Dunphy Primary Care Midterm Review
Questions and Answers 100% Solved
Bobby, age 6, has constant periumbilical pain shifting to the right lower quadrant, vomiting, a
small volume of diarrhea, absence of headache, a mild elevation of the white blood cell count
with an early left shift, and white blood cells in the urine. You suspect:
1.
Appendicitis.
2.
Gastroenteritis.
3.
Acute pancreatitis.
4.
Rocky Mountain spotted fever. Appendicitis.
Melva, age 63, presents with an acute exacerbation of pancreatitis, and you are going to admit
her to the hospital. Which is the most important factor in determining a negative long-term
outcome for her?
1.
,Age.
2.
Infection.
3.
Pain.
4.
Length of time between exacerbations. Infection.
Marian, age 52, is obese. She complains of a rapid onset of severe right upper quadrant
abdominal cramping pain, nausea, and vomiting. Your differential diagnosis might be:
1.
Appendicitis.
2.
Crohn's disease.
3.
Cholecystitis.
4.
Irritable bowel syndrome. Cholecystitis.
,You suspect that Nikki has a gastroduodenal ulcer caused by Helicobacter pylori and plan to treat
her empirically. What medications should you order?
1.
A proton pump inhibitor (omeprazole), tetracycline or amoxicillin, and metronidazole (Flagyl).
2.
Bismuth subsalicylate (Pepto-Bismol) and omeprazole (Prilosec).
3.
Amoxicillin (Amoxil) and omeprazole (Prilosec).
4.
Clarithromycin (Biaxin) and metronidazole (Flagyl). A proton pump inhibitor
(omeprazole), tetracycline or amoxicillin, and metronidazole (Flagyl).
An 83-year-old female presents to the urgent care clinic for diarrhea. The patient was just
discharged from the hospital 1 week ago following treatment for pneumonia. The patient states
she has diarrhea, described as diffuse and watery, with mucus in it at times. She has
approximately 10 episodes per day. What is the recommended treatment for this patient?
1.
Fecal transplant.
, 2.
Intravenous (IV) metronidazole.
3.
Oral vancomycin.
4.
Gastrointestinal rest. Oral vancomycin.
What is the most common bacterial cause of traveler's diarrhea?
1.
Escherichia coli.
2.
Campylobacter jejuni.
3.
Salmonella.
4.
Shigella. Escherichia coli.
Questions and Answers 100% Solved
Bobby, age 6, has constant periumbilical pain shifting to the right lower quadrant, vomiting, a
small volume of diarrhea, absence of headache, a mild elevation of the white blood cell count
with an early left shift, and white blood cells in the urine. You suspect:
1.
Appendicitis.
2.
Gastroenteritis.
3.
Acute pancreatitis.
4.
Rocky Mountain spotted fever. Appendicitis.
Melva, age 63, presents with an acute exacerbation of pancreatitis, and you are going to admit
her to the hospital. Which is the most important factor in determining a negative long-term
outcome for her?
1.
,Age.
2.
Infection.
3.
Pain.
4.
Length of time between exacerbations. Infection.
Marian, age 52, is obese. She complains of a rapid onset of severe right upper quadrant
abdominal cramping pain, nausea, and vomiting. Your differential diagnosis might be:
1.
Appendicitis.
2.
Crohn's disease.
3.
Cholecystitis.
4.
Irritable bowel syndrome. Cholecystitis.
,You suspect that Nikki has a gastroduodenal ulcer caused by Helicobacter pylori and plan to treat
her empirically. What medications should you order?
1.
A proton pump inhibitor (omeprazole), tetracycline or amoxicillin, and metronidazole (Flagyl).
2.
Bismuth subsalicylate (Pepto-Bismol) and omeprazole (Prilosec).
3.
Amoxicillin (Amoxil) and omeprazole (Prilosec).
4.
Clarithromycin (Biaxin) and metronidazole (Flagyl). A proton pump inhibitor
(omeprazole), tetracycline or amoxicillin, and metronidazole (Flagyl).
An 83-year-old female presents to the urgent care clinic for diarrhea. The patient was just
discharged from the hospital 1 week ago following treatment for pneumonia. The patient states
she has diarrhea, described as diffuse and watery, with mucus in it at times. She has
approximately 10 episodes per day. What is the recommended treatment for this patient?
1.
Fecal transplant.
, 2.
Intravenous (IV) metronidazole.
3.
Oral vancomycin.
4.
Gastrointestinal rest. Oral vancomycin.
What is the most common bacterial cause of traveler's diarrhea?
1.
Escherichia coli.
2.
Campylobacter jejuni.
3.
Salmonella.
4.
Shigella. Escherichia coli.
