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Exam (elaborations)

NMNC 4510 FINAL EXAM CONCEPTS QUESTIONS WITH 100% CORRECT ANSWERS

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NMNC 4510 FINAL EXAM CONCEPTS QUESTIONS WITH 100% CORRECT ANSWERS

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How do you manage varices?


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- Avoid alcohol, aspirin, NSAIDS
- Endoscopy, EGD
- Non-selective B Blocker: propranolol, natalol (reduce portal pressure)
- Rupture: suction/intubate, PRBCs/vit K, sclerotherapy/banding,
blakemore tube

,What is a pancreatic pseudocyst?


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LOCAL: Collection of leaked pancreatic fluids; typically resolves (otherwise
requires surgery)
- Increased amylase
- Abd pain, anorexia, palpable epigastric mass, n/v




What surgeries can you have done for cholecystitis/cholelithiasis?


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- Laproscopic Cholecystectomy
- CO2 abd inflating (allows for more room for visualization) - SIM's
position/ambulate




How is Hep E transmitted?


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NO- vaccine
RNA virus - fecal oral




How do you manage ascites?


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, - Na+ restriction
- Spironolactone, Furosemide, Albumin, Tolvaptan (corrects hyponatremia)
- Vitamins (thiamine- breakdown glucose), Cobalamin B12, Folic Acid B9
- Avoid alcohol, aspirin, NSAIDs, Tylenol
- Paracentesis
- TIPS procedure




What are clinical manifestations of chronic pancreatitis?


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- Constipation
- Pancreatic insufficiency ( jaundice, dark urine, steatorrhea, diabetes,
malabsorption)
- Splanchnic vein thrombosis (impaired bowel perfusion)




What is the most common cause of pancreatitis and is more common in women?


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Gallstone (obstruction)




What should you avoid for preventing cholelithiasis?


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