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NUR 566 ction 7. Abdominal Problems Questions With Answers /Latest

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Section 7. Abdominal Problems Questions With Answers /Latest


MULTIPLE CHOICE

1. A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which of
the following should be included in the examination?
A.
Lumbar puncture
B.
Family history of cardiac problems
C.
Contrast venography
D.
Pelvic exam
ANS: D PTS: 1

2. Which of the following is a condition that results in colicky abdominal pain?
A.
Peptic ulcers
B.
Glisson’s capsule around the liver
C.
Peritoneum irritation
D.
Gallstones
ANS: D PTS: 1

3. A patient comes to the office 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.
Pepto-Bismol®
D.
Ibuprofen
ANS: C PTS: 1

4. Which of the following is an appropriate strategy to manage constipation?
A.
Mildly exercise after breakfast.
B.
Five timed minutes on the toilet in which to defecate.
C.
Drink at least 48 ounces of fluids daily.
D.
Immediately begin pharmacologic treatment.
ANS: A PTS: 1

5. A patient is seen with complaints of diarrhea. Which of the following should be included in
the patient’s differential diagnosis?
A.
Gastroenteritis
B.
Recent use of Imodium
C.
Lack of dietary fiber
D.
Decreased physical activity
ANS: A PTS: 1




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, 1
6. Cameron, 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has
had intermittent heartburn for several months and takes antacids 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 don’t bother him.
C.
He wakes at night coughing with a bad taste in his mouth.
D.
He likes to wear loose clothing.
ANS: C PTS: 1

7. Gail, a 35-year-old female patient, is seen in the clinic in the morning. She complains of
abrupt onset of nausea, vomiting, colicky abdominal cramps, and profuse watery diarrhea that
began last night. Her vitals are BP: 110/70, HR: 110, temperature: 99°F, RR: 12. She
recently came back from a vacation in Switzerland, ate leftovers for dinner last night, and had
a cold 2 weeks ago. Which of the following is the most probable cause of her condition?
A.
Staphylococcus
B.
Shigella
C.
Rotavirus
D.
Entamoeba histolytica
ANS: A PTS: 1

8. Hannah is a patient that just had an appendectomy after a diagnosis of appendicitis and had no
complications. Which of the following patient education points is correct?
A.
“You will need to take laxatives to encourage defecation post-surgery.”
B.
“You will need to stay in the hospital for 2 weeks to recover.”
C.
“Your diet will be advanced when bowel sounds return.”
D.
“I will put you on narcotics to manage your pain.”
ANS: C PTS: 1

9. Which of the following patients should be referred to a hepatologist?
A.
Patient with persistent elevation of HBsAg
B.
Patient with anti-HAV IgG
C.
Patient with IgG anti-HBs
D.
Patient with anti-HEV
ANS: A PTS: 1

10. A 29-year-old is seen in the office with complaints of pain in his chest and belly. He quit
smoking 6 months ago. He has been suffering the pain for 2 weeks and gets temporary relief
from Alka-Seltzer® and Pepto-Bismol®. The burning pain wakes him at night and radiates
up to his chest. Which factor favors a diagnosis of gastric ulcer?
A.
His use of Pepto-Bismol
B.
His age
C.
His use of Alka-Seltzer
D.
His smoking cessation



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