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Quiz 4 – Dunphy: Abdominal Problems | Updated Actual Exam Questions and Correct Answers (A+ Graded)

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Quiz 4 – Dunphy: Abdominal Problems | Updated Actual Exam Questions and Correct Answers (A+ Graded): This document contains the updated Quiz 4 from Dunphy: Primary Care – The Art and Science of Advanced Practice Nursing, focusing on abdominal problems. It includes actual exam questions with verified and A+ graded correct answers covering gastrointestinal assessment, diagnostic reasoning, differential diagnosis, and management of common abdominal conditions. Each answer has been validated for accuracy and consistency with current clinical guidelines, making it a reliable study resource for nurse practitioner students.

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Uploaded on
October 7, 2025
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Written in
2025/2026
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Quiz 4 - Dunphy - Abdominal Problems questions and
answers 2024\2025 A+ Grade


A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which of the following
should be included in the examination?

A. Lumbar puncture

B. Family history of cardiac problems

C. Contrast venography

D. Pelvic exam
- correct answer D. Pelvic exam



Which of the following is a condition that results in colicky abdominal pain?

A. Peptic ulcers

B. Glisson's capsule around the liver

C. Peritoneum irritation

D. Gallstones
- correct answer D. Gallstones



A patient comes to the office complaining of constipation. The patient lists all of the following
medications. Which drug could be responsible for the constipation?

A. Multivitamin

B. Magnesium hydroxide

C. Pepto-Bismol®

D. Ibuprofen
- correct answer C. Pepto-Bismol®



Which of the following is an appropriate strategy to manage constipation?

A. Mildly exercise after breakfast.

B. Five timed minutes on the toilet in which to defecate.

, C. Drink at least 48 ounces of fluids daily.

D. Immediately begin pharmacologic treatment.
- correct answer A. Mildly exercise after breakfast.



A patient is seen with complaints of diarrhea. Which of the following should be included in the patient's
differential diagnosis?

A. Gastroenteritis

B. Recent use of Imodium

C. Lack of dietary fiber

D. Decreased physical activity
- correct answer A. Gastroenteritis



Cameron, 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had
intermittent heartburn for several months and takes antacids with temporary relief. He has been waking
during the night with a burning sensation in his chest. Which additional information would lead you to
believe that gastroesophageal reflux disease (GERD) is the cause of his pain?

A. The pain seems better when he smokes to relieve his nerves.

B. Coffee and fried foods don't bother him.

C. He wakes at night coughing with a bad taste in his mouth.

D. He likes to wear loose clothing.
- correct answer C. He wakes at night coughing with a bad taste in his mouth.



Gail, a 35-year-old female patient, is seen in the clinic in the morning. She complains of abrupt onset of
nausea, vomiting, colicky abdominal cramps, and profuse watery diarrhea that began last night. Her
vitals are BP: 110/70, HR: 110, temperature: 99°F, RR: 12. She recently came back from a vacation in
Switzerland, ate leftovers for dinner last night, and had a cold 2 weeks ago. Which of the following is the
most probable cause of her condition?

A. Staphylococcus

B. Shigella

C. Rotavirus

D. Entamoeba histolytica
- correct answer A. Staphylococcus

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