Nurs550 Midterm Exam Questions And Answers
Latest Update
risk factors for gallbladder disease ANSWER family hx, diet-fatty foods, female,
Gallbladder disease- subjective symptoms ANSWER pain in RUQ which radiates to R
Shoulder, report of N/V, subjective fever
Gallbladder disease- objective symptoms ANSWER + Murphys sign, fever, jaundice
Gallbladder disease diagnostics ANSWER RUQ ultrasound (first), HIDA scan- if negative
U/S but symptoms persist, elevated liver enzymes/lipase/amylase/leukocytosis
Risk factors for pancreatitis Answer ETOH abuse, some diabetic meds, older patients,
HLD, renal transplant patients
Subjective findings in pancreatitis Answer Severe RUQ pain/or-epigastric pain and
radiates to the back
Objective findings in pancreatitis Answer Abdominal tenderness, abdominal distension,
hypoactive bowel sounds. s/s-shock poor prognosis
Pancreatitis diagnosed by- Answer CBC to rule out infection, Elevated amylase (3x
higher than normal), increased lipase, if leukocytosis- draw CRP-if positive think,
sometimes elevated LFT, necrotizing pancreatitis. Upright abdominal film, CT of
abdomen
normal lipase- Answer 0-160
, Lipase levels in acute pancreatitis- Answer 3-4x normal level
Normal WBC count- Answer 4,000-11,000
Leukocytosis- Answer Abnormally high WBC count, greater than 11k
AST - Answer Usually normal range for AST is between the ranges of 10 to 40 units per
liter
ALT - ALT between 7 to 56 units per liter.
GERD (gastroesophageal reflux disease) risk factors - Answer weak LES, obesity,
NSAID
GERD Subjective Data - Answer heartburn, belching, wheezing cough
GERD Objective Data - Answer normal exam
GERD diagnosis - Answer PPI trial
Peptic Ulcer Disease causes - Answer - H. pylori infection, aspirin induced
- stress, smoking, age 50-55, systemic corticoid steroids
- hormones
Peptic ulcer- subjective findings - Answer weight loss, bloating, belching, pain improves
after eating
peptic ulcer- objective findings - Answer usually normal may have abdominal
tenderness, if peritoneal signs need to think rupture of ulcer
Peptic Ulcer Disease diagnosis - Answer stool guaic, h-pylori testing,
Appendicitis - Objective symptoms - Answer RLQ pain, +obturator, +rosvings, +psoas
Latest Update
risk factors for gallbladder disease ANSWER family hx, diet-fatty foods, female,
Gallbladder disease- subjective symptoms ANSWER pain in RUQ which radiates to R
Shoulder, report of N/V, subjective fever
Gallbladder disease- objective symptoms ANSWER + Murphys sign, fever, jaundice
Gallbladder disease diagnostics ANSWER RUQ ultrasound (first), HIDA scan- if negative
U/S but symptoms persist, elevated liver enzymes/lipase/amylase/leukocytosis
Risk factors for pancreatitis Answer ETOH abuse, some diabetic meds, older patients,
HLD, renal transplant patients
Subjective findings in pancreatitis Answer Severe RUQ pain/or-epigastric pain and
radiates to the back
Objective findings in pancreatitis Answer Abdominal tenderness, abdominal distension,
hypoactive bowel sounds. s/s-shock poor prognosis
Pancreatitis diagnosed by- Answer CBC to rule out infection, Elevated amylase (3x
higher than normal), increased lipase, if leukocytosis- draw CRP-if positive think,
sometimes elevated LFT, necrotizing pancreatitis. Upright abdominal film, CT of
abdomen
normal lipase- Answer 0-160
, Lipase levels in acute pancreatitis- Answer 3-4x normal level
Normal WBC count- Answer 4,000-11,000
Leukocytosis- Answer Abnormally high WBC count, greater than 11k
AST - Answer Usually normal range for AST is between the ranges of 10 to 40 units per
liter
ALT - ALT between 7 to 56 units per liter.
GERD (gastroesophageal reflux disease) risk factors - Answer weak LES, obesity,
NSAID
GERD Subjective Data - Answer heartburn, belching, wheezing cough
GERD Objective Data - Answer normal exam
GERD diagnosis - Answer PPI trial
Peptic Ulcer Disease causes - Answer - H. pylori infection, aspirin induced
- stress, smoking, age 50-55, systemic corticoid steroids
- hormones
Peptic ulcer- subjective findings - Answer weight loss, bloating, belching, pain improves
after eating
peptic ulcer- objective findings - Answer usually normal may have abdominal
tenderness, if peritoneal signs need to think rupture of ulcer
Peptic Ulcer Disease diagnosis - Answer stool guaic, h-pylori testing,
Appendicitis - Objective symptoms - Answer RLQ pain, +obturator, +rosvings, +psoas
