NURbn631bnExambn2
1. Whatbnarebnexamplesbnofbnthingsbnthatbncanbncausebnvisceralbnpain?:bnIntestine,bnbiliarybntree,bnl
iverbndisease
2. Whatbnarebnexamplesbnofbnthingsbnthatbncanbncausebnparietalbnpain?:bnAppendicitis,bnperitonit
is
3. Whatbnarebnexamplesbnofbnthingsbnthatbncanbncausebnreferredbnpain?:bnCholecystitis
4. Whatbnarebnexamplesbnofbnthingsbnthatbncanbncausebncolickybnpain?:bnRenalbnstones
5. Whatb n isb n theb n orderb n inb n whichb n youb n shouldb n performb n anb n abdominalb n physicalb n e
xam?-
:bn1.bninspection
2. auscultation
3. percussion
4. palpation
6. Whatb n diagnosisb n wouldb n youb n considerb n forb n ab n 30b n yearb n oldb n withb n heartb n bu
rn,b n earlybnsatiety,bnburpingbnandbngeneralizedbnabdominalbnpain?:bnDyspepsiabnrelatedbntobn
gastritis
7. Whatbndiagnosisbnwouldbnyoubnconsiderbnforbnabn50bnYEARbnOLDbnSMOKERbnwithbnh
eartb n burnbnandbnabdominalbnpain?:bnColonbncancer
8. Howb n highb n isb n theb n bilirubinb n levelb n whenb n theb n patientb n isb n startingb n tob n develop
bn physicalbnjaundice?:bn2.5bnorbnhigher
9. bilirubinbnisbnunconjugated,bnwhichbnmeansbnthatbnitbnhasbnnotbnbee
nbnmetabolizedbnbybnthebnliverbnorbnmadebnintobnabnwaterbnsolublebnformbnofbnbilirubin:bn
Indirectbnbilirubin
10. isbn processedbn bilirubinbn thatbn isbn waterbn soluble:bn Directbnbilirubin
11. Whatb n areb n someb n ofb n theb n causesb n ofb n elevatedb n indirectb n bilirubinb n levels?:b n -
, NURbn631bnExambn2
hemolysis
bn
- heartbnfailure
- Gilbertbnsyndrome
- neonates
- hyperthyroidism
- chronicbnhepatitisbn&bnadvancedbnliverbncirrhosis
12. Whatbnarebnsomebnofbnthebncausesbnofbnelevatedbndirectbnbilirubinbnlevels?:bn-
choledocholithi-bnasis
bn
- tumors
- AIDS
- acute/chronicbnpancreatitis
- viralbnhepatitis
, NURbn631bnExambn2
- alcoholicbnhepaitits
- biliarybntreebncholangitis
- sepsis
- TPN
- postoperativeb n cholestasis
- sicklebncellbndisease
- pregnancy
- endbnstagebnliverbndisease
13. Whatbndoesbnabnhistorybnofbnfever,bnchillsbnandbnRUQbnpainbnindicate?:bnAcutebncholangitis
14. Whatb n doesb n RUQb n painb n withb n ab n historyb n ofb n anorexia,b n malaiseb n andb n myalg
iasb n indi-bncate?:bnViralbnhepatitis
15. Whatbnisbnthebnterminologybnforbnwhenbnthebngallbladderbnisbnsobndistendedbnthatb
n youbncanbnpalpatebnit?:bnCourvoiserbnSign
16. Whatb n isb n theb n terminologyb n forb n inspiratoryb n arrestb n thatb n occursb n whenb n y
oub n areb n puttingbnpressurebnonbnthebnRUQbnduebntobninflammedbngallbladder?:bnMur
phey'sbnSign
17. Whichb n liverb n enzymeb n isb n specificb n forb n hepatocytes?:b n ALT
18. Whichbnliverbnenzymebnisbnmorebnspecificbntobnalcohol,bnstatinsbnandbntylenolbnuse?:bn
AST
19. IfbnthebnratiobnofbnASTbntobnALTbnisbn2bntobn1,bnwhatbndoesbnthisbnindicate?:bnLiverbndamagebn
duebntobnalcohol,bnstatinsbnorbntylenol
20. IfbnthebnratiobnofbnALTbnisbntwicebnasbnhighbnasbnAST,bnwhatbndoesbnthisbnindicate?:bnViralbnh
epatitis
21. WhatbnisbnthebnnormalbnrangebnforbnALTbnandbnAST?:bn30-40
, NURbn631bnExambn2
22. WhatbndoesbnanbnelevatedbnALT,bnASTbnandbnAlkbnPhosbnindicate?:bnGallbladderbnobstruction
23. WhatbnarebnthebnsignsbnandbnsymptomsbninbnabnpatientbnthatbnhasbnMILDbnmelena?:bnRe
stingbntachycardia
24. Whatbnarebnthebnsignsbnandbnsymptomsbninbnabnpatientbnthatbnhasbnmelenabnwithbnab
n bloodbnvolumebnlossbnofbnatbnleastbn15%?:bnOrthostaticbnhypotension
25. Whatb n areb n theb n signsb n andb n symptomsb n ofb n ab n patientb n thatb n hasb n melenab n wit
hb n ab n bloodbnvolumebnlossbnofbnatbnleastbn40%?:bnSupinebnhypotensionbn+bnabdominalbnpain
26. Whatbntypebnofbnanemiabnwouldbnsomeonebnwithbnmelenabnhave?:bnIronbndeficiencybnanemi
a
27. WhatbnisbnthebngoldbnstandardbndiagnosticbntestbnforbnabnpatientbnwithbnMelena?:bn Endo
scopy
28. Whatb n areb n theb n leadingb n causesb n forb n dysphagia?:b n Alzheimerbndiseasebn+bnstroke
1. Whatbnarebnexamplesbnofbnthingsbnthatbncanbncausebnvisceralbnpain?:bnIntestine,bnbiliarybntree,bnl
iverbndisease
2. Whatbnarebnexamplesbnofbnthingsbnthatbncanbncausebnparietalbnpain?:bnAppendicitis,bnperitonit
is
3. Whatbnarebnexamplesbnofbnthingsbnthatbncanbncausebnreferredbnpain?:bnCholecystitis
4. Whatbnarebnexamplesbnofbnthingsbnthatbncanbncausebncolickybnpain?:bnRenalbnstones
5. Whatb n isb n theb n orderb n inb n whichb n youb n shouldb n performb n anb n abdominalb n physicalb n e
xam?-
:bn1.bninspection
2. auscultation
3. percussion
4. palpation
6. Whatb n diagnosisb n wouldb n youb n considerb n forb n ab n 30b n yearb n oldb n withb n heartb n bu
rn,b n earlybnsatiety,bnburpingbnandbngeneralizedbnabdominalbnpain?:bnDyspepsiabnrelatedbntobn
gastritis
7. Whatbndiagnosisbnwouldbnyoubnconsiderbnforbnabn50bnYEARbnOLDbnSMOKERbnwithbnh
eartb n burnbnandbnabdominalbnpain?:bnColonbncancer
8. Howb n highb n isb n theb n bilirubinb n levelb n whenb n theb n patientb n isb n startingb n tob n develop
bn physicalbnjaundice?:bn2.5bnorbnhigher
9. bilirubinbnisbnunconjugated,bnwhichbnmeansbnthatbnitbnhasbnnotbnbee
nbnmetabolizedbnbybnthebnliverbnorbnmadebnintobnabnwaterbnsolublebnformbnofbnbilirubin:bn
Indirectbnbilirubin
10. isbn processedbn bilirubinbn thatbn isbn waterbn soluble:bn Directbnbilirubin
11. Whatb n areb n someb n ofb n theb n causesb n ofb n elevatedb n indirectb n bilirubinb n levels?:b n -
, NURbn631bnExambn2
hemolysis
bn
- heartbnfailure
- Gilbertbnsyndrome
- neonates
- hyperthyroidism
- chronicbnhepatitisbn&bnadvancedbnliverbncirrhosis
12. Whatbnarebnsomebnofbnthebncausesbnofbnelevatedbndirectbnbilirubinbnlevels?:bn-
choledocholithi-bnasis
bn
- tumors
- AIDS
- acute/chronicbnpancreatitis
- viralbnhepatitis
, NURbn631bnExambn2
- alcoholicbnhepaitits
- biliarybntreebncholangitis
- sepsis
- TPN
- postoperativeb n cholestasis
- sicklebncellbndisease
- pregnancy
- endbnstagebnliverbndisease
13. Whatbndoesbnabnhistorybnofbnfever,bnchillsbnandbnRUQbnpainbnindicate?:bnAcutebncholangitis
14. Whatb n doesb n RUQb n painb n withb n ab n historyb n ofb n anorexia,b n malaiseb n andb n myalg
iasb n indi-bncate?:bnViralbnhepatitis
15. Whatbnisbnthebnterminologybnforbnwhenbnthebngallbladderbnisbnsobndistendedbnthatb
n youbncanbnpalpatebnit?:bnCourvoiserbnSign
16. Whatb n isb n theb n terminologyb n forb n inspiratoryb n arrestb n thatb n occursb n whenb n y
oub n areb n puttingbnpressurebnonbnthebnRUQbnduebntobninflammedbngallbladder?:bnMur
phey'sbnSign
17. Whichb n liverb n enzymeb n isb n specificb n forb n hepatocytes?:b n ALT
18. Whichbnliverbnenzymebnisbnmorebnspecificbntobnalcohol,bnstatinsbnandbntylenolbnuse?:bn
AST
19. IfbnthebnratiobnofbnASTbntobnALTbnisbn2bntobn1,bnwhatbndoesbnthisbnindicate?:bnLiverbndamagebn
duebntobnalcohol,bnstatinsbnorbntylenol
20. IfbnthebnratiobnofbnALTbnisbntwicebnasbnhighbnasbnAST,bnwhatbndoesbnthisbnindicate?:bnViralbnh
epatitis
21. WhatbnisbnthebnnormalbnrangebnforbnALTbnandbnAST?:bn30-40
, NURbn631bnExambn2
22. WhatbndoesbnanbnelevatedbnALT,bnASTbnandbnAlkbnPhosbnindicate?:bnGallbladderbnobstruction
23. WhatbnarebnthebnsignsbnandbnsymptomsbninbnabnpatientbnthatbnhasbnMILDbnmelena?:bnRe
stingbntachycardia
24. Whatbnarebnthebnsignsbnandbnsymptomsbninbnabnpatientbnthatbnhasbnmelenabnwithbnab
n bloodbnvolumebnlossbnofbnatbnleastbn15%?:bnOrthostaticbnhypotension
25. Whatb n areb n theb n signsb n andb n symptomsb n ofb n ab n patientb n thatb n hasb n melenab n wit
hb n ab n bloodbnvolumebnlossbnofbnatbnleastbn40%?:bnSupinebnhypotensionbn+bnabdominalbnpain
26. Whatbntypebnofbnanemiabnwouldbnsomeonebnwithbnmelenabnhave?:bnIronbndeficiencybnanemi
a
27. WhatbnisbnthebngoldbnstandardbndiagnosticbntestbnforbnabnpatientbnwithbnMelena?:bn Endo
scopy
28. Whatb n areb n theb n leadingb n causesb n forb n dysphagia?:b n Alzheimerbndiseasebn+bnstroke
