Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had intermittent heartburn f

Question 1 

Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had intermittent heartburn for several months and takes Tums® with temporary relief. He has been waking during the night with a burning sensation in his chest. Which additional information would lead you to believe that gastroesophageal reflux disease (GERD) is the cause of his pain?

Question options:

a) The pain seems better when he smokes to relieve his nerves.

b) Coffee and fried foods don’t bother him,

c) He wakes at night coughing with a bad taste in his mouth.

d) All of the above

Question 2 

A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in appendicitis?

Question options:

a) Very early

b) 3 to 4 hours after perforation

c) Late in inflammation

d) Appendicitis never presents with vague pain.

Question 3 

A patient is seen with complaints of diarrhea. Which of the following should be included in the patient’s differential diagnosis?

Question options:

a) Gastroenteritis