Dunphy Primary Care Midterm Review Exam & Verified Answers | Latest Update | Rated 100%

Nausea is difficult to discern in a young child. What question might you ask to determine if a child has nausea? 1. "Are you sick to your tummy?" 2. "Are you hungry?" 3. "Are you eating the way you normally eat?" 4. "Are you nauseous?" ANSWER: "Are you hungry?" Zena just had a hemorrhoidectomy. You know she has not understood your teaching when she tells you she will: 1. Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery. 2. Drink at least 2000 mL of fluids per day. 3. Decrease her dietary fiber for 1 month. 4. Take stool softeners as prescribed. ANSWER: Decrease her dietary fiber for 1 month. Susan, age 59, has no specific complaints when she comes in for her annual examination. She does, however, have type 2 diabetes mellitus (DM), slight hypertension, dyslipidemia, and central obesity. How would you diagnose her? 1. As a healthy adult with several problems. 2. As having a glycemic event. 3. As having metabolic syndrome. 4. As having multiple organ dysfunction. ANSWER: As having metabolic syndrome. Simon, age 72, states that he is worried because he has a bowel movement only every third day. You respond: 1. "You should have two to three stools per day." 2. "You should defecate once a day." 3. "You should have at least three stools per week." 4. "There is no such thing as a 'normal' pattern of defecation." ANSWER: "There is no such thing as a 'normal' pattern of defecation." Matt, age 26, recently returned from a camping trip and has gastroenteritis. He says that he has been eating only canned food. Which of the following pathogens do you suspect? 1. Campylobacter jejuni. 2. Clostridium botulinum. 3. Clostridium perfringens. 4. Staphylococcus. ANSWER: Clostridium botulinum. Timothy, age 68, complains of an abrupt change in his defecation pattern. You evaluate him for: 1. Constipation. 2. Colorectal cancer. 3. Irritable bowel syndrome. 4. Acute appendicitis. ANSWER: Colorectal cancer. Martina, age 34, has AIDS and currently suffers from diarrhea. You suspect she has which protozoal infection of the bowel