Abdominal Problems-Dunphy
1. Treatment for achalasia may include
A. balloon dilation of the lower esophageal sphincter
B. beta blockers
C. a fundoplication
D. an esophagogastrectomy - question and answerA. balloon dilation of the lower
esophageal sphincter
2. You assess for Cullen's sign in Dan, age 62, after surgery. Cullen's sign may indicate
A. intra-abdominal bleeding
B. a ventral hernia
C. appendicitis
D. jaundice - question and answerA. intra-abdominal bleeding
3. The most important diagnostic test for celiac disease is
A. confirming malabsorption by laboratory tests
B. a barium enema
C. a peroral biopsy of the duodenum
D. a tTG-IgA test followed by a biopsy of the small intestine - question and answerD. a
tTG-IgA test followed by a biopsy of the small intestine
,4. Which oral medication might be used to treat a client with chronic cholelithiasis who is
a poor candidate for surgery?
A. Ursodiol (Actigall)
B. Ibuprofen (Advil)
C. Prednisone (Deltasone)
D. Surgery is the only answer - question and answerA. Ursodiol (Actigall)
5. All of the following medications are used for the control of nausea and vomiting.
Which medication works by affecting the chemoreceptor trigger zone, thereby
stimulating upper gastrointestinal motility and increasing lower esophageal sphincter
pressure?
A. Anticholinergics such as scopolamine (Donnatal)
B. Antidopaminergic agents such as prochlorperazine (Compazine)
C. Antidopaminergic and cholinergic agents such as metoclopramide (Reglan)
D. Tetrahydrocannabinols such as dronabinol (Marinol) - question and answerC.
Antidopaminergic and cholinergic agents such as metoclopramide (Reglan)
6. Martha has a Cushing's ulcer. What might have precipitated this?
A. her house burned down when she was not at home
B. she was in a bad auto accident in which she sustained a head injury
C. she spent the weekend deep-sea diving
D. she was on an overseas airline flight that lasted more than 24 hours - question and
answerB. she was in a bad auto accident in which she sustained a head injury
7. Sara, age 59, is taking polyethylene glycol (GoLYTELY) in preparation for a barium
enema. What do you teach her about the medication?
A. drink the solution at room temperature
B. take the medication with food so that it will be absorbed better
C. take the medication in the early evening so as not to interfere with sleep
, D. drink all of the solution in one sitting - question and answerC. take the medication in
the early evening so as not to interfere with sleep
8. While you are obtaining Henry's history, he tells you that he had a portacaval shunt
done in the past. What does this imply?
A. a history of liver cancer
B. a history of alcohol abuse
C. a congenital biliary problem
D. heavy tobacco use - question and answerB. a history of alcohol abuse
9. Sidney, age 33, has ulcerative colitis and asks you about a Koch pouch. How do you
respond?
A. "It's a method of bowel training for clients with chronic diarrhea."
B. "It's a name for a continent ileostomy."
C. "It's a packet of daily pills to take to relieve diarrhea."
D. "It's like a sanitary pad, and it's used to contain any rectal leakage." - question and
answerB. "It's a name for a continent ileostomy."
10. You auscultate Julie's abdomen and hear a peritoneal friction rub. Which condition
do you rule out?
A. peritonitis
B. a liver or spleen abscess
C. a liver or spleen metastatic tumor
D. irritable bowel syndrome - question and answerA. peritonitis
11. Rebound tenderness at McBurney's point would alert you to
A. appendicitis
B. peritonitis
C. a spleen injury
D. irritable bowel syndrome - question and answerA. appendicitis
1. Treatment for achalasia may include
A. balloon dilation of the lower esophageal sphincter
B. beta blockers
C. a fundoplication
D. an esophagogastrectomy - question and answerA. balloon dilation of the lower
esophageal sphincter
2. You assess for Cullen's sign in Dan, age 62, after surgery. Cullen's sign may indicate
A. intra-abdominal bleeding
B. a ventral hernia
C. appendicitis
D. jaundice - question and answerA. intra-abdominal bleeding
3. The most important diagnostic test for celiac disease is
A. confirming malabsorption by laboratory tests
B. a barium enema
C. a peroral biopsy of the duodenum
D. a tTG-IgA test followed by a biopsy of the small intestine - question and answerD. a
tTG-IgA test followed by a biopsy of the small intestine
,4. Which oral medication might be used to treat a client with chronic cholelithiasis who is
a poor candidate for surgery?
A. Ursodiol (Actigall)
B. Ibuprofen (Advil)
C. Prednisone (Deltasone)
D. Surgery is the only answer - question and answerA. Ursodiol (Actigall)
5. All of the following medications are used for the control of nausea and vomiting.
Which medication works by affecting the chemoreceptor trigger zone, thereby
stimulating upper gastrointestinal motility and increasing lower esophageal sphincter
pressure?
A. Anticholinergics such as scopolamine (Donnatal)
B. Antidopaminergic agents such as prochlorperazine (Compazine)
C. Antidopaminergic and cholinergic agents such as metoclopramide (Reglan)
D. Tetrahydrocannabinols such as dronabinol (Marinol) - question and answerC.
Antidopaminergic and cholinergic agents such as metoclopramide (Reglan)
6. Martha has a Cushing's ulcer. What might have precipitated this?
A. her house burned down when she was not at home
B. she was in a bad auto accident in which she sustained a head injury
C. she spent the weekend deep-sea diving
D. she was on an overseas airline flight that lasted more than 24 hours - question and
answerB. she was in a bad auto accident in which she sustained a head injury
7. Sara, age 59, is taking polyethylene glycol (GoLYTELY) in preparation for a barium
enema. What do you teach her about the medication?
A. drink the solution at room temperature
B. take the medication with food so that it will be absorbed better
C. take the medication in the early evening so as not to interfere with sleep
, D. drink all of the solution in one sitting - question and answerC. take the medication in
the early evening so as not to interfere with sleep
8. While you are obtaining Henry's history, he tells you that he had a portacaval shunt
done in the past. What does this imply?
A. a history of liver cancer
B. a history of alcohol abuse
C. a congenital biliary problem
D. heavy tobacco use - question and answerB. a history of alcohol abuse
9. Sidney, age 33, has ulcerative colitis and asks you about a Koch pouch. How do you
respond?
A. "It's a method of bowel training for clients with chronic diarrhea."
B. "It's a name for a continent ileostomy."
C. "It's a packet of daily pills to take to relieve diarrhea."
D. "It's like a sanitary pad, and it's used to contain any rectal leakage." - question and
answerB. "It's a name for a continent ileostomy."
10. You auscultate Julie's abdomen and hear a peritoneal friction rub. Which condition
do you rule out?
A. peritonitis
B. a liver or spleen abscess
C. a liver or spleen metastatic tumor
D. irritable bowel syndrome - question and answerA. peritonitis
11. Rebound tenderness at McBurney's point would alert you to
A. appendicitis
B. peritonitis
C. a spleen injury
D. irritable bowel syndrome - question and answerA. appendicitis
