MN551 Unit 6 Practice Questions
A 35 year-old female patient is seen in the clinic complaining of abdominal pain. Which of the following
should be included in the history and physical exam?
A. Digital rectal exam
B. Pelvic exam
C. Sexual history
D. All of the above - Answer-D. All of the above
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
A 35 year-old female patient is seen in the clinic complaining of abdominal pain. Which of the following
should be included in the history and physical exam?
A. Digital rectal exam
B. Pelvic exam
C. Sexual history
D. All of the above - Answer-D. All of the above
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
