Question 1

A man presented in surgical OPD with steady pain in left lower quadrant, change in bowel habits, Tenesmus and Dysuria. He also complains of recurrent urinary infections from fistulae. What necessary investigations would you like to do?
A)CT scan abdomen
B)Barium meal
C)Barium follow through
D)All of the above

Accepted Answer

All of the above investigations are necessary for diagnosing the condition called Diverticulosis in a patient presenting with steady pain in left lower quadrant, change in bowel habits, Tenesmus and Dysuria and recurrent urinary infections from fistulae. Barium will show diverticula if present and CT scan will help identify Diverticulitis.

Question 2

A woman presented to surgical emergency with fever, nausea, vomiting and diffuse abdominal pain. On examination, there was rebound tenderness and rigidity. Patient gives history of recent abdominal surgery. What is the likely diagnosis?
A)Appendicitis
B)Cholecystitis
C)Peritonitis
D)Pancreatitis

Accepted Answer

The most likely diagnosis is peritonitis, due to the diffuse abdominal pain, fever, nausea and vomiting.

Quiz 1: Progressive Care Nursing (PCCN)

A man presented in surgical OPD with steady pain in left lower quadrant, change in bowel habits, Tenesmus and Dysuria. He also complains of recurrent urinary infections from fistulae. What necessary investigations would you like to do?

A woman presented to surgical emergency with fever, nausea, vomiting and diffuse abdominal pain. On examination, there was rebound tenderness and rigidity. Patient gives history of recent abdominal surgery. What is the likely diagnosis?