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Abdominal Problems-Dunphy Questions
and Correct Answers the Latest Update
1. Treatment for achalasia may include
A. balloon dilation of the lower esophageal sphincter
B. beta blockers
C. a fundoplication
D. an esophagogastrectomy
✓ A. 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
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C. appendicitis
D. jaundice
✓ A. 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
✓ D. 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)
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B. Ibuprofen (Advil)
C. Prednisone (Deltasone)
D. Surgery is the only answer
✓ A. 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)
✓ C. Antidopaminergic and cholinergic agents such as metoclopramide (Reglan)
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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
✓ B. 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
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