FNP 652 Midterm Exam Newest Actual Exam With
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Mother presents with her 2 year old child who is
complaining of severe abdominal pain and 4 episodes of
vomiting in the last 24 hours. He has had 4 episodes of
"currant jelly" like stool, and the most recent one had
blood in it. What diagnosis do you suspect? - Answers-
Intussusception
What is the gold standard for diagnosis of
intussusception? - Answers-abdominal ultrasound
What condition is associated with a "bulls eye" or "coiled
spring" appearance when seen on fluoroscopy or
ultrasound? - Answers-Intussusception
What is the treatment for intussusception? - Answers-Air
contrast enema under fluoroscopy
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What types of viral hepatitis are self limiting and cause
only acute viral disease and have complete viral
clearance? - Answers-Hepatitis A and E
What types of viral hepatitis can result in chronic
infections? - Answers-Hepatitis B, C, and D
A patient who is newly diagnosed with GERD should
receive what type of medication as first line treatment? -
Answers-H2 Antagonist (ex: Ranitidine, Famotidine)
A 10 year old female patient presents to the clinic with her
mother with complaints of ongoing generalized abdominal
pain over the last 6 months. Her stool is negative for occult
blood and she is absent of any alarm symptoms. All
previous imagining and work up has come back negative.
The pain is intermittent, and is unrelated to meals,
movement or activity. Pain medications thus far have been
ineffective, and the school is sending letters home
regarding the child's many absences. What condition do
you suspect? - Answers-Functional Abdominal Pain
Which liver enzyme is typically higher in Non-alcoholic
fatty liver disease? ALT or AST? - Answers-ALT
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What are potential causes of non alcoholic fatty liver
disease? - Answers-Obesity, DM, hypertriglyceridemia
associated with insulin resistance as a part of metabolic
syndrome
What are the "2 hits" in non-alcoholic fatty liver disease? -
Answers-1-insulin resistance and altered lipid metabolism
resulting in fatty acids infiltrating the liver.
2-Inflammation causes more liver injury, which can result
in fibrosis and later cirrhosis
A mother bring in her 5 year old son who was previously
potty trained, but has recently started having accidents
daily and not using the toilet. What condition do you
suspect? - Answers-Encopresis
What is Primary Encopresis? - Answers-Child has never
been toilet trained successfully
What is secondary Encopresis? - Answers-Child
previously toilet trained, but begins to soil
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Treating a child with encopresis with constipation, what
methods of disimpaction should be utilized? - Answers-
Oral cathartics, enemas or combination
A child with encopresis with constipation just underwent
bowel evacuation, what should be initiated next? And what
is the goal for their continuing bowel habits? - Answers-
Laxative/stool softeners in order to achieve goal of 1-2 soft
stools ad ay.
What is the first line for management of encopresis? -
Answers-Behavior modification therapy
What is the major contributing factor for recurrence of
diverticulitis? - Answers-Chronic low grade inflammation
What is the most common cause of neonatal obstruction?
- Answers-Hirschsprung Disease
What is the definition of Hirschsprung disease? - Answers-
Congenital absence of ganglion cells in section of large
intestine which results in lack of motility