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Mr. Johnson, age 69, has had Meniere disease for several years. He has
some hearing loss but now has persistent vertigo. What treatment might
be instituted to relieve the vertigo?
1.A labyrinthectomy.
2.Pharmacological therapy.
3.A vestibular neurectomy.
,4.Wearing an earplug in the ear that has the most hearing loss. -
ANSWER ✔✔3.
A vestibular neurectomy.
Treatment for achalasia may include:
1. Balloon dilation of the lower esophageal sphincter.
2. Beta blockers.
3. A fundoplication.
4. An esophagogastrectomy. - ANSWER ✔✔1. Balloon dilation of the
LES
Which oral medication might be used to treat a client with chronic
cholelithiasis who is a poor candidate for surgery?
1.Ursodiol (Actigall).
2.Ibuprofen (Advil).
3.Prednisone (Deltasone).
4.Surgery is the only answer. - ANSWER ✔✔1. Ursodiol (Actigall)
All of the following medications are used for the control of nausea and
vomiting. Which medication works by affecting the chemoreceptor trigger
,zone, thereby stimulating upper gastrointestinal motility and increasing
lower esophageal sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine (Compazine).
3.Antidopaminergic and cholinergic agents, such as metoclopramide
(Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol). - ANSWER
✔✔3.Antidopaminergic and cholinergic agents, such as metoclopramide
(Reglan).
You auscultate Julie's abdomen and hear a peritoneal friction rub. Which
condition do you rule out?
1.Peritonitis.
2.A liver or spleen abscess.
3.A liver or spleen metastatic tumor.
4.Irritable bowel syndrome. - ANSWER ✔✔4. IBS
Which is the most common presenting symptom of gastric cancer?
1.Weight loss.
2.Dysphagia.
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, 3.Hematemesis.
4.Gastrointestinal bleeding. - ANSWER ✔✔1. Weight loss
The metabolism of which drug is not affected in Marsha, age 74?
1.Alcohol.
2.Anticonvulsants.
3.Psychotropics.
4.Oral anticoagulants. - ANSWER ✔✔1. Alcohol
Nausea is difficult to discern in a young child. What question might you
ask to determine if a child has nausea?
1."Are you sick to your tummy?"
2."Are you hungry?"
3."Are you eating the way you normally eat?"
4."Are you nauseous?" - ANSWER ✔✔2.
"Are you hungry?"
Zena just had a hemorrhoidectomy. You know she has not understood
your teaching when she tells you she will:
1.Take a sitz bath after each bowel movement for 1 to 2 weeks after
surgery.