Paraesophageal and hiatal hernia Quiz: Ace Your Exams
Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!
Learning videos
Flashcards
Expert reviewed
Spaced Repetition
Mobile app
Custom Quizzes
1 of 4
A 53-year-old man comes to the emergency department for evaluation of nausea, vomiting, and abdominal pain. He began feeling nauseous at dinner the night before. He initially attributed it to the food he ate, but during the night, he began feeling bloated. In the morning, he had an episode of non-bilious vomiting. Shortly after, he began having severe peri-epigastric pain that progressively worsened, prompting him to go to the ED (Emergency Department). He has a past medical history of gastroesophageal reflux disease and takes a proton pump inhibitor daily. He had a cholecystectomy three years ago. Temperature is 99.5°F (36.5°C), heart rate is 118/min, blood pressure is 165/100 mmHg, and respiratory rate is 18/min. Physical examination reveals a distended abdomen, severe bilateral upper quadrant, and epigastric tenderness. Basic metabolic panel shows a creatinine of 1.6 mg/dL (baseline 0.9 mg/dL). A CT (Computed Tomography) of the abdomen and pelvis with IV and PO contrast shows a strangulated type IV paraesophageal hernia without contrast seen in the jejunum. Which of the following is the most appropriate next step in management?
Elimination tool
0 XP
Press space to continue