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General Medicine · Gastroenterology
Sample itemWhat stool appearance can indicate upper gastrointestinal bleeding?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Melena
Melena is black tarry stool caused by digestion of blood in the gastrointestinal tract and can signal significant upper gastrointestinal bleeding.
Option by option
A. Melena (correct)
Correct: digested blood produces black tarry melena.
B. Bright green stool
Bright green stool is not the classic digested-blood appearance.
C. Normal formed stool
Normal stool does not indicate upper gastrointestinal bleeding.
D. Clay-colored stool only
Clay-colored stool suggests reduced bile pigment.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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