MN551 STUDY SHEET VERIFIED QUESTIONS
WITH DETAILED SOLUTIONS
●● A patient is seen in the office and is complaining of constipation. The
patient lists all of the following medications. Which drug could be
responsible for the constipation?
A. Multivitamin
B. Magnesium hydroxide
C. PeptoBismol
D. Ibuprofen
Answer: C. PeptoBismol
●● A gastroenterologist is teaching a group of nurse practitioner students
about the enteric nervous system in preparation for a consultation on a
patient who has suffered a spinal cord injury. Which of the physician's
teaching points is most accurate?
A. "Parasympathetic stimulation blocks the release of the excitatory
neuromediators and inhibits GI motility."
,B. "Sympathetic innervation of much of the GI tract occurs by way of
the vagus nerve."*
C. "The enteric nervous system is made up of the myenteric and
submucosal plexuses; these are located in the wall of the GI tract."
D. "The myenteric plexus is responsible for controlling the function of
each segment of the intestinal tract."
Answer: C. "The enteric nervous system is made up of the myenteric
and submucosal plexuses; these are located in the wall of the GI tract."
●● Cheryl has celiac disease. Which diet should you place her on?
A. High protein diet
B. Gluten free diet
C. Low residue diet
D. Low fat diet
Answer: B. Gluten free diet
,●● A patient with complaints of diarrhea is seen. Which of the following
should be included on the differential diagnosis list for a patient with
diarrhea?
A. Gastroenteritis
B. Inflammatory bowel disease
C. Lactase deficiency
D. All of the above
Answer: D. All of the above
●● Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds.
He reports that he has had intermittent heartburn for several months for
which he takes Tums with temporary relief. He has been waking during
the night with a burning sensation in his chest. Which additional
information would lead you to believe that gastroesophageal reflux
disease (GERD) is the cause of his pain?
A. The pain seems better when he smokes to relieve his nerves.
B. Coffee and fried foods do not bother him.
, C. He awakens at night coughing with a bad taste in his mouth.
D. All of the above
Answer: C. He awakens at night coughing with a bad taste in his mouth.
●● A 29yearold Englishman is seen in the office with complaints of pain
in his chest and belly for 2 weeks. He gets temporary relief from Alka
Seltzer. The burning pain wakes him at night and radiates up into his
chest. Which factor favors a diagnosis of gastric ulcer?
A. His gender
B. His age
C. His use of Alka Seltzer
Answer: C. His use of Alka Seltzer
●● Which of the following is most effective in diagnosing appendicitis?
A. History and physical
B. Sedimentation rate Kidneys, ureter, bladder (KUB) radiograph
WITH DETAILED SOLUTIONS
●● A patient is seen in the office and is complaining of constipation. The
patient lists all of the following medications. Which drug could be
responsible for the constipation?
A. Multivitamin
B. Magnesium hydroxide
C. PeptoBismol
D. Ibuprofen
Answer: C. PeptoBismol
●● A gastroenterologist is teaching a group of nurse practitioner students
about the enteric nervous system in preparation for a consultation on a
patient who has suffered a spinal cord injury. Which of the physician's
teaching points is most accurate?
A. "Parasympathetic stimulation blocks the release of the excitatory
neuromediators and inhibits GI motility."
,B. "Sympathetic innervation of much of the GI tract occurs by way of
the vagus nerve."*
C. "The enteric nervous system is made up of the myenteric and
submucosal plexuses; these are located in the wall of the GI tract."
D. "The myenteric plexus is responsible for controlling the function of
each segment of the intestinal tract."
Answer: C. "The enteric nervous system is made up of the myenteric
and submucosal plexuses; these are located in the wall of the GI tract."
●● Cheryl has celiac disease. Which diet should you place her on?
A. High protein diet
B. Gluten free diet
C. Low residue diet
D. Low fat diet
Answer: B. Gluten free diet
,●● A patient with complaints of diarrhea is seen. Which of the following
should be included on the differential diagnosis list for a patient with
diarrhea?
A. Gastroenteritis
B. Inflammatory bowel disease
C. Lactase deficiency
D. All of the above
Answer: D. All of the above
●● Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds.
He reports that he has had intermittent heartburn for several months for
which he takes Tums with temporary relief. He has been waking during
the night with a burning sensation in his chest. Which additional
information would lead you to believe that gastroesophageal reflux
disease (GERD) is the cause of his pain?
A. The pain seems better when he smokes to relieve his nerves.
B. Coffee and fried foods do not bother him.
, C. He awakens at night coughing with a bad taste in his mouth.
D. All of the above
Answer: C. He awakens at night coughing with a bad taste in his mouth.
●● A 29yearold Englishman is seen in the office with complaints of pain
in his chest and belly for 2 weeks. He gets temporary relief from Alka
Seltzer. The burning pain wakes him at night and radiates up into his
chest. Which factor favors a diagnosis of gastric ulcer?
A. His gender
B. His age
C. His use of Alka Seltzer
Answer: C. His use of Alka Seltzer
●● Which of the following is most effective in diagnosing appendicitis?
A. History and physical
B. Sedimentation rate Kidneys, ureter, bladder (KUB) radiograph
