1|Page
FNP-652 Midterm EXAM VERSION 3 LATEST ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+
What is the most common cause of neonatal obstruction?
......ANSWER......Hirschsprung Disease
What is the definition of Hirschsprung disease?
......ANSWER......Congenital absence of ganglion cells in section of
large intestine which results in lack of motility
What is the gold standard for diagnosis of Hirschsprung Disease?
......ANSWER......Biopsy
A 1 month old infant is brought in by his mother with complaints of
multiple episodes of forceful vomiting that is getting worse. What
condition would you suspect? ......ANSWER......Pyloric Stenosis
A 1 month old infant is brought in by his mother with constant hunger
and weight loss despite the mother trying to supplement his feeding.
He has had regular bouts of vomiting, which the mother thought was
normal for infants. You palpate an olive shaped mass in the right
upper quadrant of the abdomen. What diagnosis do you suspect?
......ANSWER......Pyloric Stenosis
pg. 1
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What is the treatment for Zollinger-Ellison Syndrome?
......ANSWER......PPI
What percentage of weight loss is enough to improve obesity related
co-morbidities? ......ANSWER......5-10%
What medication for obesity blocks the digestion and absorption of
fat in the stomach and small intestines? ......ANSWER......Orlistat
What are the ranges for BMI for class I, II and III of obesity?
......ANSWER......I >30- <35
II >35-<40
III >40
What frequency and duration of GI symptoms constitutes irritable
bowel syndrome? ......ANSWER......Symptoms present at least 3 days a
month for at least 3 months.
A 30 year old female patient presents with complaints of cramping
abdominal pain with frequent diarrhea for the past year. She has had
no weight loss or blood in her stool. She frequently feels bloated and
as though she cannot go out with friends, because she needs to use
the restroom so frequently. What diagnosis do you suspect?
......ANSWER......Irritable bowel syndrome
pg. 2
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An emergent condition where one bowel segment becomes
invaginated into another ......ANSWER......Intussusception
Mother presents with her 2 year old child who is complaining of
severe abdominal pain and 4 episodes of vomiting in the last 24 hours.
He has had 4 episodes of "currant jelly" like stool, and the most recent
one had blood in it. What diagnosis do you suspect?
......ANSWER......Intussusception
What is the gold standard for diagnosis of intussusception?
......ANSWER......abdominal ultrasound
What condition is associated with a "bulls eye" or "coiled spring"
appearance when seen on fluoroscopy or ultrasound?
......ANSWER......Intussusception
What is the treatment for intussusception? ......ANSWER......Air
contrast enema under fluoroscopy
What types of viral hepatitis are self limiting and cause only acute
viral disease and have complete viral clearance?
......ANSWER......Hepatitis A and E
pg. 3
, 4|Page
What types of viral hepatitis can result in chronic infections?
......ANSWER......Hepatitis B, C, and D
A patient who is newly diagnosed with GERD should receive what type
of medication as first line treatment? ......ANSWER......H2 Antagonist
(ex: Ranitidine, Famotidine)
A 10 year old female patient presents to the clinic with her mother
with complaints of ongoing generalized abdominal pain over the last 6
months. Her stool is negative for occult blood and she is absent of any
alarm symptoms. All previous imagining and work up has come back
negative. The pain is intermittent, and is unrelated to meals,
movement or activity. Pain medications thus far have been ineffective,
and the school is sending letters home regarding the child's many
absences. What condition do you suspect? ......ANSWER......Functional
Abdominal Pain
Which liver enzyme is typically higher in Non-alcoholic fatty liver
disease? ALT or AST? ......ANSWER......ALT
What are potential causes of non alcoholic fatty liver disease?
......ANSWER......Obesity, DM, hypertriglyceridemia associated with
insulin resistance as a part of metabolic syndrome
What are the "2 hits" in non-alcoholic fatty liver disease?
......ANSWER......1-insulin resistance and altered lipid metabolism
resulting in fatty acids infiltrating the liver.
pg. 4
FNP-652 Midterm EXAM VERSION 3 LATEST ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+
What is the most common cause of neonatal obstruction?
......ANSWER......Hirschsprung Disease
What is the definition of Hirschsprung disease?
......ANSWER......Congenital absence of ganglion cells in section of
large intestine which results in lack of motility
What is the gold standard for diagnosis of Hirschsprung Disease?
......ANSWER......Biopsy
A 1 month old infant is brought in by his mother with complaints of
multiple episodes of forceful vomiting that is getting worse. What
condition would you suspect? ......ANSWER......Pyloric Stenosis
A 1 month old infant is brought in by his mother with constant hunger
and weight loss despite the mother trying to supplement his feeding.
He has had regular bouts of vomiting, which the mother thought was
normal for infants. You palpate an olive shaped mass in the right
upper quadrant of the abdomen. What diagnosis do you suspect?
......ANSWER......Pyloric Stenosis
pg. 1
,2|Page
What is the treatment for Zollinger-Ellison Syndrome?
......ANSWER......PPI
What percentage of weight loss is enough to improve obesity related
co-morbidities? ......ANSWER......5-10%
What medication for obesity blocks the digestion and absorption of
fat in the stomach and small intestines? ......ANSWER......Orlistat
What are the ranges for BMI for class I, II and III of obesity?
......ANSWER......I >30- <35
II >35-<40
III >40
What frequency and duration of GI symptoms constitutes irritable
bowel syndrome? ......ANSWER......Symptoms present at least 3 days a
month for at least 3 months.
A 30 year old female patient presents with complaints of cramping
abdominal pain with frequent diarrhea for the past year. She has had
no weight loss or blood in her stool. She frequently feels bloated and
as though she cannot go out with friends, because she needs to use
the restroom so frequently. What diagnosis do you suspect?
......ANSWER......Irritable bowel syndrome
pg. 2
,3|Page
An emergent condition where one bowel segment becomes
invaginated into another ......ANSWER......Intussusception
Mother presents with her 2 year old child who is complaining of
severe abdominal pain and 4 episodes of vomiting in the last 24 hours.
He has had 4 episodes of "currant jelly" like stool, and the most recent
one had blood in it. What diagnosis do you suspect?
......ANSWER......Intussusception
What is the gold standard for diagnosis of intussusception?
......ANSWER......abdominal ultrasound
What condition is associated with a "bulls eye" or "coiled spring"
appearance when seen on fluoroscopy or ultrasound?
......ANSWER......Intussusception
What is the treatment for intussusception? ......ANSWER......Air
contrast enema under fluoroscopy
What types of viral hepatitis are self limiting and cause only acute
viral disease and have complete viral clearance?
......ANSWER......Hepatitis A and E
pg. 3
, 4|Page
What types of viral hepatitis can result in chronic infections?
......ANSWER......Hepatitis B, C, and D
A patient who is newly diagnosed with GERD should receive what type
of medication as first line treatment? ......ANSWER......H2 Antagonist
(ex: Ranitidine, Famotidine)
A 10 year old female patient presents to the clinic with her mother
with complaints of ongoing generalized abdominal pain over the last 6
months. Her stool is negative for occult blood and she is absent of any
alarm symptoms. All previous imagining and work up has come back
negative. The pain is intermittent, and is unrelated to meals,
movement or activity. Pain medications thus far have been ineffective,
and the school is sending letters home regarding the child's many
absences. What condition do you suspect? ......ANSWER......Functional
Abdominal Pain
Which liver enzyme is typically higher in Non-alcoholic fatty liver
disease? ALT or AST? ......ANSWER......ALT
What are potential causes of non alcoholic fatty liver disease?
......ANSWER......Obesity, DM, hypertriglyceridemia associated with
insulin resistance as a part of metabolic syndrome
What are the "2 hits" in non-alcoholic fatty liver disease?
......ANSWER......1-insulin resistance and altered lipid metabolism
resulting in fatty acids infiltrating the liver.
pg. 4
