NR 511 Differential Diagnosis and Primary
Care- Final Exam Review
1. TopicsAnswer
2. GI Disorders
Answer ....
3. Ulcerative colitis
Answer
4. A 38-year-old male patient has recently had an ileostomy for ulcerative
colitis. Which self-care measures should the clinician teach him about to
relieve food blockage?
Answer massage the peristomal area
5. Diverticulitis
Answer
6. Which of the following is true regarding diverticula
Answer obesity is correlated
,7. Left lower quadrant abdominal pain for 2 days, the pain started suddenly
and then fever, chills, anorexia, nausea and painless bloody stools.
Answer Acute diverticulitis
8. An 82-year-old female has been diagnosed with irritable bowel, chronic
con- stipation, and diverticulosis following a colonoscopy. Which
pharmacological agent should the clinician recommend?
Answer bulk laxative
9. Which of the following is part of the treatment plan
for the patient with irritable bowel syndrome?
Answer High fiber diet
10. A 35-year-old female patent is seen in the clinic complaining of
abdominal pain. Which of the following should be included in the history
and physical exam?
Answer digital rectal exam, Sexual history, Pelvic exam
11. A 28-year-old patent is seen in the clinic with colicky abdominal
pain, partic- ularly with meals. She has
frequent constipation, flatulence, and abdominal distension. Which of the
data make a diagnosis of
diverticulitis unlikely?
Answer Her age
,12. C. diff Definition and Risk
factorsAnswer
13. C. diff
SymptomsAnswer
14. C. diff Diagnosis
Answer
15. C. diff Treatment
Answer
16. GERD pathophysiology
Answer
17.
Answer
18. A 54-year-old female presents to your primary care office for routine
, reeval- uation for gastroesophageal reflux disease (GERD). She has been
treated with diet modifications and 6 weeks of omeprazole without
improvement of her symptoms. What is the next step in the management
of this patient's GERD?
Answer - Order an endoscopy (This is the next step in treatment in order to evaluate the etiology of
the patient's
GERD and consider biopsy if necessary)
19. A 67-year-old female on multiple medications for chronic
conditions was just diagnosed with gastroesophageal reflux disease
(GERD). In teaching the
patient about the disease, what medication should the clinician recommend
that the patient refrain from using?
Answer nonsteroidal anti-inflammatory drugs
20. The patient with gastro esophageal reflux disease (GERD)
should be instructed to eliminate which of these activities?
Answer Weight lifting
21. A patient is seen with a sudden onset of flank pain
accompanied by nausea, vomiting, and diaphoresis, in addition
to nephrolithiasis, which of the following should be added to the
list of differential diagnoses?
Answer Pancreatitis, peptic ulcer disease, diverticulitis, All of
the above
Care- Final Exam Review
1. TopicsAnswer
2. GI Disorders
Answer ....
3. Ulcerative colitis
Answer
4. A 38-year-old male patient has recently had an ileostomy for ulcerative
colitis. Which self-care measures should the clinician teach him about to
relieve food blockage?
Answer massage the peristomal area
5. Diverticulitis
Answer
6. Which of the following is true regarding diverticula
Answer obesity is correlated
,7. Left lower quadrant abdominal pain for 2 days, the pain started suddenly
and then fever, chills, anorexia, nausea and painless bloody stools.
Answer Acute diverticulitis
8. An 82-year-old female has been diagnosed with irritable bowel, chronic
con- stipation, and diverticulosis following a colonoscopy. Which
pharmacological agent should the clinician recommend?
Answer bulk laxative
9. Which of the following is part of the treatment plan
for the patient with irritable bowel syndrome?
Answer High fiber diet
10. A 35-year-old female patent is seen in the clinic complaining of
abdominal pain. Which of the following should be included in the history
and physical exam?
Answer digital rectal exam, Sexual history, Pelvic exam
11. A 28-year-old patent is seen in the clinic with colicky abdominal
pain, partic- ularly with meals. She has
frequent constipation, flatulence, and abdominal distension. Which of the
data make a diagnosis of
diverticulitis unlikely?
Answer Her age
,12. C. diff Definition and Risk
factorsAnswer
13. C. diff
SymptomsAnswer
14. C. diff Diagnosis
Answer
15. C. diff Treatment
Answer
16. GERD pathophysiology
Answer
17.
Answer
18. A 54-year-old female presents to your primary care office for routine
, reeval- uation for gastroesophageal reflux disease (GERD). She has been
treated with diet modifications and 6 weeks of omeprazole without
improvement of her symptoms. What is the next step in the management
of this patient's GERD?
Answer - Order an endoscopy (This is the next step in treatment in order to evaluate the etiology of
the patient's
GERD and consider biopsy if necessary)
19. A 67-year-old female on multiple medications for chronic
conditions was just diagnosed with gastroesophageal reflux disease
(GERD). In teaching the
patient about the disease, what medication should the clinician recommend
that the patient refrain from using?
Answer nonsteroidal anti-inflammatory drugs
20. The patient with gastro esophageal reflux disease (GERD)
should be instructed to eliminate which of these activities?
Answer Weight lifting
21. A patient is seen with a sudden onset of flank pain
accompanied by nausea, vomiting, and diaphoresis, in addition
to nephrolithiasis, which of the following should be added to the
list of differential diagnoses?
Answer Pancreatitis, peptic ulcer disease, diverticulitis, All of
the above
