ADVANCED PATHOPHYSIOLOGY EXAM 5
COMPLETE QUESTIONS AND SOLUTIONS
TESTED ANSWERS
◉ Hydrochloric acid (HCI) and pepsin are responsible for gastric
mucosal damage found in PUD. Baseline acid production occurs
during fasting states, whereas maximal acid production occurs
following meals. Parietal cells are stimulated to release acid by
histamine, acetylcholine, and gastrin. All of these stimuli are
released by the sensation of all of these except:
Answer: Hearing
◉ A patient has been diagnosed with IBS and tells the primary care
NP that symptoms of diarrhea and cramping are worsening. The
patient asks about possible drug therapy to treat the symptoms. The
NP should prescribe:
Answer: Dicyclomine (Bentyl)
◉ Which medication is commonly prescribed for the treatment of
type 1 diabetes mellitus?
Answer: nsulin glargine
, ◉ A woman has severe IBS and takes hyoscyamine sulfate (Levsin),
simethicone (Phazyme), and a TCA. She reports having continued
severe diarrhea. The primary care NP should:
Answer: refer her to a gastroenterologist for endoscopy.
◉ Which medication is commonly used for the management of
inflammatory bowel disease (Crohn's disease and ulcerative colitis)?
Answer: Loratadine
◉ A patient with Graves disease in taking methroatole. After 2
months of therapy the primary care NP notes normal T1 and T4 and
elevated TSH. The NP should
Answer: Decrease the dose of the medication
◉ A female patient who is underweight tells the primary care NP
that she has been using bisacody (Dulcolax) daily for several years.
The NP should:
Answer: prescribe docusate sodium (Colace) and decrease bisacody
gradually.
◉ A primary care NP prescribes levothyroxine for a patient to treat
thyroid deficiency. When teaching this patient about the medication,
the NP should:
Answer: tell the patient that changing brands of the medication
should be avoided.
COMPLETE QUESTIONS AND SOLUTIONS
TESTED ANSWERS
◉ Hydrochloric acid (HCI) and pepsin are responsible for gastric
mucosal damage found in PUD. Baseline acid production occurs
during fasting states, whereas maximal acid production occurs
following meals. Parietal cells are stimulated to release acid by
histamine, acetylcholine, and gastrin. All of these stimuli are
released by the sensation of all of these except:
Answer: Hearing
◉ A patient has been diagnosed with IBS and tells the primary care
NP that symptoms of diarrhea and cramping are worsening. The
patient asks about possible drug therapy to treat the symptoms. The
NP should prescribe:
Answer: Dicyclomine (Bentyl)
◉ Which medication is commonly prescribed for the treatment of
type 1 diabetes mellitus?
Answer: nsulin glargine
, ◉ A woman has severe IBS and takes hyoscyamine sulfate (Levsin),
simethicone (Phazyme), and a TCA. She reports having continued
severe diarrhea. The primary care NP should:
Answer: refer her to a gastroenterologist for endoscopy.
◉ Which medication is commonly used for the management of
inflammatory bowel disease (Crohn's disease and ulcerative colitis)?
Answer: Loratadine
◉ A patient with Graves disease in taking methroatole. After 2
months of therapy the primary care NP notes normal T1 and T4 and
elevated TSH. The NP should
Answer: Decrease the dose of the medication
◉ A female patient who is underweight tells the primary care NP
that she has been using bisacody (Dulcolax) daily for several years.
The NP should:
Answer: prescribe docusate sodium (Colace) and decrease bisacody
gradually.
◉ A primary care NP prescribes levothyroxine for a patient to treat
thyroid deficiency. When teaching this patient about the medication,
the NP should:
Answer: tell the patient that changing brands of the medication
should be avoided.
