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Exam (elaborations)

NRNP 6531 Week 8 Knowledge Check Gastrointestinal genitourinary endocrine and hematologic conditions

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Question 17 1 out of 1 points Diagnostic confirmation of acute leukemia is based on: Selected a. 1 out of 1 points Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus? Selected Answer: d. Postprandial hypoglycemia Answers: a. Hypertriglyceridemia and low high-density lipoprotein (HDL) b. Gestational diabetes and polycystic ovarian syndrome c. Hispanic, African-American, Native-American, and Pacific Islander ethnicity d. Postprandial hypoglycemia Answer: Remissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain and weight loss. Answers: a. Right lower quadrant pain, frequently accompanied by a palpable mass, fever, and leukocytosis. b. Painful hematemesis, occasionally accompanied by melena. c. Rapidly progressive dysphagia with ingestion of solid foods, anorexia, and weight loss out of proportion to the dysphagia. d. Remissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain and weight loss. Answer: Bone marrow aspiration Question 18 0 out of 1 points After thorough history, physical examination, and laboratory tests, a patient is diagnosed with irritable bowel syndrome (IBS). Which of the following initial treatment plans is currently considered most effective? Question 19 1 out of 1 points Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid? biopsy Answers: a. Bone marrow aspiration and biopsy b. Pancytopenia c. Hyperuricemia d. All of the above Selected Answer: c. Treatment with a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac) or sertraline (Zoloft). Answers: a. A low fat, tyramine-free, caffeine-free, high fiber diet, along with a daily diary, and attention to psychosocial factors. b. Referral to a gastroenterologist for colonoscopy. c. Treatment with a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac) or sertraline (Zoloft). d. Antibiotics, nutritional support, and high fiber diet. Selected Answer: b. Peppermint Answers: a.

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