MSN 620 module 5 GI Practice Questions and Answers | 100% Pass

MSN 620 module 5 GI Practice Questions and Answers | 100% Pass A 45-year-old female presents with vague abdominal pain. She has been having this pain intermittently for the last five years but did not seek medical attention earlier. The pain is the strongest in the right hypochondrium. Physical examination reveals mild tenderness to deep palpation in the right hypochondrium. An ultrasound exam reveals the presence of gallstones. The patient refuses all surgical options and asks for strictly nonsurgical treatment. Which of the following treatments is the most likely to provide the highest benefit to this patient? - Correct Answer️️ -Ursodeoxycholic acid A 44-year-old man presents with progressing right upper quadrant abdominal pain with bloating, food intolerances, especially to greasy and spicy foods, increased gas, nausea, and vomiting. He complains of intermittent pain in the mid back and right shoulder. His history is significant for alcohol use disorder averaging 9 drinks a day. What is the preferred next step in his management? - Correct Answer️️ -Check complete blood count, and alkaline phosphatase, aspartate aminotransferase, bilirubin total, and direct levels A 52-year-old woman presents with an 8-hour history of nausea and right upper quadrant pain. She has no significant past medical history. Her temperature is 100.5 °F (38 °C). Physical examination reveals rebound tenderness in the right upper quadrant. TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD OWNER: EMILLYCHARLOTTE COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISHED: SEPTEMBER 2024 2/18 Laboratory testing shows a WBC count of 11,000/mm3, normal transaminase levels, and a negative urine dipstick test. She asks about her management. What is the preferred response to her inquiry? - Correct Answer️️ -She will be scheduled for a laparoscopic cholecystectomy. A 57-year-old man presents with heartburn following meals, burning chest pain at night, and a continuous dry cough. Vital signs are heart rate 78 bpm, blood pressure 120/70 mm Hg, and respiratory rate 14 breaths/min. The physical examination, including chest auscultation, is normal. His hemoglobin level is 14 g/dL, mean corpuscular volume of 95 fL, white blood cell count of 4600/mm3, and platelet count of 340,000/mm3. Initially, the clinician advises certain lifestyle modifications. Which of the following behavioral changes would help provide appropriate symptomatic relief? - Correct Answer️️ - Sleeping on the left side. A 55-year-old man presents with retrosternal burning off and on for the last few months. The burning is worse after heavy meals and relieved after taking over-the-counter antacids. Vital signs are normal. On physical examination, he appears well, and his systemic examination is unremarkable. Which of the following, if present, will prompt further investigation? - Correct Answer️️ -Dysphagia. A 55-year-old woman presents with progressive difficulty swallowing solid foods and epigastric discomfort. Symptoms persist despite the use of proton pump inhibitors. Vital signs are temperature 98.6 °F (37 °C), heart rate 73 bpm, blood pressure 130/80 mm TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD OWNER: EMILLYCHARLOTTE COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISHED: SEPTEMBER 2024 3/18 Hg, respiratory rate 18 breaths/min, and BMI 32 kg/m2. The physical examination is normal. The electrocardiogram and chest X-ray do not reveal any pathology. Laboratory results are a Hb level of 12 g/dL, a WBC of 4800/mm3, and a platelet count of 270,000/mm3. The serum amylase level is 50 U/L (normal: 30 to 125 U/L). Which of the following is the most appropriate next step in management? - Correct Answer️️ - Endoscopic evaluation with a biopsy A 45-year-old woman presents with a retrosternal burning sensation. Her symptoms worsen after eating heavy meals. Associated symptoms include hoarseness and persistent dry cough. Vital signs are temperature 98.6° F (37° C), heart rate 70 bpm, blood pressure 130/70 mm Hg, and respiratory rate 18 breaths/min. Her body mass index is 32 kg/m2. The physical examination does not reveal any abnormal findings. Laboratory tests reveal a hemoglobin of 12 g/dL, a WBC of 4100/mm3, and a platelet count of 250,000/mm3. The electrocardiogram shows a normal sinus rhythm. Which of the following is the most appropriate management? - Correct Answer️️ -Proton-pump- inhibitor; twice daily for 8 to 12 weeks A 45-year-old man presents with hoarseness. He initially presented with a 2-month history of a troublesome nocturnal cough that woke him up at night. He denies any allergies, tobacco use, or alcohol use. He underwent pulmonary function tests, with normal findings. Vital signs are normal. Physical examination reveals normal findings. He was assessed with flexible laryngoscopy that shows edema of the arytenoids and the posterior larynx. Laboratory tests and a chest X-ray demonstrated normal results. TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD OWNER: EMILLYCHARLOTTE COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISHED: SEPTEMBER 2024 4/18 Which of the following is the next best step in management? - Correct Answer️️ - Proton pump inhibitor (PPI) therapy A 65-year-old man undergoes endoscopy. The gastroenterologist visualizes fronds of erythematous mucosa extending proximally from the gastroesophageal junction. The clinician performs a biopsy, which shows the presence of simple columnar epithelium with goblet cells. What are the most likely presenting symptoms in this patient? - Correct Answer️️ -Retrosternal burning after meals A 40-year-old man presents with recurrent chest discomfort. On the history of present illness, he describes the chest discomfort as retrosternal burning, which radiates to the neck and is usually worse after eating a meal or when he lies down. He reports using over-the-counter antacids, which provide relief of his symptoms. He denies any reproducible pain with exertional activities or associated shortness of breath, dysphagia, odynophagia, hematemesis, weight loss nausea, or vomiting.