Pathology Quiz ChallengeVersion en ligne Test your knowledge on digestive and urinary pathologies with this quiz game! par Krishondra Jones 1 Your client has persistent low-grade abdominal pain and a change in bowel habits in a new pattern. Massage relieves symptoms for a day or two, but the symptoms return. What is the most appropriate course of action? a Tell him to begin an elimination diet to determine his food sensitivities b Tell him to stop consuming dairy products, as his symptoms point to lactose intolerance. c Tell him to consult a primary care provider in case something serious is happening. d Tell him to wear looser clothing and to avoid caffeine, chocolate, and spicy food 2 Your client had extreme gastroenteritis two days ago but is beginning to feel better. What is the best advice for her recovery? a Rest and drink fluids to prevent dehydration b Get a rigorous massage to help clear any lingering infection. c Resume activities as normal to avoid deconditioning. d Get vaccinated to avoid another bout of stomach flu. 3 Your client has a colostomy bag after having had colorectal cancer 6 years ago. He is physically active, but his hip and hamstrings are giving him problems. What is your best strategy? a Work normally, making whatever adjustments he needs for his comfort. b Refuse to work with him without a doctor's permission. c Ask him to remove his bag during your session. d Do only light massage to avoid the risk of disturbing remaining cancer cells. 4 Your new client reports abdominal discomfort, frequent headache, general puffiness, tremor, and itchy patches on the skin. She says she has just been diagnosed with candidiasis, and started treatment yesterday. How can you accommodate her needs? a This client needs deep abdominal work for improved digestive function b This client needs to detoxify before receiving massage. c This client needs gentle massage to avoid overwhelming a delicate system. d This client needs to avoid massage therapy altogether. 5 Your very large client informs you that he is not really overweight, but has been diagnosed with ascites (fluid buildup in the abdomen.)What organ is most likely to be dysfunctional? a Spleen b Gallbladder c Liver d Stomach 6 Your client has been diagnosed with end-stage renal failure. You work with him very gently during his appointments at the dialysis center. One day, you notice that he seems especially pale, and he complains of greater-than-normal fatigue. What may be happening? a His liver is overloaded with toxins b He is anemic due to lack of EPO (erythropoietin) c He has encephalopathy from too many circulating toxins d His spleen is at risk for rupture 7 Your new client is a young man who complains of sudden "grabbing pain" on one side in his midback. It comes in waves, but never goes away. It started 2 days ago, and it is beginning to refer to his groin. He's never had this before, and he assumes he strained his back playing Frisbee. As you interview him, he has a wave of pain that leaves him pale and sweating. It is clearly excruciating. What is your best strategy? a Treat him normally and monitor his results. b Give only light massage to avoid exacerbating a problem. c Refer him to a chiropractor for a lumbar adjustment. d Delay his treatment until he has seen a doctor. 8 Your client reports that he uses diuretics. What does this suggest? a He has a problem with digestion; he is prone to constipation. b He has a problem shedding excess fluid; he is prone to edema. c He has a problem retaining fluid; he is prone to dehydration. d He has a problem filtering fluid; he is prone to toxicity. 9 Your 62-year-old client reports midsession that her urine is rust colored, but that she has no pain on urination. She wants your advice on what to do. What is the best choice? a Terminate the session and call her a cab to get to the hospital. b Finish the session as usual and encourage her to visit her doctor as soon as possible. c Finish the session as usual and suggest that she take cranberry pills for her UTI. d Inform her that she may have bladder cancer and needs to consult an oncologist as soon as possible 10 You client has painful bladder syndrome. What accommodation is most likely to be needed? a She needs you to use careful language about her situation to help her feel strong and healthy. b She will not be able to tolerate massage anywhere near her abdomen. c She will have limited capacity for massage that focuses on fluid flow. d She may have neurogenic bladder and a high risk of infection.
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