Emergency Medical Technician (EMT) Practice Test

Which statement best describes early signs of ulcer vs. later signs?

1. Burning pain in LUQ; Hematemesis; Hematochezia; Melena

2. Dull pain at umbilicus in early stages; RLQ pain at McBurney point later

3. High blood pressure; Diabetes; Blurred vision; Headaches; Edema

4. Open wound in GI tract; Breakdown of protective lining leading to bleeding/perforation

The correct answer is: Dull pain at umbilicus in early stages; RLQ pain at McBurney point later

The correct choice highlights the progression of symptoms associated with ulcer development. In the early stages of an ulcer, patients may experience a dull pain around the umbilicus, which is often less intense and more generalized. As the ulcer progresses, the pain becomes more localized and severe, often presenting as right lower quadrant pain near McBurney's point, which indicates a potential complication or irritation associated with an advancing digestive issue. This progression of symptoms is typical for gastrointestinal issues, where early discomfort can shift to more acute pain as conditions worsen. Recognizing this change in pain location and intensity is crucial in providing timely and appropriate medical interventions. The other options do not accurately differentiate the symptom progression of ulcers. While they mention other conditions and symptoms, they do not reflect the specific nature of ulcer pain and its evolution, making them less relevant in describing early versus later signs of ulceration.