NM 703 GI Disorders Camtasia Exam Questions
with Revised Answers| Verified 100% Correct
Abdominal Pain assessment - ✔✔•Any given abdominal pain can have more than 1
mechanism
•Certain presentations are considered classic, ie appendicitis
•NOT all patients have classic presentations, esp. infants, elderly and debilitated
•Good HX essential (OLDCART)
•Management depends on cause
Obtain a consult or refer GI disorders that presents with - ✔✔-BWAD
-lood in the stool
-Weight loss
-Anemia
-Dysphagia
Nausea & vomiting (symptom not disease) Common causes - ✔✔-GI, ie PUD
-Neuro CNS, ie motion sickness
-Systemic, ie pregnancy, food poisoning
-Iatrogenic, ie meds, bulemia
Diagnositic labs for Self Limited Nausea & vomiting - ✔✔No lab if no systemic S & S
and duration <24 hours
Nausea & vomiting Treatment - ✔✔-Cause determines therapy but generally
-No solids for approx. 4 hours after vomiting ceases
,-Clear liquids, sm sips, then gradually increase
-Anti-emetics
N & V brat diet - ✔✔•Bananans
•Rice
•Apple Sauce
•Toast
Nausea & vomiting Treatment Medications - ✔✔-Pharm - may need rectal
suppositories
-Phenergan - generalized N&V
-Bismuth Subsalicylate - generalized N&V
-Transdermal scope - motion sickness
-Complimentary therapy
Anti-emetics considered "Safe" during pregnancy - ✔✔-Zofran - Class B
-Reglan - class B
Nausea & Vomiting Complimentary therapy - ✔✔-Complimentary therapy
-Ginger
-Vitamin B6
Nausea & Vomiting when to consult - ✔✔-Consult or referral if persists > 24 hours
Constipation Causes - ✔✔-Slow transit
-Pelvic floor dysfunction
, -Primary diseases of the colon. ie stricture, tumor
-Endocrine, ie hypothyroidism, DM
-Neuro, ie parkinsons, spinal cord lesion
-Medications, ie opiates, anticholinergics, calcium channel blockers, diuretics, antacids
-Most commonly functional with no underlying pathology
Constipation Management - ✔✔-Exercise
-Fiber
-Fluids
-Bulk forming agents
-Stool softeners - short term
-Avoid chronic laxative use
Constipation Bulk forming agents - ✔✔‣ Citrucel
‣ Metamucil
‣ FiberCon
Constipation when to consult - ✔✔Consult or referral if change in bowel pattern,
unresponsive to tx, or blood in stool
Diarrhea Diagnostics - ✔✔If no S&S and duration < 48 hrs - no lab studies
Diarrhea Treatment - ✔✔-Stop all solids 12-24 hours, give rehydrating solution
-Kaopectate or Pepto Bismol for symptomatic relief (diarrhea), Donnatol (cramping)
-Antibiotics if indicated
with Revised Answers| Verified 100% Correct
Abdominal Pain assessment - ✔✔•Any given abdominal pain can have more than 1
mechanism
•Certain presentations are considered classic, ie appendicitis
•NOT all patients have classic presentations, esp. infants, elderly and debilitated
•Good HX essential (OLDCART)
•Management depends on cause
Obtain a consult or refer GI disorders that presents with - ✔✔-BWAD
-lood in the stool
-Weight loss
-Anemia
-Dysphagia
Nausea & vomiting (symptom not disease) Common causes - ✔✔-GI, ie PUD
-Neuro CNS, ie motion sickness
-Systemic, ie pregnancy, food poisoning
-Iatrogenic, ie meds, bulemia
Diagnositic labs for Self Limited Nausea & vomiting - ✔✔No lab if no systemic S & S
and duration <24 hours
Nausea & vomiting Treatment - ✔✔-Cause determines therapy but generally
-No solids for approx. 4 hours after vomiting ceases
,-Clear liquids, sm sips, then gradually increase
-Anti-emetics
N & V brat diet - ✔✔•Bananans
•Rice
•Apple Sauce
•Toast
Nausea & vomiting Treatment Medications - ✔✔-Pharm - may need rectal
suppositories
-Phenergan - generalized N&V
-Bismuth Subsalicylate - generalized N&V
-Transdermal scope - motion sickness
-Complimentary therapy
Anti-emetics considered "Safe" during pregnancy - ✔✔-Zofran - Class B
-Reglan - class B
Nausea & Vomiting Complimentary therapy - ✔✔-Complimentary therapy
-Ginger
-Vitamin B6
Nausea & Vomiting when to consult - ✔✔-Consult or referral if persists > 24 hours
Constipation Causes - ✔✔-Slow transit
-Pelvic floor dysfunction
, -Primary diseases of the colon. ie stricture, tumor
-Endocrine, ie hypothyroidism, DM
-Neuro, ie parkinsons, spinal cord lesion
-Medications, ie opiates, anticholinergics, calcium channel blockers, diuretics, antacids
-Most commonly functional with no underlying pathology
Constipation Management - ✔✔-Exercise
-Fiber
-Fluids
-Bulk forming agents
-Stool softeners - short term
-Avoid chronic laxative use
Constipation Bulk forming agents - ✔✔‣ Citrucel
‣ Metamucil
‣ FiberCon
Constipation when to consult - ✔✔Consult or referral if change in bowel pattern,
unresponsive to tx, or blood in stool
Diarrhea Diagnostics - ✔✔If no S&S and duration < 48 hrs - no lab studies
Diarrhea Treatment - ✔✔-Stop all solids 12-24 hours, give rehydrating solution
-Kaopectate or Pepto Bismol for symptomatic relief (diarrhea), Donnatol (cramping)
-Antibiotics if indicated
