NR 511 Completed Midterm study guide for real worksheet

Question 1. Treatment for achalasia may include: Question 2. Which oral medication might be used to treat a client with chronic cholelithiasis who is a poor candidate for surgery? Question 3. 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? Question 4. Which is the most common presenting symptom of gastric cancer? Question 5. Margie, age 52, has an extremely stressful job and was just given a diagnosis of gastric ulcer. She tells you she is sure it is going to be malignant. How do you respond? Question 6. Marcie just returned from Central America with traveler’s diarrhea. Which is the best treatment? Question 7. Rose has gastroesophageal reflux disease (GERD). You know she misunderstands your teaching when she tells you she will: Question 8. Marty, age 52, notices a bulge in his midline every time he rises from bed in the morning. You tell him that it is a ventral hernia, also known as an: Question 9. You are trying to differentiate between functional (acquired) constipation and Hirschsprung disease in a neonate. Distinguishing features of Hirschsprung disease include which of the following? Question 10. You are doing routine teaching with a patient who has a family history of colorectal cancer. You know she misunderstands the teaching when she tells you she will: Question 11. Bobby, age 6, has constant periumbilical pain shifting to the right lower quadrant, vomiting, a small volume of diarrhea, absence of headache, a mild elevation of the white blood cell count with an early left shift, and white blood cells in the urine. You suspect: Question 12. Melva, age 63, presents with an acute exacerbation of pancreatitis, and you are going to admit her to the hospital. Which is the most important factor in determining a negative long-term outcome for her? Question 13. A mother brings in her 4-year-old child, who she states has acute abdominal pain and a rash. Which of the following do you initially rule out? Question 14. Icterus due to hyperbilirubinemia is seen when the serum level of bilirubin is greater than? Question 15. A 45-year-old homeless man presents to your urgent care clinic for evaluation. His chief complaint is diarrhea. The patient states he started to have diarrhea 2-3 days ago, and it is getting progressively worse. He also notes nausea without vomiting, dry mouth, and double vision. On exam you notice his pupillary reflex is absent. The patient states he lives on the street and eats mostly canned goods that he scavenges from a grocery store dumpster. What is the likely cause of the patient’s symptoms? . Question 16. Hepatitis D is an RNA virus that requires a coinfection with which of the following strains of hepatitis in order to replicate? Question 17. Which of the following is not true regarding hepatitis C? . Question 18. A 54-year-old female presents to your primary care office for routine reevaluation for gastroesophageal reflux disease (GERD). She has been treated with diet modifications and 6 weeks of omeprazole without improvement of her symptoms. What is the next step in management of this patient’s GERD? 2. Question 19. A 75-year-old male presents for a routine physical. He is obese and has no abdominal pain or recent injuries or problems. He has no complaints. He lies supine for his abdominal exam. He is nontender to palpation and has a normal exam. When he sits up you see a large mass protrude from his abdomen. It is central to his abdomen and inferior to his rib cage. It disappears when he is sitting up fully. What is the patient’s diagnosis? Question 20. Which gastrointestinal disease below could theoretically be completely eradicated with a total colectomy? Question 1. You auscultate Julie’s abdomen and hear a peritoneal friction rub. Which condition do you rule out? .................................................continued,.......,.............................................