Medical Semiology Dr. Pheakdey

A detailed illustration of the human digestive system highlighting symptoms of nausea and vomiting, with a stethoscope and medical notes in the background.

Master Medical Semiology Quiz

Welcome to the Master Medical Semiology Quiz! Assess your knowledge of dyspepsia, nausea, vomiting, and upper gastrointestinal conditions. This quiz is designed for both medical professionals and students looking to reinforce their understanding in a clinical context.

30 engaging multiple-choice questions
Covers various aspects of medical semiology
Instant feedback on your answers

33 Questions8 MinutesCreated by ExaminingDoctor42

1. Which of the following fits the definition of dyspepsia?

Postprandial fullness with repetitive vomiting

Difficulty in swallowing

Early satiation or epigastric discomfort

Colic abdominal pain

Change in bowel habits

2. Chemotherapy-induced vomiting is the result of predominant triggering of which part of the brain?

3. Which of the following is the first approach to a patient with acute vomiting?

Start drug therapy (e.g., metoclopramide)

Refer the patient urgently for gastroscopy

Identify fluid depletion

Exclude abuse of opioids and cannabis

Exclude life threatening disorders such as bowel obstruction and acute pancreatitis.

4. Which of the following statements is not correct?

A blood test is appropriate to search for Hp infection in high prevalence countries

Urea Breath test is not applicable in countries with high prevalence of Hp

Hp Infection is not the cause of gastric malignancy

Gastroscopy is the only examination able to detect Hp infection

A stool antigen test is an appropriate test to search for Hp infection in Cambodia

5. Which of the following statements is not correct?

Pathological reflux is associated with symptoms of mucosal injury

Physiologic reflux episodic are typically postprandial and short-lived

GERD is classified based on the appearance of the esophageal mucosa on manometry

Physiologic reflux rarely occurs during sleep

Non Erosive reflux disease presents with troublesome syndromes of GERD without visible esophageal mucosa injury.

6. Which of the following statements is correct?

Dysphagia is defined as difficulty in swallowing

Odynophagia is defined as difficulty in swallowing

Dysphagia is defined as difficulty in swallowing solid foods

In mechanical obstruction liquid struck more than solid

Dysphasia is a red flag symptom

7. The pathophysiology of the nausea correlates with a shift in the normal three cycle per minute gastric myoelectrical activity. Which of the following terms defines increased frequency?

8. A patient described his symptoms as difficulty in swallowing, mostly to solids and gradually progressive. This suggests that he has which of the following?

9. Which of the following is the definition of hematemesis?

Vomiting of either bright red blood or coffee grounds material

Passage of black stools containing digested food

Vomiting of red undigested foods

Passage of bright red, maroon stools or clots through the rectum, usually due to a lower gastrointestinal bleed

Explusion from the anus of fresh bright red blood without stools.

10. MrA.H., 50-year-old, presents to the Emergency Department because he has vomited blood multiple times and is somnolent. He has had liver cirrhosis for years. Which of the following is the most likely cause of his bleeding?

11. Ms E.K, 25 years old, comes to your clinic for epigastric discomfort which she has had for years. She had undergone endoscopy which had revealed mild gastritis with no Hp infection. The pain relieves after using an antacid medication but then reappears and she feels fool after eating small amounts of food. She is anxious. There are no alarm signs or symptoms. Which of the following is the most likely diagnosis?

12. NSAIDs and antiplatelet agents use are risk factors for which of the following?

13. Ms W.S., 30-year-old, comes to your clinic complaining of burning in the stomach and feeling of burning pain in the stomach and feeling of incomplete digestion for several months, she had no weight loss. She wants to get medication without any further investigation. Which of the following is a suitable diagnosis for this condition.

15. Ms R,G. 27 years old comes to your clinic for a burning retrosternal sensation associated with a bitter taste in her mouth. She has no other alarm signs or symptoms. Which of the following diseases does this imply?

16. A difficulty in initiating swallowing is suggestive of which of the following?

17. Which of the following are the two main causes of upper GI bleeding?

Peptic ulcer disease and variceal bleeding

Cancer and diverticular disease

Hemorrhoidal disease and cirrhosis

Diabetes and cirrhosis

Variceal bleeding and esophagitis

18. Which of the following is the definition of odynophagia?

19. A sensation of a lump in the throat or the retrosternal area is not a true dysphagia, and is often associated with psychiatric comorbidities, especially in females, which of the following terms is used for this symptom?

20. Which of the following is an appropriate examination for a patient with chronic dyspepsia with alarm symptoms?

21. Most patients with unexplained chronic nausea and vomiting should undergo which of the following to identify disorders that have a specific therapy?

22. A useful mnemonic when taking a pain history is SOCRATES; Which of the following does the letters “C” stand for?

23. Which of the following is the main mechanism of GERD?

Gastroesophageal junction incompetence

Active smoking

Hypertension of the lower esophageal sphincter

Gastric ulcer with active HP infection

Gastroesophageal juction contractions

24. Madame T., 40-year-old, presents to the Emergency Department for black, smelly stool. She says that this has been going on for two days already and she feels very tired. What is your next step for this patient?

Perform a rectal examination to verify if she has melena.

Give some vitamins and reassure the patient that the black stools are due to iron consumption.

Request a blood test to search for anemia

Request an ultrasound for further investigation

Refer the patient immediately for gastroscopy

25. Mr O.B, 45 years old, presents to the emergency department for GI bleeding. He complains of vomiting blood many times during the last two days, in his past medical history, he had heart disease which required long-term antiplatelet agents. Which of the following is the most likely cause of his GI bleeding?

26. Vomiting associated with abdominal distention and tenderness suggests which of the following?

27. Which of the following is the first step in a clinical history?

29. Which of the following is the definition of hematochezia?

Passage of bright red, maroon stools or clots through the rectum, usually due to a lower gastrointestinal bleed

Vomiting of either bright red blood or coffee ground’s material

Vomiting of red undigested foods

Passage of black stools containing digested food

Expulsions from the anus of fresh bright red blood without stools

30. Which of the following is the definition of pyrosis?

32. Mr S.O., 35-year-old, living in Phnom Penh, comes to your clinic for dyspepsia for several months. He has not noticed any alarm symptoms has never undergone any examination. Which of the following do you do first? Select one:

Give medications (as there are no alarm symptoms)

Request blood test to search for Hp infection

Request breath test to search for Hp infection

Request colonoscopy as he has chronic symptoms

Request abdominal ultrasound to search for gastritis

Which of the following is the definition of melena?

Passage of black stools containing digested blood

Passage of black stools. Containing digested food

Passage of black stools due to iron consumption

Passage of bright. Red, maroon stool or clots through the rectum, usually due to lower gastrointestinal bleed

Vomiting of either bright red blood or coffee grounds material

Medical Semiology Dr. Pheakdey

Master Medical Semiology Quiz

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