Diverticulitis

44.

Which vascular emergency presents with severe pain but minimal abdominal findings?.

a)

Cholecystitis

b)
  1. Mesenteric ischemia

c)

Appendicitis

d)

UTI

45.

Which sign describes involuntary muscle tension during abdominal palpation?

a)
  1. Guarding

b)
  1. Rigidity

c)
  1. Rebound tenderness

d)
  1. Pulsation

46.

Which condition is most likely in an elderly patient with atrial fibrillation and sudden abdominal pain?

a)
  1. IBS

b)
  1. Mesenteric ischemia

c)

Diverticulitis

d)
  1. UTI

47.

Which sign indicates a rigid, board-like abdomen due to peritonitis?

a)
  1. Guarding

b)

Rigidity

c)
  1. Rebound tenderness

d)
  1. Murphy’s sign

48.

Which condition is most likely in a patient with sudden back pain, hypotension, and pulsating abdominal mass?

a)

Pancreatitis

b)
  1. AAA rupture

c)
  1. Renal colic

d)

IBS

49.

Which sign is most concerning for perforation of a hollow organ?

a)

Fever

b)
  1. Guarding

c)
  1. Sudden severe pain + free air on CT

d)

Diarrhea

50.

Which history feature suggests a ruptured organ or perforation?

a)

Gradual onset

b)

Sudden, severe pain

c)

Crampy pain relieved by defecation

d)
  1. Pain after eating fatty food

51.

Which physical sign is most concerning for peritonitis?

a)

Visible peristalsis

b)

Guarding

c)

Tympany

d)
  1. Bruit over renal artery

52.

Which auscultation finding suggests paralytic ileus or peritonitis?

a)

Hyperactive bowel sounds

b)
  1. Absent bowel sounds

c)

Bruit over aorta

d)
  1. High-pitched tinkling

53.

Which percussion finding indicates ascites?

a)

Tympany

b)
  1. Dullness in LUQ

c)
  1. Shifting dullness

d)

Hyperresonance

54.

Which sign is positive when RUQ palpation during inspiration causes pain?

a)
  1. McBurney’s point

b)
  1. Murphy’s sign

c)
  1. Rovsing’s sign

d)
  1. Cullen’s sign

55.

Which finding on inspection suggests aortic aneurysm?

a)
  1. Visible peristalsis

b)
  1. Pulsating abdominal mass

c)

Umbilical hernia

d)
  1. Surgical scar

56.

Which sign is positive when LLQ pressure causes RLQ pain?

a)

Murphy’s sign

b)
  1. Rovsing’s sign

c)

McBurney’s point

d)
  1. Grey-Turner’s sign

57.

Which sign indicates retroperitoneal bleeding with flank bruising?

a)
  1. Cullen’s sign

b)

Grey-Turner’s sign

c)
  1. Murphy’s sign

d)

Guarding

58.

Which finding suggests hepatomegaly on percussion?

.

a)

Tympany

b)

Dullness in RUQ

c)

Shifting dullness

d)
  1. Hyperresonance

59.

Which history clue helps differentiate pancreatitis from gastritis?

a)
  1. Pain relieved by food

b)

Pain radiating to back

c)
  1. Pain after spicy meals

d)
  1. Pain in LLQ

60.

Which lab test is most specific for diagnosing acute pancreatitis?

a)

ALT

b)

CRP

c)

lipase

d)

amylase

61.

Which test is best for detecting gallstones and cholecystitis in a pregnant woman?

a)

CT scan

b)
  1. Colonoscopy

c)
  1. Ultrasound

d)

Endoscopy

62.

Which lab test helps detect dehydration and kidney stress in bowel obstruction?

a)

LFTs

b)
  1. U&E

c)
  1. CRP

d)
  1. CRP

63.

Which imaging modality is most sensitive for detecting bowel perforation?

a)

Ultrasound

b)
  1. CT abdomen

c)

X-ray

d)
  1. MRI

64.

Which test is used to evaluate suspected upper GI bleeding with hematemesis?

a)
  1. Colonoscopy

b)

CT scan

c)

Endoscopy

d)
  1. ECG

65.

Which lab test is elevated in biliary obstruction?

a)
  1. ALT

b)

AST

c)

ALP/GGT

d)

CRP

66.

Which test helps rule out cardiac causes of epigastric pain?

a)
  1. CT abdomen

b)

ECG

c)

CRP

d)

Lipase

67.

Which lab test is most useful for detecting inflammation in appendicitis or diverticulitis?

a)
  1. Lipase

b)

CRP

c)

ALT

d)

U &E

68.

Which test is best for evaluating lower GI bleeding and suspected colitis?

a)
  1. Endoscopy

b)

Colonoscopy

c)

CT scan

d)

Ultrasound

69.

Which urine finding suggests a urinary tract infection?

a)

Hematuria

b)
  1. Pyuria

c)

Proteinuria

d)

Ketones

70.

What is the first priority in managing a patient with abdominal pain and signs of shock?

a)
  1. Give antibiotics

b)
  1. Perform CT scan

c)

Stabilize ABC and give IV fluids

d)

Start analgesia

71.

Which medication is most appropriate for severe pain in pancreatitis?

a)

Paracetamol

b)

NSAIDs

c)

Morphine

d)

Antispasmodics

72.

Which condition requires emergency surgery?

a)

IBS

b)

UTI

c)

Appendicitis with peritonitis

d)

Functional dyspepsia

73.

Which treatment is appropriate for uncomplicated UTI?

a)

Surgery

b)

IV fluids only

c)

Antibiotics

d)

Antispasmodics

74.

Which condition is managed with supportive care including NPO and IV fluids?

a)

IBS

b)

Pancreatitis

c)

Appendicitis

d)

Diverticulitis

75.

Which medication helps relieve nausea and vomiting in abdominal emergencies?

a)

NSAIDs

b)

Antispasmodics

c)

Ondansetron

d)

Paracetamol

76.

Which condition is typically managed with lifestyle changes and antispasmodics?

a)

IBS

b)

Appendicitis

c)

Cholecystitis

d)

Pancreatitis

77.

Why is repeat CRP or WBC monitoring useful in abdominal pain?

a)

To confirm diagnosis

b)

To assess pain level

c)

To track inflammation and response to treatment

d)

To detect bleeding

78.

Which imaging is best for follow-up of pancreatic necrosis or abscess?

a)

Ultrasound

b)

CT scan

c)

MRI

79.

Which action is most appropriate if a patient develops guarding and rebound tenderness during observation?

a)

Give antacids

b)

Surgical consult

c)

Repeat urinalysis

d)
  1. Discharge home

80.

Which condition typically presents with epigastric pain that radiates to the back and elevated lipase?

a)
  1. Gastritis

b)
  1. Pancreatitis

c)

Peptic ulcer

d)
  1. IBS

81.

RUQ pain with fever and positive Murphy’s sign suggests:

a)

Hepatitis

b)

Cholecystitis

c)

Pancreatitis

d)

Appendicitis

82.

Which condition causes periumbilical pain that later localizes to the RLQ?

a)
  1. Diverticulitis

b)

Appendicitis

c)

UTI

d)

IBS

83.

LLQ pain with fever and leukocytosis is most consistent with:

a)
  1. Crohn’s disease

b)
  1. Diverticulitis

c)
  1. IBS

d)
  1. Ectopic pregnancy

84.

Suprapubic pain with dysuria and urinary frequency suggests:

a)
  1. PID

b)

UTI

c)

IBS

d)

Appendicitis

85.

Which condition causes generalized abdominal pain with diarrhea and vomiting?

a)

Peritonitis

b)

Gastroenteritis

c)

IBS

d)

Pancreatitis

86.

RLQ pain with rebound tenderness and anorexia is most likely:

a)

Ectopic pregnancy

b)
  1. Appendicitis

c)
  1. Renal colic

d)
  1. UTI

87.

Which condition presents with periumbilical pain and vomiting, with no stool passage

a)

IBS

b)

Small bowel obstruction

c)
  1. Pancreatitis

d)

UTI

88.

Which condition causes LLQ pain and may present with bleeding and fever?

a)

Crohn’s disease

b)

Diverticulitis

c)
  1. IBS

d)
  1. PID

89.

Which condition causes suprapubic pain with vaginal discharge and fever?

a)
  1. UTI

b)

PID

c)

IBS

d)

Appendicitis