NURS 5463 UPDATED EXAMS SCRIPT ALL
QUESTIONS AND ANSWERS SURE A+
✔✔Causes of RUQ pain - ✔✔Gallbladder, liver, perforated ulcer, pancreatitis
✔✔Causes of RLQ pain - ✔✔App, IBD, hernia, gastroenteritis, ischemic colitis, kidney
stone, ectopic pregnancy, diverticulitis (but esp LLQ)
✔✔Causes of LUQ pain - ✔✔Gastritis, PUD, pancreatitis, splenic enlargement/rupture,
LLL PNA, AMI, pyelonephritis
✔✔Causes of LLQ pain - ✔✔Diverticulitis**, IBD, GE, ischemic colitis, hernia, kid stone,
ectopic
✔✔Causes of epigastric pain - ✔✔PUD, pancreatitis, biliary colic, gallbladder,
esophagitis, GERD, cholangitis, MI, aortic dissection, mesenteric ischemia
✔✔Causes of periumbilical pain - ✔✔SBO, GE, early appendicitis, aortic dissection,
mesenteric ischemia
✔✔Causes of diffuse abd pain - ✔✔GE, peritonitis, perf, GI bleed, obstruction,
mesenteric ischemia
, ✔✔What radiology scan is good for unexplained abd pain? - ✔✔CT abd
✔✔What test do you need if you suspect mesenteric ischemia? - ✔✔CTA abd
✔✔What does free air under the diaphragm on a KUB indicate? - ✔✔Bowel perf
✔✔What is a HIDA scan good for? - ✔✔Liver, bile ducts, gallbladder
✔✔What do high-pitched bowel sounds indicate? - ✔✔Possible bowel obstruction
✔✔How long do you have to listen if bowel sounds are absent? - ✔✔4 minutes
✔✔What does rebound tenderness indicate? - ✔✔Peritoneal irritation
✔✔What does dullness indicate on an abd exam? - ✔✔Ascites
✔✔Most common cause of syncope - ✔✔vagal response
✔✔"The worst headache of my life" - ✔✔subarachnoid hemorrhage
✔✔Work-up if presenting with HA and known hx of HA? - ✔✔No w/u needed unless
new/worsening s/s
✔✔What labs do you need for HA with scalp tenderness or suspected arteritis? -
✔✔ESR or CRP
✔✔Labs for suspected vasculitis - ✔✔ANA, ANCA
✔✔Onset of migraines after age 50 need - ✔✔MRI brain
✔✔primary team goes off duty and on-call team comes on - ✔✔shift change
✔✔stays on same service, but transferred to another hospitalist team - ✔✔service
change
✔✔transferred to an entirely different service (ex. hospitalist to critical care team) -
✔✔service transfer
✔✔Who is at highest risk for 30-day readmission rate? - ✔✔elderly and heart failure
patients
✔✔Requirements for rehab - ✔✔tolerate 3h of rehab per day
QUESTIONS AND ANSWERS SURE A+
✔✔Causes of RUQ pain - ✔✔Gallbladder, liver, perforated ulcer, pancreatitis
✔✔Causes of RLQ pain - ✔✔App, IBD, hernia, gastroenteritis, ischemic colitis, kidney
stone, ectopic pregnancy, diverticulitis (but esp LLQ)
✔✔Causes of LUQ pain - ✔✔Gastritis, PUD, pancreatitis, splenic enlargement/rupture,
LLL PNA, AMI, pyelonephritis
✔✔Causes of LLQ pain - ✔✔Diverticulitis**, IBD, GE, ischemic colitis, hernia, kid stone,
ectopic
✔✔Causes of epigastric pain - ✔✔PUD, pancreatitis, biliary colic, gallbladder,
esophagitis, GERD, cholangitis, MI, aortic dissection, mesenteric ischemia
✔✔Causes of periumbilical pain - ✔✔SBO, GE, early appendicitis, aortic dissection,
mesenteric ischemia
✔✔Causes of diffuse abd pain - ✔✔GE, peritonitis, perf, GI bleed, obstruction,
mesenteric ischemia
, ✔✔What radiology scan is good for unexplained abd pain? - ✔✔CT abd
✔✔What test do you need if you suspect mesenteric ischemia? - ✔✔CTA abd
✔✔What does free air under the diaphragm on a KUB indicate? - ✔✔Bowel perf
✔✔What is a HIDA scan good for? - ✔✔Liver, bile ducts, gallbladder
✔✔What do high-pitched bowel sounds indicate? - ✔✔Possible bowel obstruction
✔✔How long do you have to listen if bowel sounds are absent? - ✔✔4 minutes
✔✔What does rebound tenderness indicate? - ✔✔Peritoneal irritation
✔✔What does dullness indicate on an abd exam? - ✔✔Ascites
✔✔Most common cause of syncope - ✔✔vagal response
✔✔"The worst headache of my life" - ✔✔subarachnoid hemorrhage
✔✔Work-up if presenting with HA and known hx of HA? - ✔✔No w/u needed unless
new/worsening s/s
✔✔What labs do you need for HA with scalp tenderness or suspected arteritis? -
✔✔ESR or CRP
✔✔Labs for suspected vasculitis - ✔✔ANA, ANCA
✔✔Onset of migraines after age 50 need - ✔✔MRI brain
✔✔primary team goes off duty and on-call team comes on - ✔✔shift change
✔✔stays on same service, but transferred to another hospitalist team - ✔✔service
change
✔✔transferred to an entirely different service (ex. hospitalist to critical care team) -
✔✔service transfer
✔✔Who is at highest risk for 30-day readmission rate? - ✔✔elderly and heart failure
patients
✔✔Requirements for rehab - ✔✔tolerate 3h of rehab per day
