CMSRN ALL EXAM PAPER LATEST QUESTIONS
AND ANSWERS SET A+
✔✔peptic ulcer complications - ✔✔bleeding, perforation (with perf, need abx, fluids,
NGT, and pain meds, surgical repair)
✔✔which inflammatory bowel disease is affected by the ENTIRE bowel system,
characterized by cobblestone bowel, all layers of the bowel, with NO rectal bleeding -
✔✔crohns disease
✔✔which inflammatory bowel disease affects the LEFT colon, starts at the rectums and
ascends, has shallow ulcerations, and has either bloody diarrhea or formed stool with
streaks? - ✔✔ulcerative colitis
✔✔Diet for Inflammatory Bowel Disease - ✔✔High protein, high calorie (3,000+ a day),
low fiber, low roughage/residue
✔✔causes for large bowel obstruction - ✔✔MOST COMMON is neoplasm, diverticulitis,
strictures, abscesses
✔✔causes for small bowel obstruction - ✔✔adhesions, hernias, polyps, ileus, lymphoma
✔✔which type of bowel obstruction is characterized by gradual onset, pain is low grade,
absence of stool, distention, high bitches bowel sounds - ✔✔large bowel obstruction
✔✔which type of bowel obstruction is characterized by rapid onset, crampy colicky pain,
emesis, distention, high pitched bowel sounds - ✔✔small bowel obstruction
✔✔which type of bowel obstruction is more likely to need surgical intervention? -
✔✔large bowel obstruction
,✔✔sac like herniation of large bowel that can get food or fecal matter trapped and lead
to inflammation/infection? - ✔✔diverticulitis
✔✔complications of diverticulitis - ✔✔perforation, peritonitis, bleeding
✔✔Causes of cholecystitis - ✔✔gall stones, bile stasis
✔✔what type of infection manifests with RUQ pain, N/V, biliary colic, fever, and
murphys sign? - ✔✔cholecystitis
✔✔Palpation under rib causes cessation of inspiration; sign + indication? - ✔✔murphys
sign, indicates cholecystitis
✔✔what kind of diet should a patient with cholecystitis eat? - ✔✔low fat
✔✔what type of infection manifests with belly button and RLQ pain (acute), rebound
tenderness, fever, N/V, elevated WBC, decreased appetite, gas/bloating? -
✔✔appendicitis
✔✔what sign is indicative of pancreatitis and shows as a gray color on the flank (looks
like old bruise)? - ✔✔grey turner sign
✔✔Diet for pancreatitis (after NPO status) - ✔✔High carb and protein, low fat.
✔✔which organ in the GI tract produces antibodies, prothrombin, fibrinogen, albumin,
metabolizes glucose (stores and releases), bile salt formation, detox of noxious agents -
✔✔liver
✔✔Tylenol (acetaminophen) is toxic to which organ and can cause
hemorrhage/damage? - ✔✔liver
✔✔which hepatitis must you report to health dept? - ✔✔hepatitis A
✔✔hepatitis: stage that is 7-10 days and manifests with malaise, fever, anorexia, no
jaundice - ✔✔prodromal
✔✔hepatitis: stage that is 4-6 weeks, liver is unable to convert bili to bile - ✔✔icteric
✔✔hepatitis: stage that is 2-4 months, "convalescent phase" - ✔✔post icteric
✔✔hepatitis: stage that is 4-6 months - ✔✔recovery
, ✔✔which type of liver failure is associated with rapid onset hepatic encephalopathy and
a 50% mortality rate? - ✔✔acute liver failure
✔✔causes of acute liver failure? - ✔✔drug toxicity, viral hepatitis, B or C
✔✔what is the most common cause of liver failure? - ✔✔acetaminophen
✔✔signs and symptoms of acute liver failure - ✔✔AMS, bleeding, jaundice, elevated
bleeding times
✔✔causes of chronic liver failure - ✔✔ETOH abuse, cirrhosis, biliary and cardiac
disease, cancer
✔✔What is Laennec's Cirrhosis caused by? - ✔✔alcohol abuse
✔✔signs and symptoms of chronic liver failure - ✔✔ascites, portal hypertension,
encephalopathy, GI sx
✔✔diet for patients with liver failure? - ✔✔high calorie, low protein, low fat, low sodium
✔✔medications for liver failure? - ✔✔lactulose and rifaximin
✔✔diet for patients with bariatric surgery - ✔✔high protein and nutrients, small frequent
fluids
✔✔which type of nutrition is indicated for a patient who has a functional GI tract,
inadequate intake for 3-5 days, and has inability to increase Po intake? - ✔✔enteral
nutrution
✔✔contrainidications for enteral nutrition? - ✔✔complete intestinal obstruction, lack of
access, intractable vomiting or diarrhea, ileus, massive GI bleed, fistula, GI ischemia
✔✔which type of nutrition is indicated for a patient who needs support for greater than
10 days, has increased nutrient needs, and has GI tract disorders? - ✔✔parenteral
nutrition
✔✔contraindications for parenteral nutrition? - ✔✔functioning GI tract, no venous
access
✔✔which lung disease causes grayish/white/blood streaked mucus/purulent sputum? -
✔✔tuberculosis
✔✔ABG: pH low - ✔✔acidosis
AND ANSWERS SET A+
✔✔peptic ulcer complications - ✔✔bleeding, perforation (with perf, need abx, fluids,
NGT, and pain meds, surgical repair)
✔✔which inflammatory bowel disease is affected by the ENTIRE bowel system,
characterized by cobblestone bowel, all layers of the bowel, with NO rectal bleeding -
✔✔crohns disease
✔✔which inflammatory bowel disease affects the LEFT colon, starts at the rectums and
ascends, has shallow ulcerations, and has either bloody diarrhea or formed stool with
streaks? - ✔✔ulcerative colitis
✔✔Diet for Inflammatory Bowel Disease - ✔✔High protein, high calorie (3,000+ a day),
low fiber, low roughage/residue
✔✔causes for large bowel obstruction - ✔✔MOST COMMON is neoplasm, diverticulitis,
strictures, abscesses
✔✔causes for small bowel obstruction - ✔✔adhesions, hernias, polyps, ileus, lymphoma
✔✔which type of bowel obstruction is characterized by gradual onset, pain is low grade,
absence of stool, distention, high bitches bowel sounds - ✔✔large bowel obstruction
✔✔which type of bowel obstruction is characterized by rapid onset, crampy colicky pain,
emesis, distention, high pitched bowel sounds - ✔✔small bowel obstruction
✔✔which type of bowel obstruction is more likely to need surgical intervention? -
✔✔large bowel obstruction
,✔✔sac like herniation of large bowel that can get food or fecal matter trapped and lead
to inflammation/infection? - ✔✔diverticulitis
✔✔complications of diverticulitis - ✔✔perforation, peritonitis, bleeding
✔✔Causes of cholecystitis - ✔✔gall stones, bile stasis
✔✔what type of infection manifests with RUQ pain, N/V, biliary colic, fever, and
murphys sign? - ✔✔cholecystitis
✔✔Palpation under rib causes cessation of inspiration; sign + indication? - ✔✔murphys
sign, indicates cholecystitis
✔✔what kind of diet should a patient with cholecystitis eat? - ✔✔low fat
✔✔what type of infection manifests with belly button and RLQ pain (acute), rebound
tenderness, fever, N/V, elevated WBC, decreased appetite, gas/bloating? -
✔✔appendicitis
✔✔what sign is indicative of pancreatitis and shows as a gray color on the flank (looks
like old bruise)? - ✔✔grey turner sign
✔✔Diet for pancreatitis (after NPO status) - ✔✔High carb and protein, low fat.
✔✔which organ in the GI tract produces antibodies, prothrombin, fibrinogen, albumin,
metabolizes glucose (stores and releases), bile salt formation, detox of noxious agents -
✔✔liver
✔✔Tylenol (acetaminophen) is toxic to which organ and can cause
hemorrhage/damage? - ✔✔liver
✔✔which hepatitis must you report to health dept? - ✔✔hepatitis A
✔✔hepatitis: stage that is 7-10 days and manifests with malaise, fever, anorexia, no
jaundice - ✔✔prodromal
✔✔hepatitis: stage that is 4-6 weeks, liver is unable to convert bili to bile - ✔✔icteric
✔✔hepatitis: stage that is 2-4 months, "convalescent phase" - ✔✔post icteric
✔✔hepatitis: stage that is 4-6 months - ✔✔recovery
, ✔✔which type of liver failure is associated with rapid onset hepatic encephalopathy and
a 50% mortality rate? - ✔✔acute liver failure
✔✔causes of acute liver failure? - ✔✔drug toxicity, viral hepatitis, B or C
✔✔what is the most common cause of liver failure? - ✔✔acetaminophen
✔✔signs and symptoms of acute liver failure - ✔✔AMS, bleeding, jaundice, elevated
bleeding times
✔✔causes of chronic liver failure - ✔✔ETOH abuse, cirrhosis, biliary and cardiac
disease, cancer
✔✔What is Laennec's Cirrhosis caused by? - ✔✔alcohol abuse
✔✔signs and symptoms of chronic liver failure - ✔✔ascites, portal hypertension,
encephalopathy, GI sx
✔✔diet for patients with liver failure? - ✔✔high calorie, low protein, low fat, low sodium
✔✔medications for liver failure? - ✔✔lactulose and rifaximin
✔✔diet for patients with bariatric surgery - ✔✔high protein and nutrients, small frequent
fluids
✔✔which type of nutrition is indicated for a patient who has a functional GI tract,
inadequate intake for 3-5 days, and has inability to increase Po intake? - ✔✔enteral
nutrution
✔✔contrainidications for enteral nutrition? - ✔✔complete intestinal obstruction, lack of
access, intractable vomiting or diarrhea, ileus, massive GI bleed, fistula, GI ischemia
✔✔which type of nutrition is indicated for a patient who needs support for greater than
10 days, has increased nutrient needs, and has GI tract disorders? - ✔✔parenteral
nutrition
✔✔contraindications for parenteral nutrition? - ✔✔functioning GI tract, no venous
access
✔✔which lung disease causes grayish/white/blood streaked mucus/purulent sputum? -
✔✔tuberculosis
✔✔ABG: pH low - ✔✔acidosis
