1 | P a g e | © copyright 2024/2025 | Grade A+
nur676 exam 3 Questions and
Answers (100% Pass)
most common GI complaint in primary care and most common dx for GI...
✓ IBS
IBS occurs in...
✓ mostly young adults
✓ but in ALL ages
IBS is considered a ....
✓ gut brain disorder
has variety of GI sx
characteristics of IBS
✓ abdominal pain PLUS
1. altered bowel habits
2. sx constipation( infrequent stools/ straining/hard stools/ feeling of
incomplete or difficult evacuation)
Master01 | September, 2024/2025 | Latest update
, 1 | P a g e | © copyright 2024/2025 | Grade A+
Gi motility in IBS result of ...
✓ stress
anxiety
drugs
anger
acute intestinal infections
small bowel bacterial overgrowth
common s/sx of IBS
✓ chronic abd pain
bloating /distension
flatulence
bowel habit changes
what helps differentiate IBS from others
✓ MUST have abdominal pain present
IBS abdominal pain characteristics
✓ nonradiating, intermittent, crampy
usually in LLQ
Master01 | September, 2024/2025 | Latest update
, 1 | P a g e | © copyright 2024/2025 | Grade A+
s/sx of IBS usually occurs after ...
✓ consuming meals (large) or alcohol
NOT IBS if ...
✓ nocturnal sx
bloody or greasy stools
weight loss or malnutrition
GI bleed
anemia
N/V recurs
fever
Physical exam for IBS
✓ VS
abdominal/pelvic/rectal exams:
-increased tympanic percussion
-palpable sigmoid colon
-tenderness on rectal exam
Master01 | September, 2024/2025 | Latest update
, 1 | P a g e | © copyright 2024/2025 | Grade A+
diagnostics for IBS sx
✓ labs
CBC/ ESR/TSH/LFT
stool cultures
colonoscopy
lactose free diet trial
abdominal US
GYN/GI referral
colonoscopy recommended for pt with IBS if
✓ 1. <40 healthy adult with acute bowel change
2. >50
3. pts with weight loss, anemia, occult blood
Initial approach: use ROME IV criteria
✓ 1. sx present >3 months
2. initial sx onset >6 months of IBS dx
3. abdominal pain at least once a weekfor previous 3 months with 2+ sx
Master01 | September, 2024/2025 | Latest update
nur676 exam 3 Questions and
Answers (100% Pass)
most common GI complaint in primary care and most common dx for GI...
✓ IBS
IBS occurs in...
✓ mostly young adults
✓ but in ALL ages
IBS is considered a ....
✓ gut brain disorder
has variety of GI sx
characteristics of IBS
✓ abdominal pain PLUS
1. altered bowel habits
2. sx constipation( infrequent stools/ straining/hard stools/ feeling of
incomplete or difficult evacuation)
Master01 | September, 2024/2025 | Latest update
, 1 | P a g e | © copyright 2024/2025 | Grade A+
Gi motility in IBS result of ...
✓ stress
anxiety
drugs
anger
acute intestinal infections
small bowel bacterial overgrowth
common s/sx of IBS
✓ chronic abd pain
bloating /distension
flatulence
bowel habit changes
what helps differentiate IBS from others
✓ MUST have abdominal pain present
IBS abdominal pain characteristics
✓ nonradiating, intermittent, crampy
usually in LLQ
Master01 | September, 2024/2025 | Latest update
, 1 | P a g e | © copyright 2024/2025 | Grade A+
s/sx of IBS usually occurs after ...
✓ consuming meals (large) or alcohol
NOT IBS if ...
✓ nocturnal sx
bloody or greasy stools
weight loss or malnutrition
GI bleed
anemia
N/V recurs
fever
Physical exam for IBS
✓ VS
abdominal/pelvic/rectal exams:
-increased tympanic percussion
-palpable sigmoid colon
-tenderness on rectal exam
Master01 | September, 2024/2025 | Latest update
, 1 | P a g e | © copyright 2024/2025 | Grade A+
diagnostics for IBS sx
✓ labs
CBC/ ESR/TSH/LFT
stool cultures
colonoscopy
lactose free diet trial
abdominal US
GYN/GI referral
colonoscopy recommended for pt with IBS if
✓ 1. <40 healthy adult with acute bowel change
2. >50
3. pts with weight loss, anemia, occult blood
Initial approach: use ROME IV criteria
✓ 1. sx present >3 months
2. initial sx onset >6 months of IBS dx
3. abdominal pain at least once a weekfor previous 3 months with 2+ sx
Master01 | September, 2024/2025 | Latest update
