NR,./511,./Differential,./Diagnosis,./and,./Primary,./Care-
Final,./Exam,./Review
,./
2. GI,./Disorders:,./....
3. Ulcerative,./colitis:
4. A,./38-year-
old,./male,./patient,./has,./recently,./had,./an,./ileostomy,./for,./ulcerative,./col-
itis.,./Which,./self-
care,./measures,./should,./the,./clinician,./teach,./him,./about,./to,./relieve,./food,./blockage?
:,./massage,./the,./peristomal,./area
5. Diverticulitis:
6. Which,./ of,./ the,./following,./ is,./ true,./ regarding,./ diverticula:,./ obesity,./is,./correlated
7. Left,./lower,./quadrant,./abdominal,./pain,./for,./2,./days,,./the,./pain,./started,./sudden
ly,./and,./then,./fever,,./chills,,./anorexia,,./nausea,./and,./painless,./bloody,./stools.:,./Acute,./di
vertic-ulitis
8. An,./82-year-
old,./female,./has,./been,./diagnosed,./with,./irritable,./bowel,,./chronic,./con-
stipation,,./and,./diverticulosis,./following,./a,./colonoscopy.,./Which,./pharmacologic
al,./agent,./should,./the,./clinician,./recommend?:,./bulk,./laxative
9. Which,./of,./the,./following,./is,./part,./of,./the,./treatment,./plan,./for,./th
e,./patient,./with,./irritable,./bowel,./syndrome?:,./High,./fiber,./diet
10. A,./35-year-
old,./female,./patent,./is,./seen,./in,./the,./clinic,./complaining,./of,./abdominal,./pain.,./Whi
ch,./of,./the,./following,./should,./be,./included,./in,./the,./history,./and,./physical,./exam?:,./
digital,./rectal,./exam,,./Sexual,./history,,./Pelvic,./exam
, NR,./511,./Differential,./Diagnosis,./and,./Primary,./Care-
,./Final,./Exam,./Review
11. A,./28-year-
old,./patent,./is,./seen,./in,./the,./clinic,./with,./colicky,./abdominal,./pain,,./par-
ticularly,./with,./meals.,./She,./has
frequent,./constipation,,./flatulence,,./and,./abdominal,./distension.,./Which,./of,./the
, NR,./511,./Differential,./Diagnosis,./and,./Primary,./Care-
Final,./Exam,./Review
,./
data,./make,./a,./diagnosis,./of,./di
verticulitis,./unlikely?:,./Her,./age
12. C.,./diff,./Definition,./and,./Risk,./factors:
13. C.,./diff,./Symptoms:
14. C.,./diff,./Diagnosis:
15. C.,./diff,./Treatment:
16. GERD,./pathophysiology:
17. :
18. A,./54-year-old,./female,./presents,./to,./your,./primary,./care,./office,./for,./routine,./reeval-
uation,./for,./gastroesophageal,./reflux,./disease,./(GERD).,./She,./has,./been,./treated,
. / with,./diet,./ modifications ,./and,./6,./weeks,./of,./omeprazole,./without,./improveme
nt,./of,./her,./symptoms.,./What,./is,./the,./next,./step,./in,./the,./management,./of,./this,./pa
tient's,./GERD?:,./Order,./an,./endoscopy,./(This,./is,./the,./next,./step,./in,./treatment,./in,./order,./to,./evaluate,./the,./etiolo
gy,./of,./the,./patient's,./GERD,./and,./consider,./biopsy,./if,./necessary)
, NR,./511,./Differential,./Diagnosis,./and,./Primary,./Care-
Final,./Exam,./Review
,./
19. A,./67-year-
old,./female,./on,./multiple,./medications,./for,./chronic,./conditions,./was,./just,./diagno
sed,./with,./gastroesophageal,./reflux,./disease,./(GERD).,./In,./teaching,./the,./patient,./a
bout,./the,./disease,,./what,./medication,./should,./the,./clinician,./recommend,./that,./th
e,./patient,./refrain,./from,./using?:,./nonsteroidal,./anti-inflammatory,./drugs
20. The,./patient,./with,./gastro,./esophageal,./reflux,./disease,./(GERD)
should, . / be, . / instructed, . / to, . / eliminate, . / which, . / of, . / these, . / activities?:, . / Weight,./lifting
21. A,./patient,./is,./seen,./with,./a,./sudden,./onset,./of,./flank,./pain,./accomp
anied,./by,./nausea,,./vomiting,,./and,./diaphoresis,,./in,./addition,./to,./nep
hrolithiasis,,./which,./of,./the,./following,./should,./be,./added,./to,./the,./list,.
/of,./differential,./diagnoses?:,./Pancreatitis,,./peptic,./ulcer,./disease,,./diverticulitis,,./All,./of
the,./above
22. A,./patient,./is,./diagnosed,./with,./Giardia,./after,./a,./backpacking,./trip,./i
n,./the,./mountains.,./Which,./of,./the,./following,./would,./be,./the,./approp
riate,./treatment?:,./Metrinidazole
23. A,./patient,./is,./seen,./in,./the,./clinic,./with,./right,./upper,./quadrant,./(RU
Q),./pain,./that,./is,./radiating,./to,./the,./middle,./of,./the,./back.,./The,./clinician
,./suspects,./acute,./cholelithiasis.,./The,./clinician,./should,./expect,./which,.
/of,./the,./following,./laboratory,./findings?:,./Elevated,./alkaline,./phosphatase
24. A,./patient,./is,./diagnosed,./with,./gastroesophageal,./reflux,./diseas
e,./(GERD),,./and,./his,./endoscopic,./report,./reveals,./the,./presence,./of
Barretts,./epithelium.,./Which,./of,./the,./following,./information,./should,./the,./clinici
an,./include,./in,./the,./explanation,./of,./the,./pathology:,./This,./is,./a,./premalignant,./tissue,,./This
tissue,./is,./resistant,./to
gastric,./acid,,./This,./tissue,./supports,./healing,./of,./the,./esophagus:
All,./of,./the,./above
25. which,./of,./the,./following,./dietary,./information,./should,./be,./given,./to,.
/a,./patient,./with,./gastroesophageal ,./reflux,./disease,./(GERD):,./Eliminate,./c
ottee
26. Mark,./has,./necrotizing,./fasciitis,./of,./his,./left,./lower,./extremity.
Pressure,./on,./the,./skin,./reveals,./crepitus,./due
to,./gas,./production,./by,./which,./anaerobic,./bacteria?:,./Clostridium,./perfringens
Final,./Exam,./Review
,./
2. GI,./Disorders:,./....
3. Ulcerative,./colitis:
4. A,./38-year-
old,./male,./patient,./has,./recently,./had,./an,./ileostomy,./for,./ulcerative,./col-
itis.,./Which,./self-
care,./measures,./should,./the,./clinician,./teach,./him,./about,./to,./relieve,./food,./blockage?
:,./massage,./the,./peristomal,./area
5. Diverticulitis:
6. Which,./ of,./ the,./following,./ is,./ true,./ regarding,./ diverticula:,./ obesity,./is,./correlated
7. Left,./lower,./quadrant,./abdominal,./pain,./for,./2,./days,,./the,./pain,./started,./sudden
ly,./and,./then,./fever,,./chills,,./anorexia,,./nausea,./and,./painless,./bloody,./stools.:,./Acute,./di
vertic-ulitis
8. An,./82-year-
old,./female,./has,./been,./diagnosed,./with,./irritable,./bowel,,./chronic,./con-
stipation,,./and,./diverticulosis,./following,./a,./colonoscopy.,./Which,./pharmacologic
al,./agent,./should,./the,./clinician,./recommend?:,./bulk,./laxative
9. Which,./of,./the,./following,./is,./part,./of,./the,./treatment,./plan,./for,./th
e,./patient,./with,./irritable,./bowel,./syndrome?:,./High,./fiber,./diet
10. A,./35-year-
old,./female,./patent,./is,./seen,./in,./the,./clinic,./complaining,./of,./abdominal,./pain.,./Whi
ch,./of,./the,./following,./should,./be,./included,./in,./the,./history,./and,./physical,./exam?:,./
digital,./rectal,./exam,,./Sexual,./history,,./Pelvic,./exam
, NR,./511,./Differential,./Diagnosis,./and,./Primary,./Care-
,./Final,./Exam,./Review
11. A,./28-year-
old,./patent,./is,./seen,./in,./the,./clinic,./with,./colicky,./abdominal,./pain,,./par-
ticularly,./with,./meals.,./She,./has
frequent,./constipation,,./flatulence,,./and,./abdominal,./distension.,./Which,./of,./the
, NR,./511,./Differential,./Diagnosis,./and,./Primary,./Care-
Final,./Exam,./Review
,./
data,./make,./a,./diagnosis,./of,./di
verticulitis,./unlikely?:,./Her,./age
12. C.,./diff,./Definition,./and,./Risk,./factors:
13. C.,./diff,./Symptoms:
14. C.,./diff,./Diagnosis:
15. C.,./diff,./Treatment:
16. GERD,./pathophysiology:
17. :
18. A,./54-year-old,./female,./presents,./to,./your,./primary,./care,./office,./for,./routine,./reeval-
uation,./for,./gastroesophageal,./reflux,./disease,./(GERD).,./She,./has,./been,./treated,
. / with,./diet,./ modifications ,./and,./6,./weeks,./of,./omeprazole,./without,./improveme
nt,./of,./her,./symptoms.,./What,./is,./the,./next,./step,./in,./the,./management,./of,./this,./pa
tient's,./GERD?:,./Order,./an,./endoscopy,./(This,./is,./the,./next,./step,./in,./treatment,./in,./order,./to,./evaluate,./the,./etiolo
gy,./of,./the,./patient's,./GERD,./and,./consider,./biopsy,./if,./necessary)
, NR,./511,./Differential,./Diagnosis,./and,./Primary,./Care-
Final,./Exam,./Review
,./
19. A,./67-year-
old,./female,./on,./multiple,./medications,./for,./chronic,./conditions,./was,./just,./diagno
sed,./with,./gastroesophageal,./reflux,./disease,./(GERD).,./In,./teaching,./the,./patient,./a
bout,./the,./disease,,./what,./medication,./should,./the,./clinician,./recommend,./that,./th
e,./patient,./refrain,./from,./using?:,./nonsteroidal,./anti-inflammatory,./drugs
20. The,./patient,./with,./gastro,./esophageal,./reflux,./disease,./(GERD)
should, . / be, . / instructed, . / to, . / eliminate, . / which, . / of, . / these, . / activities?:, . / Weight,./lifting
21. A,./patient,./is,./seen,./with,./a,./sudden,./onset,./of,./flank,./pain,./accomp
anied,./by,./nausea,,./vomiting,,./and,./diaphoresis,,./in,./addition,./to,./nep
hrolithiasis,,./which,./of,./the,./following,./should,./be,./added,./to,./the,./list,.
/of,./differential,./diagnoses?:,./Pancreatitis,,./peptic,./ulcer,./disease,,./diverticulitis,,./All,./of
the,./above
22. A,./patient,./is,./diagnosed,./with,./Giardia,./after,./a,./backpacking,./trip,./i
n,./the,./mountains.,./Which,./of,./the,./following,./would,./be,./the,./approp
riate,./treatment?:,./Metrinidazole
23. A,./patient,./is,./seen,./in,./the,./clinic,./with,./right,./upper,./quadrant,./(RU
Q),./pain,./that,./is,./radiating,./to,./the,./middle,./of,./the,./back.,./The,./clinician
,./suspects,./acute,./cholelithiasis.,./The,./clinician,./should,./expect,./which,.
/of,./the,./following,./laboratory,./findings?:,./Elevated,./alkaline,./phosphatase
24. A,./patient,./is,./diagnosed,./with,./gastroesophageal,./reflux,./diseas
e,./(GERD),,./and,./his,./endoscopic,./report,./reveals,./the,./presence,./of
Barretts,./epithelium.,./Which,./of,./the,./following,./information,./should,./the,./clinici
an,./include,./in,./the,./explanation,./of,./the,./pathology:,./This,./is,./a,./premalignant,./tissue,,./This
tissue,./is,./resistant,./to
gastric,./acid,,./This,./tissue,./supports,./healing,./of,./the,./esophagus:
All,./of,./the,./above
25. which,./of,./the,./following,./dietary,./information,./should,./be,./given,./to,.
/a,./patient,./with,./gastroesophageal ,./reflux,./disease,./(GERD):,./Eliminate,./c
ottee
26. Mark,./has,./necrotizing,./fasciitis,./of,./his,./left,./lower,./extremity.
Pressure,./on,./the,./skin,./reveals,./crepitus,./due
to,./gas,./production,./by,./which,./anaerobic,./bacteria?:,./Clostridium,./perfringens
