NR574 Final Exam – Chamberlain University Complete
Q&A Guide | Latest Update 2026 | 100% Pass Guarantee
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1. Acute bowel obstruction presents with...
Abdominal distention, tympanic abdominal percussion note,
absence of bowel sounds, absence of flatus, and absence of bowel
movements
Diaphoresis, low blood pressure, and tachycardia
Board-like abdomen, involuntary muscle guarding & rebound
tenderness
2. Which infections are known to directly cause Rhabdomyolysis?
Bacterial infections like strep throat
Viral infections such as influenza and HIV
Parasitic infections like malaria
Fungal infections such as candidiasis
3. Describe the significance of timely diagnosis in acute intestinal obstruction
and its potential complications.
Timely diagnosis only affects the duration of hospital stay.
Timely diagnosis is crucial to prevent complications such as bowel
necrosis and perforation.
Timely diagnosis is not very important in this condition.
Timely diagnosis helps in reducing the patient's weight.
4. How is nonalcoholic steatohepatitis (NASH) typically diagnosed?
, Liver biopsy
Ultrasound imaging
Blood tests
CT scan
5. If a patient with obesity presents with elevated liver enzymes, what condition
should be suspected and why?
Acute liver failure due to viral infection.
Nonalcoholic fatty liver disease (NAFLD) due to fat accumulation in
the liver.
Cholecystitis due to gallstones.
Acute mesenteric ischemia due to blood flow obstruction.
6. What is the definitive diagnostic test for rhabdomyolysis?
Muscle biopsy
Electromyography (EMG)
MRI of affected muscles
Elevated serum creatine kinase levels
7. Which imaging study is commonly used to assess acute intestinal
obstruction?
CT scan of the abdomen
MRI of the abdomen
X-ray of the abdomen
Ultrasound of the abdomen
8. Describe the significance of elevated serum lactate levels in the context of
acute intestinal obstruction.
, Elevated serum lactate levels are unrelated to intestinal conditions.
Elevated serum lactate levels suggest liver dysfunction.
Elevated serum lactate levels indicate possible ischemia or tissue
hypoxia due to obstruction.
Elevated serum lactate levels indicate a bacterial infection.
9. A patient with acute liver failure develops oliguria and hypotension. What
condition should be suspected based on these symptoms?
Nephrolithiasis
Acute tubular necrosis
Hepatorenal syndrome
Chronic kidney disease
10. Describe how modifiable risk factors can influence the development of
arterio-occlusive mesenteric ischemia.
Modifiable risk factors can be controlled through lifestyle changes,
potentially reducing the risk of arterio-occlusive mesenteric
ischemia.
Chronic diseases are irrelevant to the development of arterio-
occlusive mesenteric ischemia.
Genetic predisposition cannot be altered and thus has no impact on
prevention.
Age-related factors are fixed and do not influence the risk of the
condition.
11. Describe the significance of abdominal tenderness in the context of Acute
Mesenteric Ischemia.
Abdominal tenderness indicates inflammation or ischemia in the
abdominal organs.
, Abdominal tenderness is a sign of liver failure.
Abdominal tenderness suggests a respiratory issue.
Abdominal tenderness is unrelated to ischemic conditions.
12. Hepatorenal syndrome is associated with?
Decreased urine output (oliguria)
Hypotension
All the above
Water retention
Peripheral vasodilation
13. Why is the use of oral contrast imaging discouraged in cases of suspected
Acute Mesenteric Ischemia?
Oral contrast imaging provides clearer images of the mesenteric
vessels.
Oral contrast imaging is safe and has no impact on patient outcomes.
Oral contrast imaging can delay diagnosis and worsen the
condition by causing bowel distension.
Oral contrast imaging is the preferred method for diagnosing
intestinal obstructions.
14. A patient presents with symptoms of jaundice, confusion, and elevated liver
enzymes. What is the most appropriate initial step in managing suspected
acute liver failure (ALF)?
Administering antibiotics
Discharging the patient with follow-up instructions
Scheduling a liver biopsy
Q&A Guide | Latest Update 2026 | 100% Pass Guarantee
1. Acute bowel obstruction presents with...
Abdominal distention, tympanic abdominal percussion note,
absence of bowel sounds, absence of flatus, and absence of bowel
movements
Diaphoresis, low blood pressure, and tachycardia
Board-like abdomen, involuntary muscle guarding & rebound
tenderness
2. Which infections are known to directly cause Rhabdomyolysis?
Bacterial infections like strep throat
Viral infections such as influenza and HIV
Parasitic infections like malaria
Fungal infections such as candidiasis
3. Describe the significance of timely diagnosis in acute intestinal obstruction
and its potential complications.
Timely diagnosis only affects the duration of hospital stay.
Timely diagnosis is crucial to prevent complications such as bowel
necrosis and perforation.
Timely diagnosis is not very important in this condition.
Timely diagnosis helps in reducing the patient's weight.
4. How is nonalcoholic steatohepatitis (NASH) typically diagnosed?
, Liver biopsy
Ultrasound imaging
Blood tests
CT scan
5. If a patient with obesity presents with elevated liver enzymes, what condition
should be suspected and why?
Acute liver failure due to viral infection.
Nonalcoholic fatty liver disease (NAFLD) due to fat accumulation in
the liver.
Cholecystitis due to gallstones.
Acute mesenteric ischemia due to blood flow obstruction.
6. What is the definitive diagnostic test for rhabdomyolysis?
Muscle biopsy
Electromyography (EMG)
MRI of affected muscles
Elevated serum creatine kinase levels
7. Which imaging study is commonly used to assess acute intestinal
obstruction?
CT scan of the abdomen
MRI of the abdomen
X-ray of the abdomen
Ultrasound of the abdomen
8. Describe the significance of elevated serum lactate levels in the context of
acute intestinal obstruction.
, Elevated serum lactate levels are unrelated to intestinal conditions.
Elevated serum lactate levels suggest liver dysfunction.
Elevated serum lactate levels indicate possible ischemia or tissue
hypoxia due to obstruction.
Elevated serum lactate levels indicate a bacterial infection.
9. A patient with acute liver failure develops oliguria and hypotension. What
condition should be suspected based on these symptoms?
Nephrolithiasis
Acute tubular necrosis
Hepatorenal syndrome
Chronic kidney disease
10. Describe how modifiable risk factors can influence the development of
arterio-occlusive mesenteric ischemia.
Modifiable risk factors can be controlled through lifestyle changes,
potentially reducing the risk of arterio-occlusive mesenteric
ischemia.
Chronic diseases are irrelevant to the development of arterio-
occlusive mesenteric ischemia.
Genetic predisposition cannot be altered and thus has no impact on
prevention.
Age-related factors are fixed and do not influence the risk of the
condition.
11. Describe the significance of abdominal tenderness in the context of Acute
Mesenteric Ischemia.
Abdominal tenderness indicates inflammation or ischemia in the
abdominal organs.
, Abdominal tenderness is a sign of liver failure.
Abdominal tenderness suggests a respiratory issue.
Abdominal tenderness is unrelated to ischemic conditions.
12. Hepatorenal syndrome is associated with?
Decreased urine output (oliguria)
Hypotension
All the above
Water retention
Peripheral vasodilation
13. Why is the use of oral contrast imaging discouraged in cases of suspected
Acute Mesenteric Ischemia?
Oral contrast imaging provides clearer images of the mesenteric
vessels.
Oral contrast imaging is safe and has no impact on patient outcomes.
Oral contrast imaging can delay diagnosis and worsen the
condition by causing bowel distension.
Oral contrast imaging is the preferred method for diagnosing
intestinal obstructions.
14. A patient presents with symptoms of jaundice, confusion, and elevated liver
enzymes. What is the most appropriate initial step in managing suspected
acute liver failure (ALF)?
Administering antibiotics
Discharging the patient with follow-up instructions
Scheduling a liver biopsy
