Burns Chapter 33 Questions-GI 2020/2021 with compete solution graded A+

A child is in the clinic after swallowing a metal bead. A radiograph of the GI tract shows a 6 mm cylindrical object in the child's stomach. The child is able to swallow without difficulty and is not experiencing pain. What is the correct course of treatment? Have the parents watch for the object in the child's stool A toddler who was born prematurely refuses most solid foods and has poor weight gain. A barium swallow study reveals a normal esophagus. What will the primary care PNP consider next to manage this child's nutritional needs? Video fluoroscopy, swallowing study 00:14 01:35 a school-age child has a 3-month history of due, aching epigastric pain that worsens with eating and awakens the child from sleep. A CBC shows a hemoglobin of 8mg/dL> What is the next step in management Referral for esophagogastroduodenoscopy (EGD) A 2-year-old child has an acute diarrheal illness. The child is afebrile and, with oral rehydration measures, has remained well hydrated. The parent asks what can be done to help shorten the course of this illness. What will the primary care PNP recommend? Lactobacillus A school-age child has recurrent diarrhea with foul-smelling stools, excessive flatus, abdominal dissension, and failure-to-thrive. A 2-week lactose-free trial failed to reduce symptoms. What is the next step in diagnosing this condition? Serologic testing for celiac disease A 12-month-old infant exhibits poor weight gain after previously normal growth patterns. There is no history of vomiting, diarrhea, or irregular bowel movements and the physical exam is normal. What is the next step in evaluating these findings Feeding and stooling history and 3-day diet history The parent of an infant asks about using a probiotic medication. What will the primary care PNP tell this parents There is no conclusive evidence about using probiotics to treat colic A child is diagnosed with Crohn disease. What are likely complications for this child Intestinal obstruction with scarring and strictures A toddler is seen in the clinic after a 2-day history of intermittent vomiting and diarrhea. An assessment reveals an irritable child with dry mucous membranes, 3-second capillary refill, 2-second recoil of skin, mild tachycardia and tachypnea, and cool hands and feet. The child has had two wet diapers in the past 24 hours. What will the primary care PNP recommend Oral rehydration solution with follow-up in 24 hours A 2-month-old infant cries up to 4 hours each day and, according to the parents, is inconsolable during crying episodes with fists and legs noted to be tense and stiff. The infant is breastfeeding frequently but is often fussy during feedings. The physical exam is normal and the infant is gaining weight normally. What will teh primary care PNP recommended Eliminating certain foods from the mother's diet A school-age child has had abdominal pain for 3 months that occurs once or twice weekly and is associated with a headache and occasional difficulty sleeping, often causing the child to stay home from school. The child does not have vomiting or diarrhea and is gaining weight normally. The physical exam is normal. According to Bishop, what is included in the initial diagnostic work-up for this child CBC, ESR, amylase, lipase, UA, and abdominal ultrasound An 18-month-old child has a 1-day history of intermittent, cramping abdominal pain with non-bilious vomiting. The child is observed to scream and draw up his legs during pain episodes and becomes lethargic in between. The Primary Care PNP notes a small amount of bloody, mucous still in the diaper. What is the most likely diagnosis? Intussusception 00:02 01:35 Upgrade to remove ads Only $35.99/year A 9-year-old girl has a history of frequent vomiting and her mother has frequent migraine headaches. The child has recently begun having more frequent and prolonged episodes accompanied by headaches. An exam reveals abnormal eye movements and mild ataxia. What is the correct action? Refer to a pediatric gastroenterologist for further workup A 10-year-old child has had abdominal pain for 2 days, which began in the periumbilical area and then localized to the right lower quadrant. The child vomited once today and then experienced relief from pain followed by an increased fever. What is the likely diagnosis Appendicitis with perforation The parent of a 3-month-old reports that the infant arches and gags while feeding and spits up undigested formula frequently. The infant's weight gain has dropped the 5th percentile. What is the best course of treatment for this infant Begin a trial of extensively hydrolyzed protein formula for 2-4 weeks An adolescent is diagnosed with functional abdominal pain (FAP). The child's symptoms worsen during stressful events, especially with school anxiety. What will be an important part of treatment for this child Teaching about the brain-gut interaction causing symptoms