Nr 511 Differential Diagnosis And Primary Care- Final Exam Review

NR 511 DIFFERENTIAL DIAGNOSIS AND PRIMARY CARE-
FINAL EXAM REVIEW
A 38-year-old male patient has recently had an ileostomy for ulcerative colitis.
Which self-care measures should the clinician teach him about to relieve food
blockage?


Answers:massage the peristomal area
Which of the following is true regarding diverticula


Answers:obesity is correlated
Left lower quadrant abdominal pain for 2 days, the pain started suddenly and then
fever, chills, anorexia, nausea and painless bloody stools.


Answers:Acute diverticulitis
An 82-year-old female has been diagnosed with irritable bowel, chronic
constipation, and diverticulosis following a colonoscopy. Which pharmacological
agent should the clinician recommend?


Answers:bulk laxative
Which of the following is part of the treatment plan for the
patient with irritable bowel syndrome?


Answers:High fiber diet
A 35-year-old female patent is seen in the clinic complaining of abdominal pain.
Which of the following should be included in the history and physical exam?


Answers:digital rectal exam, Sexual history, Pelvic exam

,A 28-year-old patent is seen in the clinic with colicky abdominal pain, particularly
with meals. She has
frequent constipation, flatulence, and abdominal distension. Which of the data
make a diagnosis of
diverticulitis unlikely?


Answers:Her age
C. diff Definition and Risk factors


Answers:
C. diff Symptoms


Answers:
C. diff Diagnosis


Answers:
C. diff Treatment


Answers:
GERD pathophysiology


Answers:




Answers:

,A 54-year-old female presents to your primary care office for routine reevaluation
for gastroesophageal reflux disease (GERD). She has been treated with diet
modifications and 6 weeks of omeprazole without improvement of her symptoms.
What is the next step in the management of this patient's GERD?


Answers:Order an endoscopy (This is the next step in treatment in order to
evaluate the etiology of the patient's
GERD and consider biopsy if necessary)
A 67-year-old female on multiple medications for chronic conditions was just
diagnosed with gastroesophageal reflux disease (GERD). In teaching the patient
about the disease, what medication should the clinician recommend that the patient
refrain from using?


Answers:nonsteroidal anti-inflammatory drugs
The patient with gastro esophageal reflux disease (GERD)
should be instructed to eliminate which of these activities?


Answers:Weight lifting
A patient is seen with a sudden onset of flank pain
accompanied by nausea, vomiting, and diaphoresis, in addition to
nephrolithiasis, which of the following should be added to the list
of differential diagnoses?


Answers:Pancreatitis, peptic ulcer disease, diverticulitis, All of
the above
A patient is diagnosed with Giardia after a backpacking trip in
the mountains. Which of the following would be the appropriate
treatment?

, Answers:Metrinidazole
A patient is seen in the clinic with right upper quadrant (RUQ)
pain that is radiating to the middle of the back. The clinician
suspects acute cholelithiasis. The clinician should expect which of
the following laboratory findings?


Answers:Elevated alkaline phosphatase
A patient is diagnosed with gastroesophageal reflux disease
(GERD), and his endoscopic report reveals the presence of
Barretts epithelium. Which of the following information should the
clinician include in the explanation of the pathology


Answers:This is a premalignant tissue, This tissue is resistant to
gastric acid, This tissue supports healing of the esophagus:
All of the above
which of the following dietary information should be given to a
patient with gastroesophageal reflux disease (GERD)


Answers:Eliminate coffee
Mark has necrotizing fasciitis of his left lower extremity.
Pressure on the skin reveals crepitus due
to gas production by which anaerobic bacteria?


Answers:Clostridium perfringens