NS 832 Exam 4 (Answered) 179 Questions
and Correct Answers. Latest Updated
2025/2026.
Approximately what % of the population will develop diverticulosis by the time they reach 50 years
of age?`
33%
A 43 year old woman has a 12 hour hx of sudden onset of RUQ abdominal pain w/ radiation to the
shoulder, fever and chills. She has had similar, milder episodes in the past, especially after eating
fatty foods. Examination reveals marked tenderness to RUQ abdominal palpitation. Her most likely
dx is?
Acute cholecystits
Which of the following is not usually seen in dx of acute cholecystitis?
elevated serum creatinine
inc. alkaline phosphate level
leukocytosis
elevated AST
elevated serum creatinine
Murphy's sign can be best described as abdominal pain elicited by
RUQ abdominal palpitation
Most serious complication of cholecystitis
pancreatitis
A 58 year old man reports intermittent RUQ abdominal pain. He has obesity and being actively
treated for hyperlipidemia. Imaging in a pt with suspected symptomatic cholelithiasis usually
includes obtaining an abdominal
CT scan
Which of the following is most likely to be found with acute cholecystitis?
fever
vomiting
jaundice
palpable gallbladder
vomiting
Risk factors for developing cholelithiasis include all of the following except?
,rapid weight loss
male gender
obesity
Native American Ancestry
male gender
A gallstone that is not visualized on standard XR is said to be
radiolucent
Colonic diverticulosis most commonly occurs in the walls of the
sigmoid colon
Which of the following is most consistent with the presentation of a patient with acute colonic
diverticulitis?
cramping, diarrhea, and leukocytosis
Major risk factors for diverticulosis include all of the following except?
low-fiber diet
older age
family hx of diverticulosis
select connective tissue disorders
low-fiber diet
To avoid the development of acute diverticulitis, tx of diverticulosis can include
the use of fiber supplements
The location of discomfort w/ acute diverticulitis is usually in which of the following areas of the
abdomen?
LLQ
Which of the following best describes colonic diverticulosis?
bulging pockets in the abdominal wall
You are seeing Mr. Lopez, a 68 y/o man with suspected acute colonic diverticulitis. In choosing an
appropriate imaging study to support this dx, what would be the most appropriate imaging?
CT w/ contrast
In the evaluation of acute diverticulitis the most appropriate diagnostic approach to rule out free air
in the abdomen includes
plain abdominal film
A 56 y/o woman is dx with moderate diverticulitis. This is her second episode in the past 6 weeks. In
addition to counseling her about inc. fluid intake and adequate rest, you recommend antimicrobial
tx with
ciprofloxacin with metronidazole
, A complication of colonic diverticulitis can include
diverticular hemorrhage
Long term effects of PPI use includes all of the following except?
inc. risk of hip fx
inc. risk of IBD
inc risk of C-Diff
dec. absorption of iron
inc risk of ibd
Antiprostaglandin drugs such as systemic corticosteroids and NSAIDS can cause stomach mucosal
injuray primarily by
altering the thickness of the mucosal layer
A 24 y/o man presents w/ 3 month hx of upper abd pain. He describes it as an intermittent, centrally
located burning feeling in hi supper abdomen, most often occurring 2-3 hours after meals. He denies
taking NSAIDS, aspirin or systemic corticosteroids and drinks approximately one to two 12 oz beers
per week. His presentation is most consistent with clinical presentation of
duodenal ulcer
When choosing pharmacological intervention to prevent recurrence of duodenal ulcer in a middle
aged man you prescribe
tetracycline plus metronidazole
The H2RA most likely to cause drug interactions with phenytoin and theophylline is
cimetidine
Which of the following is least likely to be found in a patient with a gastric ulcer
age younger than 50 years
NSAID induced PUD can be best imited by the use of
taking the medication with food
A 64 y/o woman presents with a 3 month hx of upper abd pain. She describes the discomfort as
intermittent, centrally located burning feeling in the upper abdomen, most often with meals and
often accompanied by mild nausea. Use of an OTC H2RA affords partial symptom relief. She also uses
diclofenac on a regular basis for the control of osteoarthritis pain. Her clinical presentation is most
consistent with
gastric ulcer
To minimize the risk of adverse effects, PPI use should be limited to no longer than
2 months
PUD can occur in any of the following locations except
lg intestine
and Correct Answers. Latest Updated
2025/2026.
Approximately what % of the population will develop diverticulosis by the time they reach 50 years
of age?`
33%
A 43 year old woman has a 12 hour hx of sudden onset of RUQ abdominal pain w/ radiation to the
shoulder, fever and chills. She has had similar, milder episodes in the past, especially after eating
fatty foods. Examination reveals marked tenderness to RUQ abdominal palpitation. Her most likely
dx is?
Acute cholecystits
Which of the following is not usually seen in dx of acute cholecystitis?
elevated serum creatinine
inc. alkaline phosphate level
leukocytosis
elevated AST
elevated serum creatinine
Murphy's sign can be best described as abdominal pain elicited by
RUQ abdominal palpitation
Most serious complication of cholecystitis
pancreatitis
A 58 year old man reports intermittent RUQ abdominal pain. He has obesity and being actively
treated for hyperlipidemia. Imaging in a pt with suspected symptomatic cholelithiasis usually
includes obtaining an abdominal
CT scan
Which of the following is most likely to be found with acute cholecystitis?
fever
vomiting
jaundice
palpable gallbladder
vomiting
Risk factors for developing cholelithiasis include all of the following except?
,rapid weight loss
male gender
obesity
Native American Ancestry
male gender
A gallstone that is not visualized on standard XR is said to be
radiolucent
Colonic diverticulosis most commonly occurs in the walls of the
sigmoid colon
Which of the following is most consistent with the presentation of a patient with acute colonic
diverticulitis?
cramping, diarrhea, and leukocytosis
Major risk factors for diverticulosis include all of the following except?
low-fiber diet
older age
family hx of diverticulosis
select connective tissue disorders
low-fiber diet
To avoid the development of acute diverticulitis, tx of diverticulosis can include
the use of fiber supplements
The location of discomfort w/ acute diverticulitis is usually in which of the following areas of the
abdomen?
LLQ
Which of the following best describes colonic diverticulosis?
bulging pockets in the abdominal wall
You are seeing Mr. Lopez, a 68 y/o man with suspected acute colonic diverticulitis. In choosing an
appropriate imaging study to support this dx, what would be the most appropriate imaging?
CT w/ contrast
In the evaluation of acute diverticulitis the most appropriate diagnostic approach to rule out free air
in the abdomen includes
plain abdominal film
A 56 y/o woman is dx with moderate diverticulitis. This is her second episode in the past 6 weeks. In
addition to counseling her about inc. fluid intake and adequate rest, you recommend antimicrobial
tx with
ciprofloxacin with metronidazole
, A complication of colonic diverticulitis can include
diverticular hemorrhage
Long term effects of PPI use includes all of the following except?
inc. risk of hip fx
inc. risk of IBD
inc risk of C-Diff
dec. absorption of iron
inc risk of ibd
Antiprostaglandin drugs such as systemic corticosteroids and NSAIDS can cause stomach mucosal
injuray primarily by
altering the thickness of the mucosal layer
A 24 y/o man presents w/ 3 month hx of upper abd pain. He describes it as an intermittent, centrally
located burning feeling in hi supper abdomen, most often occurring 2-3 hours after meals. He denies
taking NSAIDS, aspirin or systemic corticosteroids and drinks approximately one to two 12 oz beers
per week. His presentation is most consistent with clinical presentation of
duodenal ulcer
When choosing pharmacological intervention to prevent recurrence of duodenal ulcer in a middle
aged man you prescribe
tetracycline plus metronidazole
The H2RA most likely to cause drug interactions with phenytoin and theophylline is
cimetidine
Which of the following is least likely to be found in a patient with a gastric ulcer
age younger than 50 years
NSAID induced PUD can be best imited by the use of
taking the medication with food
A 64 y/o woman presents with a 3 month hx of upper abd pain. She describes the discomfort as
intermittent, centrally located burning feeling in the upper abdomen, most often with meals and
often accompanied by mild nausea. Use of an OTC H2RA affords partial symptom relief. She also uses
diclofenac on a regular basis for the control of osteoarthritis pain. Her clinical presentation is most
consistent with
gastric ulcer
To minimize the risk of adverse effects, PPI use should be limited to no longer than
2 months
PUD can occur in any of the following locations except
lg intestine
