Chamberlain NR 511 Midterm Questions And Answers 100% Verified.

Chamberlain NR 511 Midterm Questions
And Answers 100% Verified.

WhatlarelcommonlcausesloflN/Vlassociatedlwithlgastritis?l-
lcorrectlanswer.llllAlcohol,lNSAIDs,lASA,lABX,landlillicitlsubstances



Whatlislthelmostlcommonlcauseloflnausealandlvomiting?l-
lcorrectlanswer.llllAcutelGastroenteritisl(AGE)



WhatlarelsomelmanifestationsloflAGE?l-
lcorrectlanswer.llllNausea,lvomiting,landldiarrhea,lfever,labdominallpain.lMaylalsolincludelfat

igue,lmalaise,lanorexia,ltenesmuslandlborborygmus.

HowlislthelseverityloflAGElgauged?l-
lcorrectlanswer.llllDehydrationlsecondaryltolprofuselwateryldiarrhea,lfeverlgreaterlthanl101º

Fl(38.3ºC),lvomiting,lorldysentery.

Whatlarelimportantlpartsloflalpatient'slhistorylwhenlAGElislsuspected?l-
lcorrectlanswer.llllTravel,ldiningllocations,lABXlhistory..



WhatlhappensltolthelpHloflthelstomachlwhenlantacidslareltakenlandlhowldoeslthislaffectlbac
teria?l-
lcorrectlanswer.llllHighlpHlcanlmakelitleasierlforlbacterialtolsurvivelandlcauselandlinfection.



HowldoeslmotilityloflthelGIltractlaffectlbacterialcolonization?l-
lcorrectlanswer.llllSmalllbowellstasislaslalresultloflobstruction,ldiverticulitis,lorlblindllooplsynd

romelfrequentlyldeveloplanlovergrowthloflbacterialwithinlthelstagnantlsegment.

WhichlimmunoglobulinlmaylprotectlthelGIltractlagainstlinvadinglorganisms?l-
lcorrectlanswer.llllIgA...maylalsolhelplprotectlagainstlalfuturelattacklbylthelsamelpathogen.

,OnsetloflN/Vlbeginlwithinl6lhourslafterlexposure.lIslthislbacteriallorlviral?l-
lcorrectlanswer.llllBacterial:ltimelframelsuggestslfoodlpoisoninglresultinglfromlthelingestionlo

flalpreformedltoxinlsuchlaslthatloflBacilluslcereus.

WhatltwolindicationslarelhighlylsuggestiveloflvirallAGE?l-
lcorrectlanswer.llllIncubationlperiodslgreaterlthanl14lhourslandlthelinitiallsymptomloflvomitin

g.

IflalpatientlpresentslwithlAGElandlreportslbloodylstools,lwhatlcanlbelunderstoodlaboutlthelre
asonlforlbloodlinlthelstool/l-
lcorrectlanswer.llllMucosalldamagelandlinflammatorylprocesslsecondaryltolinvasivelpathog

ens.

Whatldolfrothylstoolslandlflatuslsuggest?l-lcorrectlanswer.llllMalabsorptionlproblem.

PatientslwithlprolongedlAGElillnesslwholarelmalnourishedlmaylpresentlwithledema.lWhatlisl
thelreason?l-lcorrectlanswer.llllHypoalbuminemia

TlorlF:lChronicldiarrhealusuallylhaslalnoninfectiousletiology.l-lcorrectlanswer.llllTrue

TlorlF:lAcuteldiarrhealusuallylislcausedlbylinfectiouslagentslorltoxinsl-lcorrectlanswer.llllTrue

WhatlislthelmostlcommonlvirallpathogenlcausinglAGElinladults?l-
lcorrectlanswer.llllNorovirus



WhatlislthelmostlcommonlvirallpathogenlcausinglAGElinlpediatrics?l-
lcorrectlanswer.llllRotavirus.lThislhaslbeenlgreatlylreducedlsincelthelintroductionloflthelrotavi

ruslvaccine.

TlorlF:lStoollstudieslarelindicatedlinlthelabsenceloflbloodyldiarrhealorlsystemicldiseasel-
lcorrectlanswer.llllFalse



TlorlF:lAlCBClwilllhelpldistinguishlbetweenlvirallandlbacteriallAGEl-lcorrectlanswer.llllFalse

Whenlarelstoollstudieslwarranted?l-
lcorrectlanswer.llllSeverelorlprolongedldiarrhea,lalfeverl>l38.5ºC,lbloodylstoolslorlstoolslthatlt

estlpositivelforlleukocyteslorloccultlblood.

WhatlarelcommonlpathogenslinvolvedlinlTraveler'slDiarrhea?l-
lcorrectlanswer.llllShigella,lCampylobacter,landlE.lcoli.



Whatlshouldlthelclinicianldoliflthelpatientldevelopsldiarrhealafterlinitiationloflcompletionloflan
tibioticltherapy?l-lcorrectlanswer.llllTestlforlC.ldiff.

, WhatlarelsomelDDxloflAGE,lparticularlylinlpatientslwithlpersistentlorlchronicldiarrhealandlse
verelabdominallpain?l-
lcorrectlanswer.llllIBS,lIBD,lischemiclbowelldisease,lpartiallbowellobstruction,lsmalllbowelldi

verticulosis.

Whatlarelsomelredlflaglsymptomslthatlmaylindicatelthelneedlforlhospitalization?l-
lcorrectlanswer.llllHypovolemia,ldehydration,labnormallelectrolytes,ldecreasedlrenallfunctio

n,lbloodylstool/rectallbleeding,lweightlloss,lseverelabdominallpain,lprolongedlsymptomslgr
eaterlthanl1lweek,lpregnancy,ladvancedlage,lhistoryloflhospitalizationlorlantibioticluselinlthe
llastl3-6lmonths.



WhatlislthelusuallcourselofltreatmentlforlAGE?l-
lcorrectlanswer.llllOnlylsupportiveltreatmentlislinitiatedlsincelAGElislusuallylself-

limitinglandlresolveslwithinl1lweeklafterlonsetloflsymptoms.

Howlsuchlpatientslwithlevidencelofldehydrationlbeltreatedlinitially?l-
lcorrectlanswer.llllFluidlrepletionlandlnutrition.lSportsldrinkslaren'tlasleffectivelaslspecificlelec

trolytelreplenishingldrinks.

Atlwhatlpointlshouldlalpatientlbelreferredltolthelhospitallforldehydration?l-
lcorrectlanswer.llllSignsloflhypovolemialsuchlaslhypotension,ltachycardia,lpallor,landlpoorlsk

inlturgor.

TloflF:lEmpiriclantimicrobialltherapylislrecommendedlforlpatientslwithlsevereldiarrhealsuspe
ctedlformltraveling.l-lcorrectlanswer.llllTrue.lBactrim,lCiprofloxacin,lNorfloxacin,lFloxacin.

TlorlF:lAntibioticlprophylaxislforlpatientsltravelingltolhigh-risklareaslislappropriate.l-
lcorrectlanswer.llllTrue



Howleffectivelislantibioticlprophylaxislforlpatientsltravelingltolhigh-risklareas?l-
lcorrectlanswer.llll90%leffective



Whatldoeslantibioticlprophylaxisltreatmentlconsistlof?l-
lcorrectlanswer.llllBactrim,lCiprofloxacin,lNorfloxacin,lorlFloxacinlgivenlonceldailyluntill2lday

slafterlreturninglhome.

Whatlislanlappropriatelsymptomaticltreatmentlforlpatientsl<l65lyearslorlagelwithlmoderatelto
lsevereldiarrhea?l-lcorrectlanswer.llllTwo-daylcourseloflLoperamidel(Imodium)



Whatlislanlappropriatelsymptomaticltreatmentlforlpatientsl<l65lyearslorlagelwithlsignificantlv
omiting?l-lcorrectlanswer.llllTwo-daylcourseloflZofranlorlPhenergan.

WhatlislthelbestlwayltolpreventlAGE?l-lcorrectlanswer.llllHandlwashing.

TlorlF:lKidslcanlattendldaycarelwithlinfectiousldiarrhealasllonglaslthey'relseparatedlfromloth
erlchildren.l-lcorrectlanswer.llllFalse!lNotluntilltheldiarrhealhaslstopped.