CMN 568 - Unit 4 exam with question
and answers
Acute onset of severe pain and vomiting suggests what? -
correct answer + Peritoneal irritation
+ Acute gastric or intestinal obstruction
+ Pancreaticobiliary disease
(McPhee p 588)
Persistent vomiting suggests what? - correct answer +
Pregnancy
+ Gastric outlet obstruction
+ Gastroparesis
+ Intestinal dysmotility
+ Psychogenic disorders
+ CNS or systemic disorders
(McPhee p 589)
Vomiting in the morning suggests what? - correct
answer + Pregnancy
+ Uremia
+ ETOH intake
+ ↑ ICP
,CMN 568 - Unit 4 exam with question
and answers
Vomiting after meals suggests what? - correct answer +
Bulimia
+ Peptic ulcer disease
+ Other psychogenic causes
(McPhee p 589, Shimp p 373)
Vomiting of undigested food 1-2 hours after a meal
suggests what? - correct answer + Gastroparesis
+ Small bowel obstruction
+ Gastric outlet obstruction
NOTE: Sucussion splash often heard on auscultation
(McPhee p 589, Shimp p 373)
4 causes of nausea and vomiting - correct answer 1)
Visceral afferent stimulation (seratonin receptors)
2) Vestibular disorders (fibers ↑ in histamine and
muscarinic receptors)
3) CNS disorders
,CMN 568 - Unit 4 exam with question
and answers
4) Irritation of chemoreceptor trigger zone
(McPhee Table 15.1)
Ways to stimulate the chemoreceptor trigger zone and
cause vomiting - correct answer 1) Chemo
2) Medications and drugs
3) Radiation therapy
4) Systemic disorders
CNS disorders that can cause vomiting - correct answer
1) Migraine
2) ↑ ICP
3) Infections (e.g. meningitis, encephalitis)
4) Psychogenic
Vestibular disorders that can cause vomiting - correct
answer Labyrinthitis, Meniere syndrome, motion sickness
Define RETCHING - correct answer Strong, spasmodic,
involuntary effort to vomit without bringing up emesis.
, CMN 568 - Unit 4 exam with question
and answers
(McPhee and Shimp)
Define REGURGITATION - correct answer Effortless
return of gas or small amounts of food from stomach
(McPhee and Shimp)
Common causes of vomiting in infants - correct answer
1) Any acute illness (esp gastroenteritis)
2) Hypertrophic pyloric stenosis (2 - 8 weeks of life, may
feel an "olive" in epigastric area after feeding)
3) Intussisception (6 - 18 months of life, sausage-shaped
mass and "currant jelly" stools)
4) Regurgitation ("spitting up") -- usually normal and
usually resolves by 6 - 12 months.
(Shimp)
Medications associated with N/V - correct answer +
Antidepressants
--SSRIs
--venlafaxine
+ Cardiac meds
and answers
Acute onset of severe pain and vomiting suggests what? -
correct answer + Peritoneal irritation
+ Acute gastric or intestinal obstruction
+ Pancreaticobiliary disease
(McPhee p 588)
Persistent vomiting suggests what? - correct answer +
Pregnancy
+ Gastric outlet obstruction
+ Gastroparesis
+ Intestinal dysmotility
+ Psychogenic disorders
+ CNS or systemic disorders
(McPhee p 589)
Vomiting in the morning suggests what? - correct
answer + Pregnancy
+ Uremia
+ ETOH intake
+ ↑ ICP
,CMN 568 - Unit 4 exam with question
and answers
Vomiting after meals suggests what? - correct answer +
Bulimia
+ Peptic ulcer disease
+ Other psychogenic causes
(McPhee p 589, Shimp p 373)
Vomiting of undigested food 1-2 hours after a meal
suggests what? - correct answer + Gastroparesis
+ Small bowel obstruction
+ Gastric outlet obstruction
NOTE: Sucussion splash often heard on auscultation
(McPhee p 589, Shimp p 373)
4 causes of nausea and vomiting - correct answer 1)
Visceral afferent stimulation (seratonin receptors)
2) Vestibular disorders (fibers ↑ in histamine and
muscarinic receptors)
3) CNS disorders
,CMN 568 - Unit 4 exam with question
and answers
4) Irritation of chemoreceptor trigger zone
(McPhee Table 15.1)
Ways to stimulate the chemoreceptor trigger zone and
cause vomiting - correct answer 1) Chemo
2) Medications and drugs
3) Radiation therapy
4) Systemic disorders
CNS disorders that can cause vomiting - correct answer
1) Migraine
2) ↑ ICP
3) Infections (e.g. meningitis, encephalitis)
4) Psychogenic
Vestibular disorders that can cause vomiting - correct
answer Labyrinthitis, Meniere syndrome, motion sickness
Define RETCHING - correct answer Strong, spasmodic,
involuntary effort to vomit without bringing up emesis.
, CMN 568 - Unit 4 exam with question
and answers
(McPhee and Shimp)
Define REGURGITATION - correct answer Effortless
return of gas or small amounts of food from stomach
(McPhee and Shimp)
Common causes of vomiting in infants - correct answer
1) Any acute illness (esp gastroenteritis)
2) Hypertrophic pyloric stenosis (2 - 8 weeks of life, may
feel an "olive" in epigastric area after feeding)
3) Intussisception (6 - 18 months of life, sausage-shaped
mass and "currant jelly" stools)
4) Regurgitation ("spitting up") -- usually normal and
usually resolves by 6 - 12 months.
(Shimp)
Medications associated with N/V - correct answer +
Antidepressants
--SSRIs
--venlafaxine
+ Cardiac meds
