Nurs550 Midterm EXAM 2025 QUESTIONS
AND ANSWERS
Gallbladder disease risk factors - ANS family hx, diet-fatty foods, female,
Gallbladder disease- subjective symptoms - ANS pain in RUQ which radiates to R Shoulder,
report of N/V, subjective fever
Gallbladder disease- objective symptoms - ANS + Murphys sign, fever, jaundice
Gallbladder disease diagnostics - ANS RUQ ultrasound (first), HIDA scan- if negative U/S but
symptoms persist, elevated liver enzymes/lipase/amylase/leukocytosis
Pancreatitis risk factors - ANS ETOH abuse, some diabetic meds, older patients, HLD, renal
transplant patients
Pancreatitis subjective findings - ANS severe RUQ pain/or-epigastric pain and radiates to the
back
Pancreatitis objective findings - ANS Abdominal tenderness, abdominal distension,
hypoactive bowel sounds. s/s-shock poor prognosis
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, Pancreatitis diagnosed by - ANS 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 - ANS 0-160
Lipase levels in acute pancreatitis - ANS 3-4x normal level
Normal WBC count - ANS 4,000-11,000
Leukocytosis - ANS Abnormally high WBC count, greater than 11k
AST - ANS Typically the range for normal AST is reported between 10 to 40 units per liter
ALT - ANS ALT between 7 to 56 units per liter.
GERD (gastroesophageal reflux disease) risk factors - ANS weak LES, obesity, NSAID
GERD Subjective Data - ANS heartburn, belching, wheezing cough
GERD Objective Data - ANS normal exam
GERD diagnosis - ANS PPI trial
Peptic Ulcer Disease causes - ANS - H. pylori infection, aspirin induced
- stress, smoking, age 50-55, systemic corticoid steroids
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Page
- hormones
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AND ANSWERS
Gallbladder disease risk factors - ANS family hx, diet-fatty foods, female,
Gallbladder disease- subjective symptoms - ANS pain in RUQ which radiates to R Shoulder,
report of N/V, subjective fever
Gallbladder disease- objective symptoms - ANS + Murphys sign, fever, jaundice
Gallbladder disease diagnostics - ANS RUQ ultrasound (first), HIDA scan- if negative U/S but
symptoms persist, elevated liver enzymes/lipase/amylase/leukocytosis
Pancreatitis risk factors - ANS ETOH abuse, some diabetic meds, older patients, HLD, renal
transplant patients
Pancreatitis subjective findings - ANS severe RUQ pain/or-epigastric pain and radiates to the
back
Pancreatitis objective findings - ANS Abdominal tenderness, abdominal distension,
hypoactive bowel sounds. s/s-shock poor prognosis
1
Page
@COPYRIGHT BRAINBARTER 2025/2026
, Pancreatitis diagnosed by - ANS 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 - ANS 0-160
Lipase levels in acute pancreatitis - ANS 3-4x normal level
Normal WBC count - ANS 4,000-11,000
Leukocytosis - ANS Abnormally high WBC count, greater than 11k
AST - ANS Typically the range for normal AST is reported between 10 to 40 units per liter
ALT - ANS ALT between 7 to 56 units per liter.
GERD (gastroesophageal reflux disease) risk factors - ANS weak LES, obesity, NSAID
GERD Subjective Data - ANS heartburn, belching, wheezing cough
GERD Objective Data - ANS normal exam
GERD diagnosis - ANS PPI trial
Peptic Ulcer Disease causes - ANS - H. pylori infection, aspirin induced
- stress, smoking, age 50-55, systemic corticoid steroids
2
Page
- hormones
@COPYRIGHT BRAINBARTER 2025/2026
