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Constipation in an elderly patient can be best treated by


A) maintaining a low-fiber diet.
B) maintaining the current level of activity.
C) fecal disimpaction.
D) increasing fiber in the diet.

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Esophageal varices represent a complication of ________ hypertension.


A) primary
B) pregnancy-induced
C) portal
D) secondary

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Which symptom suggests the presence of a hiatal hernia?


A) Nausea
B) Heartburn
C) Diarrhea
D) Abdominal cramps

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A patient with chronic gastritis would likely be tested for


A) Helicobacter pylori.
B) occult blood.
C) lymphocytes.
D) herpes simplex.

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Celiac sprue is a malabsorptive disorder associated with


A) inflammatory reaction to gluten-containing foods.
B) megacolon at regions of autonomic denervation.
C) ulceration of the distal colon and rectum.
D) deficient production of pancreatic enzymes.

Correct Answer

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An urgent surgical consult is indicated for the patient with acute abdominal pain and


A) vomiting.
B) CVA tenderness.
C) absent bowel sounds.
D) borborygmi.

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