MN 566 (Questions and Answers A+ Graded 100% Verified)

MN 566 (Questions and Answers A+ Graded 100% Verified) A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which of the following should be included in the examination? a. Lumbar puncture b. Family history of cardiac problems c. Contrast venography d. Pelvic exam ANS: d. Pelvic exam Which of these is one of the most common dietary triggers of IBS? a. Gluten-free items b. Lactose c. Honey d. Meat ANS: b. Lactose Which of the following is a condition that results in colicky abdominal pain? a. Peptic ulcers b. Glisson's capsule around the liver c. Peritoneum irritation d. Gallstones ANS: d. Gallstones Which of the following causes of gastrointestinal bleeding is found in the lower gastrointestinal tract? a. Erosive esophagitis b. Duodenal ulcer c. Meckel's diverticulum d. Gastric ulcer ANS: c. Meckel's diverticulum On further questioning, the 21-year-old patient with the chief complaints of fatigue, headache, anorexia, and a runny nose explains that she is sexually active only with her boyfriend, does not use injectable drugs, and works as an aide in a day-care center. Which of the following tests would be most helpful in confirming your diagnosis? a. Anti-HAV IgM b. HAV IgG c. Anti-HCV d. IgM anti-HBs ANS: a. Anti-HAV IgM A 29-year-old is seen in the office with complaints of pain in his chest and belly. He quit smoking 6 months ago. He has been suffering the pain for 2 weeks and gets temporary relief from Alka-Seltzer and Pepto-Bismol. The burning pain wakes him at night and radiates up to his chest. Which factor favors a diagnosis of gastric ulcer? a. His use of Pepto-Bismol b. His age c. His use of Alka-Seltzer d. His smoking cessation ANS: c. His use of Alka-Seltzer A 45-year-old patient presents with chief complaint of generalized abdominal pain. Her physical examination is remarkable for the left lower quadrant tenderness. At this time, which of the following should be considered in the differential diagnosis? a. Endometriosis b. Yersinia enterocolitica infection c. Appendicitis d. GERD ANS: a. Endometriosis Which of the following patients should be referred to a hepatologist? a. Patient with persistent elevation of HBsAg b. Patient with anti-HAV IgG c. Patient with IgG anti-HBs d. Patient with anti-HEV ANS: a. Patient with persistent elevation of HBsAg A 21-year-old student presents with complaints of fatigue, headache, anorexia, and a runny nose, all of which began about 2 weeks ago. She started taking vitamins and over-the-counter cold preparations but feels worse. The smell of food makes her nauseated. Her boyfriend had mononucleosis about 1 month ago, and she wonder if she might have it also. Examination reveals cervical adenopathy and an enlarged liver and spleen. Which of the following labs would be most helpful in the differential diagnosis at this point? a. Stool culture b. Liver enzymes c. Anti-hepatitis D virus d. Thyroid-stimulating hormone test ANS: c. Anti-hepatitis D virus Which of the following dietary instructions should be given to a patient with GERD? a. Eliminate coffee b. Drink hot toddies to relieve stomach distress c. Recline and rest after meals d. Increase the amount of spicy foods ANS: a. Eliminate coffee Robin is a 57-year-old female presenting with diffuse abdominal pain. Which of the following statements from the provider to Robin is correct? a. "It doesn't matter that you feel pain not only in your stomach but also in your shoulder." b. "Does moving around change the nature of your pain?" c. "All causes of abdominal pain do not necessitate a surgical referral." d. "I noticed on examination that your stomach is rigid, and you stated your pain is quite severe. It is only necessary for a nurse to see you concerning this problem." ANS: b. "Does moving around change the nature of your pain?" Which of the following is part of the treatment plan for the patient with IBS? a. High-fiber diet b. A discussion that the goal of the treatment is to cure their disease c. Daily laxative d. A conversation about their expected shorter life span ANS: a. High-Fiber diet Which of the following patients has an increased risk of epigastric hernia? a. Mark, a 45-year-old African American male with chronic obstructive pulmonary disease b. Gladys, a 93-year-old Hispanic female with dyslipidemia c. Tony, a 33-year-old Asian male with hypertension d. Whitney, a 22-year-old Caucasian female with anemia ANS: a. Mark, a 45-year-old African American male with chronic obstructive pulmonary disease A patient is diagnosed with GERD, and his endoscopic report reveals that presence of Barrett's epithelium. Which of the following should the PCP include in the explanation of the pathology report? a. This is not premalignant tissue b. This tissue is not resistant to gastric acid c. This tissue supports healing of the esophagus d. This tissue does not have an increased risk of developing esophageal adenocarcinoma. ANS: c. This tissue supports healing of the esophagus