mn 551 Patho | Questions and Answers with complete solution

Which of the following measures would likely be rejected as part of a first-line weight loss plan for a patient with a BMI of 30.2, type 2 diabetes, and hypertension? - 30 minutes or more of moderateintensity activity at least 3 days per week Calorie reduction by 500 to 1,000 kcal/day *****Gastric bypass Prescription drug therapy A nurse practitioner is providing care for a male patient with a long-standing hiatal hernia. Which of the following statements most accurately captures an aspect of the pathophysiology of hiatal hernias? - An incompetent pyloric sphincter and high fat diet are commonly implicated in the development of hiatal hernias. *****If esophageal acid clearance is impaired, esophagitis can result. The root causes of hiatal hernias are normally treatable with medication. Paraesophageal hiatal hernias are common and are normally not treated if the patient is asymptomatic. Which of the following patients is most clearly displaying the signs and symptoms of IBD? - A 24- year-old man who has a stressful job but whose diarrhea and cramping do not worsen during periods of high stress. A 44-year-old man who is under great financial stress and who states that his lower abdominal pain is much worse at night than during the day.*****A 51-year-old male who states that his stomach pain is in his lower abdomen, "comes and goes," and "feels more like a cramp than a dull ache." A 32-year-old mother who complains of intermittent abdominal pain that persists even after defecation. While on tour, a 32-year-old male musician has presented to the emergency department of a hospital after a concert complaining of severe and sudden abdominal pain. He admits to a history of copious alcohol use in recent years, and his vital signs include a temperature of 38.8°C (101.8°F), blood pressure of 89/48 mm Hg, and heart rate of 116 beats per minute. Blood work indicates that his serum levels of Creactive protein, amylase, and lipase are all elevated. Which of the following diagnoses would the care team first suspect? - *****Acute pancreatitis Liver cirrhosis Cholecystitis Hepatitis C A 55-year-old man has been diagnosed with a hiatal hernia, in which the function of the lower esophageal sphincter is compromised. Which of the following consequences of this condition is most likely? - Inappropriate release of gastric enzymes ******Protrusion of the stomach or regurgitation of stomach contents into the esophagus Impaired control of the gastric emptying rate Decreased absorption of ingested foods and fluids