NR 507 FINAL EXAM 2026 COMPREHENSIVE
ASSESSMENT SCRIPT SOLVED QUESTIONS
ANSWERS UPDATED REVIEW SET
◉ Importance of C-reactive protein in diagnosing appendicitis.
Answer: Increased C-reactive protein indicates systemic
inflammation associated with appendicitis.
◉ Typical pain pattern associated with appendicitis.
Answer: Pain typically starts as periumbilical pain and later localizes
to the right lower quadrant (RLQ).
◉ Role of imaging in diagnosing appendicitis.
Answer: Imaging such as abdominal ultrasound, CT scan, and MRI
are used to confirm the diagnosis of appendicitis.
◉ Major risk factor for GERD associated with Hiatal Hernia.
Answer: Diaphragmatic weakness.
◉ Contributing factors to Hiatal Hernia.
,Answer: Aging, obesity, pregnancy, increased intra-abdominal
pressure (chronic coughing or Valsalva maneuver), and structural
abnormalities of the diaphragm.
◉ Hiatal Hernia.
Answer: A condition caused by aging, obesity, pregnancy, increased
intra-abdominal pressure (chronic coughing or Valsalva maneuver),
and structural abnormalities of the diaphragm.
◉ Lifestyle modification for Hiatal Hernia.
Answer: Eating small, frequent meals.
◉ Medications for Hiatal Hernia.
Answer: Antacids, H2 receptor blockers, proton pump inhibitors,
and prokinetic agents.
◉ Primary cause of Duodenal Ulcer.
Answer: H. pylori infection.
◉ Aggressive factors in Duodenal Ulcer.
Answer: Gastric acid, pepsin, H. pylori, and NSAIDs.
◉ Defensive factors against Duodenal Ulcer.
, Answer: Mucus-bicarbonate layer, prostaglandins, and cellular
repair mechanisms.
◉ Characteristic symptom of Duodenal Ulcer.
Answer: Chronic intermittent pain in the epigastric area, typically
occurring 30 minutes to 2 hours after eating.
◉ Gold standard for diagnosing Peptic Ulcer Disease (PUD).
Answer: Endoscopy.
◉ Common risk factors for Gastric Ulcer.
Answer: H. pylori infection, NSAIDs, smoking, excessive alcohol
consumption, stress, family history, and age.
◉ Difference between erosion and ulcer in Peptic Ulcer Disease.
Answer: An ulcer is a deeper break in the mucosal lining compared
to an erosion.
◉ Protective mechanisms against Peptic Ulcer Disease.
Answer: Mucus and bicarbonate secretion, prostaglandins, mucosal
blood flow, and epithelial cell renewal.
◉ Symptoms associated with Ulcerative Colitis.
ASSESSMENT SCRIPT SOLVED QUESTIONS
ANSWERS UPDATED REVIEW SET
◉ Importance of C-reactive protein in diagnosing appendicitis.
Answer: Increased C-reactive protein indicates systemic
inflammation associated with appendicitis.
◉ Typical pain pattern associated with appendicitis.
Answer: Pain typically starts as periumbilical pain and later localizes
to the right lower quadrant (RLQ).
◉ Role of imaging in diagnosing appendicitis.
Answer: Imaging such as abdominal ultrasound, CT scan, and MRI
are used to confirm the diagnosis of appendicitis.
◉ Major risk factor for GERD associated with Hiatal Hernia.
Answer: Diaphragmatic weakness.
◉ Contributing factors to Hiatal Hernia.
,Answer: Aging, obesity, pregnancy, increased intra-abdominal
pressure (chronic coughing or Valsalva maneuver), and structural
abnormalities of the diaphragm.
◉ Hiatal Hernia.
Answer: A condition caused by aging, obesity, pregnancy, increased
intra-abdominal pressure (chronic coughing or Valsalva maneuver),
and structural abnormalities of the diaphragm.
◉ Lifestyle modification for Hiatal Hernia.
Answer: Eating small, frequent meals.
◉ Medications for Hiatal Hernia.
Answer: Antacids, H2 receptor blockers, proton pump inhibitors,
and prokinetic agents.
◉ Primary cause of Duodenal Ulcer.
Answer: H. pylori infection.
◉ Aggressive factors in Duodenal Ulcer.
Answer: Gastric acid, pepsin, H. pylori, and NSAIDs.
◉ Defensive factors against Duodenal Ulcer.
, Answer: Mucus-bicarbonate layer, prostaglandins, and cellular
repair mechanisms.
◉ Characteristic symptom of Duodenal Ulcer.
Answer: Chronic intermittent pain in the epigastric area, typically
occurring 30 minutes to 2 hours after eating.
◉ Gold standard for diagnosing Peptic Ulcer Disease (PUD).
Answer: Endoscopy.
◉ Common risk factors for Gastric Ulcer.
Answer: H. pylori infection, NSAIDs, smoking, excessive alcohol
consumption, stress, family history, and age.
◉ Difference between erosion and ulcer in Peptic Ulcer Disease.
Answer: An ulcer is a deeper break in the mucosal lining compared
to an erosion.
◉ Protective mechanisms against Peptic Ulcer Disease.
Answer: Mucus and bicarbonate secretion, prostaglandins, mucosal
blood flow, and epithelial cell renewal.
◉ Symptoms associated with Ulcerative Colitis.
