Nurs 621 Exam 2 Questions with Correct Answers |
Latest 2026
3 week old infant presents with projectile non-bilious vomiting after feeding and a palpable
olive-shaped mass in the RUQ. What is the next best step?
A. Upper GI series
B. Abdomen X-ray
C. Stool Culture
D. Colonoscopy
A. Upper GI series
A 45 year old woman presents with right upper quadrant pain and fever. The pain is worse
after eating. On physical exam she has a Murphy's sign. The most likely diagnosis is:
A. Appendicitis
B. Diverticulitis
C. Cholelithiasis
D. Cholecystitis
E. Mesenteric Ischemia
D. Cholecystitis
The answer is D. Right upper quadrant pain, fever and a Murphy's sign suggests cholecystitis.
Cholelithiasis presents with similar pain, but is not associated with fever or a Murphy's sign
,35 year old man with intermittent LLQ pain, bloating, and relief with defamation is being
evaluated. No blood is seen in the stool. What is the most likely diagnosis?
A. Ulcerative Colitis
B. Diverticulitis
C. IBS
D. Crohn's disease
C. IBS
52 year old man with a history of GERD presents with worsening heartburn, especially at
night, and regurgitation. What is the most appropriate initial diagnostic step?
A. Colonoscopy
B. Upper Endoscopy
C. Abdominal ultrasound
D. H. Pylori breath test
2. Upper Endoscopy
28 year old woman presents with epigastric pain relieved by eating. She tests positive for H.
Pylori. What is the appropriate treatment?
A. PPI only
B. Antacids and diet modification
C.Triple therapy with PPI, Clarithromycin, and amoxicillin
D. Sucralfate alone
C. Triple therapy with PPI, Clarithromycin, and Amoxicillin
, 60 year old man presents with sudden severe abdominal pain, rigid abdomen, and free air
under the diaphragm on x-ray. What is the most likely diagnosis?
A. Pancreatitis
B. Perforated Ulcer
C. Appendicitis
D. Diverticulitis
B. Perforated ulcer
47 year old woman has recurrent RUQ pain after meals. Ultrasound reveals gallstones
without inflammation. What is the diagnosis?
A. Cholecystitis
B. GERD
C. Cholelithiasis
D. Hepatitis
C. Cholelithiasis
70 year old male presents with LLQ pain, fever, and elevated WBC. CT abdomen shows
localized colonic wall thickening and fat stranding. Diagnosis?
A. Crohn's disease
B. Colon Cancer
C. Appendicitis
D. Diverticulitis
D. Diverticulitisl
Latest 2026
3 week old infant presents with projectile non-bilious vomiting after feeding and a palpable
olive-shaped mass in the RUQ. What is the next best step?
A. Upper GI series
B. Abdomen X-ray
C. Stool Culture
D. Colonoscopy
A. Upper GI series
A 45 year old woman presents with right upper quadrant pain and fever. The pain is worse
after eating. On physical exam she has a Murphy's sign. The most likely diagnosis is:
A. Appendicitis
B. Diverticulitis
C. Cholelithiasis
D. Cholecystitis
E. Mesenteric Ischemia
D. Cholecystitis
The answer is D. Right upper quadrant pain, fever and a Murphy's sign suggests cholecystitis.
Cholelithiasis presents with similar pain, but is not associated with fever or a Murphy's sign
,35 year old man with intermittent LLQ pain, bloating, and relief with defamation is being
evaluated. No blood is seen in the stool. What is the most likely diagnosis?
A. Ulcerative Colitis
B. Diverticulitis
C. IBS
D. Crohn's disease
C. IBS
52 year old man with a history of GERD presents with worsening heartburn, especially at
night, and regurgitation. What is the most appropriate initial diagnostic step?
A. Colonoscopy
B. Upper Endoscopy
C. Abdominal ultrasound
D. H. Pylori breath test
2. Upper Endoscopy
28 year old woman presents with epigastric pain relieved by eating. She tests positive for H.
Pylori. What is the appropriate treatment?
A. PPI only
B. Antacids and diet modification
C.Triple therapy with PPI, Clarithromycin, and amoxicillin
D. Sucralfate alone
C. Triple therapy with PPI, Clarithromycin, and Amoxicillin
, 60 year old man presents with sudden severe abdominal pain, rigid abdomen, and free air
under the diaphragm on x-ray. What is the most likely diagnosis?
A. Pancreatitis
B. Perforated Ulcer
C. Appendicitis
D. Diverticulitis
B. Perforated ulcer
47 year old woman has recurrent RUQ pain after meals. Ultrasound reveals gallstones
without inflammation. What is the diagnosis?
A. Cholecystitis
B. GERD
C. Cholelithiasis
D. Hepatitis
C. Cholelithiasis
70 year old male presents with LLQ pain, fever, and elevated WBC. CT abdomen shows
localized colonic wall thickening and fat stranding. Diagnosis?
A. Crohn's disease
B. Colon Cancer
C. Appendicitis
D. Diverticulitis
D. Diverticulitisl
