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Functional Dyspepsia: A Diagnostic MCQ Challenge

M3 India Newsdesk Mar 05, 2024

Attempt this quiz to enhance your diagnostic skills in managing patients with dyspepsia. Test your knowledge on appropriate initial investigations, treatment strategies, and follow-up steps based on clinical scenarios.


Functional dyspepsia quiz

1. A 32-year-old woman presents to your clinic with a six-month history of upper abdominal discomfort, bloating, and nausea after meals. She denies weight loss, vomiting, or bleeding. Her physical exam is unremarkable. Which of the following is the most appropriate next step in her management?

2. A 55-year-old man with a history of hypertension presents with persistent dyspepsia for eight months, including postprandial fullness, early satiety, and epigastric discomfort. He reports occasional dark stools. Which of the following is the most appropriate initial investigation?

3. A 42-year-old woman with a recent diagnosis of functional dyspepsia has been on PPI therapy for four weeks, with mild symptom improvement. Which of the following is the most appropriate next step in her management?

4. A 62-year-old man presents with new-onset dyspepsia along with unintentional weight loss and fatigue. His exam reveals mild epigastric tenderness, but no palpable masses. What investigation is the highest priority?

5. You are reviewing the results of an upper endoscopy performed on a 48-year-old woman with refractory dyspepsia. The report describes normal-appearing gastric and duodenal mucosa. Which of the following is the most likely diagnosis?

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