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    Abdominal Pain - Free CME Quick Quiz

    Abdominal Pain CME Quiz courtesy of Med-Challenger.

    Take the FULL Quick Quiz Online

    This week's Med-Challenger free CME quiz - Abdominal Pain - the quick quiz covers clinical presentations of biliary disease, clinical presentation and radiographic findings in small bowel obstruction, clinical presentation and imaging for perforated viscus, and the diagnostic workup of acute appendicitis in pediatric patients.

    A free sample question is included below.

    The full Abdominal Pain CME quiz online offers AMA CME & ANCC CNE credit.

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    Here's this week's free sample question...

    A 43-year-old man with a prior history of an open appendectomy for perforated appendicitis presents with vomiting, abdominal pain, and distension.

    He reports he felt well until the day prior to presentation, when he developed diffuse abdominal cramping and nausea.

    The pain kept him awake overnight, and today he has had several episodes of non-bloody, bilious emesis. He has had no bowel movement in two days and cannot recall the last time he has passed flatus. 

    Upon examination, he appears uncomfortable, but has normal vital signs. His abdomen is distended and tympanitic, and diffusely tender to palpation, but without rebound or guarding. An upright abdominal plain film is obtained, and appears below.

    QQ230307- Abdominal Pain figure1 - medchallenger

    The most likely diagnosis is...

    Answer Options:
    • Adynamic ileus

    • Small bowel obstruction

    • Cecal volvulus

    • Sigmoid volvulus

    See Full Answer

    The correct answer is:

    Small bowel obstruction


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    This case-based review question comes from our Med-Challenger EM exam review and CME credit course for emergency medicine physicians.

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