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CLINICAL MANAGEMENT EXAM 2 TEST 1
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Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 43
Clinical Management 2 Test 1
A 24 year old man presents with a 3 month history of upper abdominal pain.
He describes it as an intermittent, centrally located “burning” feeling in his
upper abdomen, most often occurring 2 to 3 hours after meals. This
presentation is most consistent with
the clinical presentation of:
a. Acute gastritis
b. Gastric ulcer
c. Duodenal ulcer
d. Cholecystitis
c. Duodenal ulcer
A 64 year old woman presents with a 3 month history of upper abdominal pain.
She describes the discomfort as intermittent, centrally located “burning” in the
upper abdomen. Most often this occurs with meals and often is accompanied
by mild nausea. Use of an OTC H2RA ( Histamine x receptor antagonist) allows
partial symptom relief. She also uses diclofenac regularly for osteoarthritis
pain. Her clinical presentation is most consistent with:
a. Acute gastroenteritis
b. Gastric ulcer
c. Duodenal ulcer
d. Chronic cholecystitis
b. Gastric ulcer
Which of the following is likely to be reported in a patient with persistent
GERD?
a. Hematemesis
b. Chronic sore throat
c. Diarrhea
d. Melena
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b. Chronic sore throat
Diagnostic testing in inflammatory bowel disease often reveals:
a. Evidence of underling inflammation
b. Notation of intestinal parasites
c. Normal results on most testing
d. A characteristic intraabdominal mass on radiologic imaging
a. Evidence of underling inflammation
Laboratory testing during a IBD flare will reveal elevated levels of all of the
following except:
a. CRP
b. SeCr
c. ESR
d. WBC
b. SeCr
Which of the following statements regarding the epidemiology of inflammatory
bowel disease is correct?
a. Oral contraceptive use decreases the incidence of Crohn’s disease.
b. Persons of Asian descent have the highest rates of ulcerative colitis and
Crohn's disease.
c. Smoking may decrease the incidence of ulcerative colitis.
d. Typical age of onset for Crohn’s disease is 40-50 years old.
c. Smoking may decrease the incidence of ulcerative colitis.
Appropriate Triple therapy for the treatment of Helicobactor pylori is:
a. Combination of lifestyle changes, Pepto-Bismol, and cimetidine
b. Combination of PPI, amoxicillin, and clarithromycin
c. Combination of H2 blocker, amoxicillin, and antacid
d. Combination of H2-blockers, antacids, and amoxicillin
b. Combination of PPI, amoxicillin, and clarithromycin
A 55-year-old man presents with abdominal distension, fever, and rebound
tenderness. He has a history of liver cirrhosis and ascites. Paracentesis
reveals a PMN count of 350 cells/μL. What is the most likely diagnosis?
a) Secondary peritonitis
b) Spontaneous bacterial peritonitis (SBP)
c) Diverticulitis
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d) Acute intestinal obstruction
b) Spontaneous bacterial peritonitis (SBP)
A 30-year-old male presents with 12 hours of periumbilical pain that has now
localized to the right lower quadrant. He has nausea, a fever of 101°F, and
tenderness at McBurney's point. What is the next best step?
a) Administer empiric antibiotics and observe
b) Perform an abdominal ultrasound
c) Obtain a CT scan of the abdomen
d) Start NSAIDs for pain control
c) Obtain a CT scan of the abdomen
A 68-year-old woman presents with colicky abdominal pain, vomiting, and
inability to pass stool or gas for the past 24 hours. Abdominal X-ray shows
dilated loops of bowel. What is the initial management?
a) Start oral fluids and observation
b) Perform an urgent laparotomy
c) Insert a nasogastric tube and provide IV fluids
d) Administer high-dose antibiotics
c) Insert a nasogastric tube and provide IV fluids
A 74-year-old man with COPD and advanced cancer reports severe dyspnea
and worsening pain. He has declined further curative treatments. What is the
most appropriate intervention?
a) Start hospice care and manage symptoms
b) Recommend surgical intervention
c) Admit to the ICU for ventilatory support
d) Perform an exploratory laparotomy
a) Start hospice care and manage symptoms
A patient presents with sudden severe epigastric pain radiating to the back. He
has a history of NSAID use. On examination, he has a rigid abdomen. What is
the next step?
a) Perform an endoscopy
b) Obtain an abdominal X-ray to rule out perforation
c) Prescribe a proton pump inhibitor
d) Start broad-spectrum antibiotics
b) Obtain an abdominal X-ray to rule out perforation
CLINICAL MANAGEMENT EXAM 2 TEST 1
Download now
Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 43
Clinical Management 2 Test 1
A 24 year old man presents with a 3 month history of upper abdominal pain.
He describes it as an intermittent, centrally located “burning” feeling in his
upper abdomen, most often occurring 2 to 3 hours after meals. This
presentation is most consistent with
the clinical presentation of:
a. Acute gastritis
b. Gastric ulcer
c. Duodenal ulcer
d. Cholecystitis
c. Duodenal ulcer
A 64 year old woman presents with a 3 month history of upper abdominal pain.
She describes the discomfort as intermittent, centrally located “burning” in the
upper abdomen. Most often this occurs with meals and often is accompanied
by mild nausea. Use of an OTC H2RA ( Histamine x receptor antagonist) allows
partial symptom relief. She also uses diclofenac regularly for osteoarthritis
pain. Her clinical presentation is most consistent with:
a. Acute gastroenteritis
b. Gastric ulcer
c. Duodenal ulcer
d. Chronic cholecystitis
b. Gastric ulcer
Which of the following is likely to be reported in a patient with persistent
GERD?
a. Hematemesis
b. Chronic sore throat
c. Diarrhea
d. Melena
, Page 3 of 43
b. Chronic sore throat
Diagnostic testing in inflammatory bowel disease often reveals:
a. Evidence of underling inflammation
b. Notation of intestinal parasites
c. Normal results on most testing
d. A characteristic intraabdominal mass on radiologic imaging
a. Evidence of underling inflammation
Laboratory testing during a IBD flare will reveal elevated levels of all of the
following except:
a. CRP
b. SeCr
c. ESR
d. WBC
b. SeCr
Which of the following statements regarding the epidemiology of inflammatory
bowel disease is correct?
a. Oral contraceptive use decreases the incidence of Crohn’s disease.
b. Persons of Asian descent have the highest rates of ulcerative colitis and
Crohn's disease.
c. Smoking may decrease the incidence of ulcerative colitis.
d. Typical age of onset for Crohn’s disease is 40-50 years old.
c. Smoking may decrease the incidence of ulcerative colitis.
Appropriate Triple therapy for the treatment of Helicobactor pylori is:
a. Combination of lifestyle changes, Pepto-Bismol, and cimetidine
b. Combination of PPI, amoxicillin, and clarithromycin
c. Combination of H2 blocker, amoxicillin, and antacid
d. Combination of H2-blockers, antacids, and amoxicillin
b. Combination of PPI, amoxicillin, and clarithromycin
A 55-year-old man presents with abdominal distension, fever, and rebound
tenderness. He has a history of liver cirrhosis and ascites. Paracentesis
reveals a PMN count of 350 cells/μL. What is the most likely diagnosis?
a) Secondary peritonitis
b) Spontaneous bacterial peritonitis (SBP)
c) Diverticulitis
, Page 4 of 43
d) Acute intestinal obstruction
b) Spontaneous bacterial peritonitis (SBP)
A 30-year-old male presents with 12 hours of periumbilical pain that has now
localized to the right lower quadrant. He has nausea, a fever of 101°F, and
tenderness at McBurney's point. What is the next best step?
a) Administer empiric antibiotics and observe
b) Perform an abdominal ultrasound
c) Obtain a CT scan of the abdomen
d) Start NSAIDs for pain control
c) Obtain a CT scan of the abdomen
A 68-year-old woman presents with colicky abdominal pain, vomiting, and
inability to pass stool or gas for the past 24 hours. Abdominal X-ray shows
dilated loops of bowel. What is the initial management?
a) Start oral fluids and observation
b) Perform an urgent laparotomy
c) Insert a nasogastric tube and provide IV fluids
d) Administer high-dose antibiotics
c) Insert a nasogastric tube and provide IV fluids
A 74-year-old man with COPD and advanced cancer reports severe dyspnea
and worsening pain. He has declined further curative treatments. What is the
most appropriate intervention?
a) Start hospice care and manage symptoms
b) Recommend surgical intervention
c) Admit to the ICU for ventilatory support
d) Perform an exploratory laparotomy
a) Start hospice care and manage symptoms
A patient presents with sudden severe epigastric pain radiating to the back. He
has a history of NSAID use. On examination, he has a rigid abdomen. What is
the next step?
a) Perform an endoscopy
b) Obtain an abdominal X-ray to rule out perforation
c) Prescribe a proton pump inhibitor
d) Start broad-spectrum antibiotics
b) Obtain an abdominal X-ray to rule out perforation
