Finall Exam:l NRl 576/l NR576l (NEWl
2026/l 2027l Update)l Differentiall Diagnosisl
inl Adult-Gerontologyl Primaryl Carel
Guidel |l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)-
Chamberlain
QUESTION
IBSl Riskl Factors
Answer:
female,l underl 40,l stress
QUESTION
IBSl Findings
Answer:
abdominall painl usuallyl inl LLQ,l worsel withl eatingl orl stressl andl betterl withl BMl orl
flatus,l diarrheal alternatingl withl constipation
QUESTION
IBSl Diagnostics
Answer:
historyl andl physicall examination,l CBC,l ESR
QUESTION
IBSl Treatment
,Answer:
loperamidel (Imodium)l orl diphenoxylatel (Lomotil),l stimulantl laxatives,l dicyclomine
QUESTION
IBSl Education
Answer:
Diet:l highl protein,l lowl fat,l highl fiber,l probiotics,l hydration
Identifiyl environmentall stressorsl thatl triggerl symptoms
QUESTION
Cholecystitisl riskl factors
Answer:
50+,l female,l obesity,l hyperlipidemia,l rapidl wtl loss,l pregnancy,l genetics
QUESTION
Cholecystitisl findings
Answer:
Murphy'sl sign,l nausea,l vomiting,l biliaryl colic
QUESTION
Murphy'sl sign
Answer:
painl withl palpationl ofl thel RUQl duringl inspiration
QUESTION
Cholecystitisl diagnosis
Answer:
,RUQl U/S,l HIDAl scan,l leukocytosis,l elevatedl hepaticl enzymes(l AST,l ALT,l ALP,l GGT)
QUESTION
Cholecystitisl treatment
Answer:
clearl liquids,l analgesics,l antibiotics,l surgicall removal
QUESTION
Cholecystitisl Education
Answer:
lowl fatl diet
QUESTION
Heartburn
Answer:
retrosternall burningl sensationl describedl asl extremel pain,l andl thisl makesl itl difficultl tol
distinguishl froml thatl ofl anginal pectorisl orl MI,l sometimesl describel thel painl asl radiatingl
tol thel back,l arms,l orl jaw
QUESTION
Dysuria
Answer:
painl orl al burningl sensationl onl urinationl andl canl alsol bel accompaniedl byl urinaryl
frequency,l hesitancy,l urgency,l andl strangury
QUESTION
Urinaryl Frequency
, Answer:
mayl bel al manifestationl ofl urinaryl incontinencel andl canl occurl withl neurogenicl bladderl
disorders,l prostaticl hypertrophyl inl males,l orl pelvicl organl prolapsel inl females
QUESTION
Urgel Incontinencel Causes
Answer:
Leakagel ofl urinel duel tol urinaryl tractl infection;l vaginitis;l bladderl stonesl andl tumors;l
cortical,l subcortical,l andl suprasacrall lesions;l cerebrovascularl accident;l dementia;l multiplel
sclerosis;l Parkinson'sl disease;l spinall cordl transection
Medications:l diuretics,l narcotics
QUESTION
Urgel Incontinencel Assessment
Answer:
Historyl ofl dysuria,l frequency,l urgency,l hematuria,l orl nocturia
Evidencel ofl al largel amountl ofl urinel loss
Evidencel ofl unstablel detrusorl functionl withl decreasedl capacity
Assessl perineall hygiene
Pelvicl examination,l smear,l neurologicall examination,l urinalysisl withl culturel andl
sensitivity,l cystometrogram,l video-urodynamics
QUESTION
Urgel Incontinencel Management
Answer:
Antimicrobiall agents,l antiseptics,l topicall estrogen,l anticholinergics,l smoothl musclel
relaxants,l tricyclicl antidepressantsl (imipramine)
Pelvicl floorl reeducationl withl biofeedbackl (Kegell exercises)
Promptedl voidingl andl scheduledl voiding
Fluidl intakel management
Removall ofl bladderl stones
Tumorl resectionl and/orl treatment
2026/l 2027l Update)l Differentiall Diagnosisl
inl Adult-Gerontologyl Primaryl Carel
Guidel |l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)-
Chamberlain
QUESTION
IBSl Riskl Factors
Answer:
female,l underl 40,l stress
QUESTION
IBSl Findings
Answer:
abdominall painl usuallyl inl LLQ,l worsel withl eatingl orl stressl andl betterl withl BMl orl
flatus,l diarrheal alternatingl withl constipation
QUESTION
IBSl Diagnostics
Answer:
historyl andl physicall examination,l CBC,l ESR
QUESTION
IBSl Treatment
,Answer:
loperamidel (Imodium)l orl diphenoxylatel (Lomotil),l stimulantl laxatives,l dicyclomine
QUESTION
IBSl Education
Answer:
Diet:l highl protein,l lowl fat,l highl fiber,l probiotics,l hydration
Identifiyl environmentall stressorsl thatl triggerl symptoms
QUESTION
Cholecystitisl riskl factors
Answer:
50+,l female,l obesity,l hyperlipidemia,l rapidl wtl loss,l pregnancy,l genetics
QUESTION
Cholecystitisl findings
Answer:
Murphy'sl sign,l nausea,l vomiting,l biliaryl colic
QUESTION
Murphy'sl sign
Answer:
painl withl palpationl ofl thel RUQl duringl inspiration
QUESTION
Cholecystitisl diagnosis
Answer:
,RUQl U/S,l HIDAl scan,l leukocytosis,l elevatedl hepaticl enzymes(l AST,l ALT,l ALP,l GGT)
QUESTION
Cholecystitisl treatment
Answer:
clearl liquids,l analgesics,l antibiotics,l surgicall removal
QUESTION
Cholecystitisl Education
Answer:
lowl fatl diet
QUESTION
Heartburn
Answer:
retrosternall burningl sensationl describedl asl extremel pain,l andl thisl makesl itl difficultl tol
distinguishl froml thatl ofl anginal pectorisl orl MI,l sometimesl describel thel painl asl radiatingl
tol thel back,l arms,l orl jaw
QUESTION
Dysuria
Answer:
painl orl al burningl sensationl onl urinationl andl canl alsol bel accompaniedl byl urinaryl
frequency,l hesitancy,l urgency,l andl strangury
QUESTION
Urinaryl Frequency
, Answer:
mayl bel al manifestationl ofl urinaryl incontinencel andl canl occurl withl neurogenicl bladderl
disorders,l prostaticl hypertrophyl inl males,l orl pelvicl organl prolapsel inl females
QUESTION
Urgel Incontinencel Causes
Answer:
Leakagel ofl urinel duel tol urinaryl tractl infection;l vaginitis;l bladderl stonesl andl tumors;l
cortical,l subcortical,l andl suprasacrall lesions;l cerebrovascularl accident;l dementia;l multiplel
sclerosis;l Parkinson'sl disease;l spinall cordl transection
Medications:l diuretics,l narcotics
QUESTION
Urgel Incontinencel Assessment
Answer:
Historyl ofl dysuria,l frequency,l urgency,l hematuria,l orl nocturia
Evidencel ofl al largel amountl ofl urinel loss
Evidencel ofl unstablel detrusorl functionl withl decreasedl capacity
Assessl perineall hygiene
Pelvicl examination,l smear,l neurologicall examination,l urinalysisl withl culturel andl
sensitivity,l cystometrogram,l video-urodynamics
QUESTION
Urgel Incontinencel Management
Answer:
Antimicrobiall agents,l antiseptics,l topicall estrogen,l anticholinergics,l smoothl musclel
relaxants,l tricyclicl antidepressantsl (imipramine)
Pelvicl floorl reeducationl withl biofeedbackl (Kegell exercises)
Promptedl voidingl andl scheduledl voiding
Fluidl intakel management
Removall ofl bladderl stones
Tumorl resectionl and/orl treatment
