CMN 568 Unit 4 Exam Questions and Answers Latest Update 2025 Already Passed
Acute cystitis - Answers Infection of bladder commonly due to coliform bacteria (E coli) and gram
postive (enterococci)
Symptoms of acute cystitis? - Answers Irritating voiding symptoms, suprapubic discomfort, hematuria
Treatment for uncomplicated cystitis in women includes? - Answers Fosfomycin, nitrofurantoin, bactrim
What is acute pyelonephritis? - Answers infectious inflammatory diease involving kidney parenchyma
and renal pelvis
What is most common causative agents of pyelonephritis? - Answers E.Coli, proteus, klebsiella,
enterobactor, pseudomonas
Symptoms of pyelonephritis - Answers Fever, flank pain, shaking, chills, irritation void symptoms
Tx for pyelonephritis in output setting - Answers Empiric therapy: ceftriaxone, gentamicin, coprocessor,
levofloxacin, bactrim
When do you refer pyelonephritis? - Answers Complications, urolithiasis, obstruction
What are the five major types of urinary stones? - Answers Calcium oxalate, calcium phosphate, struvite,
Utica acid, and cystine
The most common types of stones are composed of what? - Answers Calcium
What is a valuable clue to the cause of urinary stones? - Answers Urinary pH
What dietary counseling should the patient review with urinary stones? - Answers Sodium intake
restricted to keep sodium levels les than 150 mEq/day
what is urge incontinence? - Answers most common cause of persistent incontinence in the elderly,
involuntary leakage
What is stress incontinence? - Answers The loss or leaking of urine during exercise, sneezing, laughing,
coughing, or when lifting something heavy.
what is transient incontinence? - Answers incontinence less than 6 wks spontaneously resolves when
the underlying condition is treated
what is overflow incontinence? - Answers caused by obstruction of urinary outflow, dribbling is
symptoms. more common in men, prostate disorders
what is functional incontinence? - Answers inability or unwillingness to toilet because of physical,
cognitive, psychological, or environmental factors. common in hospital and nursing home patients.
What is the most frequent complaint in primary care? - Answers abdominal pain
, Evaluation of abdominal pain starts with a careful and detailed what? - Answers history
what does this history to evaluate abdominal pain include? - Answers onset, location, duration,
character, aggravating factors, relieving factors, timing, and associated symptoms.
what special exams can be included in your abdominal assessment? - Answers pelvic exam, rectal exam,
testicular exam
Diffuse abd pain could indicate what conditions? - Answers IBD, IBS, gastroenteritis, AAA, bowel
obstruction, ischemic bowel
epigastric abd pain could indicate what conditions? - Answers MI, PUD, biliary disease, pancreatitis
RUQ pain could indicate what? - Answers hepatits, gallbladder (biliary) disease, renal disease (pyelo or
renal stone)
LUQ pain could indicate what? - Answers spleen, renal disease
LLQ pain could indicate what? - Answers diverticulitis (can be diffuse), PID, ovarian cyst, ectopic
pregnancy.
periumibilical pain could indicate what? - Answers early appendicitis, small bowel disease
RLQ pain could indicate what? - Answers appendicitis, PID, ovarian cyst, ectopic pregnancy
How do you elicit Murphy's sign? - Answers palpating RUQ as pt takes deep breath or RUQ pain can
occur with deep inspiration
What does a positive Murphy sign indicate? - Answers inflammed gallbladder
How do you elicit Rovsing sign and what does it indicate? - Answers Palpating LLQ causes pain in RLQ.
seen in appendicitis.
How do you elicit the obtuRator test and what does it indicate? - Answers internal Rotation of right hip
makes pain felt in RLQ. seen with appendicitis
how do you ilicit the iliopsoas sign and what does it indicate? - Answers extension of right hip causes
pain in the RLQ. appendicitis.
Two signs of peritoneal irritation? - Answers guarding and rebound tenderness
What labs will be elevated in pancreatitis? - Answers amylase and lipase
checking stool for occult blood could indicate what potential dx? - Answers cancer, IBD, diverticulitis,
PUD
If female of childbearing age, even teens what is one test that is indicated for abd symptoms? - Answers
pregnancy test
Acute cystitis - Answers Infection of bladder commonly due to coliform bacteria (E coli) and gram
postive (enterococci)
Symptoms of acute cystitis? - Answers Irritating voiding symptoms, suprapubic discomfort, hematuria
Treatment for uncomplicated cystitis in women includes? - Answers Fosfomycin, nitrofurantoin, bactrim
What is acute pyelonephritis? - Answers infectious inflammatory diease involving kidney parenchyma
and renal pelvis
What is most common causative agents of pyelonephritis? - Answers E.Coli, proteus, klebsiella,
enterobactor, pseudomonas
Symptoms of pyelonephritis - Answers Fever, flank pain, shaking, chills, irritation void symptoms
Tx for pyelonephritis in output setting - Answers Empiric therapy: ceftriaxone, gentamicin, coprocessor,
levofloxacin, bactrim
When do you refer pyelonephritis? - Answers Complications, urolithiasis, obstruction
What are the five major types of urinary stones? - Answers Calcium oxalate, calcium phosphate, struvite,
Utica acid, and cystine
The most common types of stones are composed of what? - Answers Calcium
What is a valuable clue to the cause of urinary stones? - Answers Urinary pH
What dietary counseling should the patient review with urinary stones? - Answers Sodium intake
restricted to keep sodium levels les than 150 mEq/day
what is urge incontinence? - Answers most common cause of persistent incontinence in the elderly,
involuntary leakage
What is stress incontinence? - Answers The loss or leaking of urine during exercise, sneezing, laughing,
coughing, or when lifting something heavy.
what is transient incontinence? - Answers incontinence less than 6 wks spontaneously resolves when
the underlying condition is treated
what is overflow incontinence? - Answers caused by obstruction of urinary outflow, dribbling is
symptoms. more common in men, prostate disorders
what is functional incontinence? - Answers inability or unwillingness to toilet because of physical,
cognitive, psychological, or environmental factors. common in hospital and nursing home patients.
What is the most frequent complaint in primary care? - Answers abdominal pain
, Evaluation of abdominal pain starts with a careful and detailed what? - Answers history
what does this history to evaluate abdominal pain include? - Answers onset, location, duration,
character, aggravating factors, relieving factors, timing, and associated symptoms.
what special exams can be included in your abdominal assessment? - Answers pelvic exam, rectal exam,
testicular exam
Diffuse abd pain could indicate what conditions? - Answers IBD, IBS, gastroenteritis, AAA, bowel
obstruction, ischemic bowel
epigastric abd pain could indicate what conditions? - Answers MI, PUD, biliary disease, pancreatitis
RUQ pain could indicate what? - Answers hepatits, gallbladder (biliary) disease, renal disease (pyelo or
renal stone)
LUQ pain could indicate what? - Answers spleen, renal disease
LLQ pain could indicate what? - Answers diverticulitis (can be diffuse), PID, ovarian cyst, ectopic
pregnancy.
periumibilical pain could indicate what? - Answers early appendicitis, small bowel disease
RLQ pain could indicate what? - Answers appendicitis, PID, ovarian cyst, ectopic pregnancy
How do you elicit Murphy's sign? - Answers palpating RUQ as pt takes deep breath or RUQ pain can
occur with deep inspiration
What does a positive Murphy sign indicate? - Answers inflammed gallbladder
How do you elicit Rovsing sign and what does it indicate? - Answers Palpating LLQ causes pain in RLQ.
seen in appendicitis.
How do you elicit the obtuRator test and what does it indicate? - Answers internal Rotation of right hip
makes pain felt in RLQ. seen with appendicitis
how do you ilicit the iliopsoas sign and what does it indicate? - Answers extension of right hip causes
pain in the RLQ. appendicitis.
Two signs of peritoneal irritation? - Answers guarding and rebound tenderness
What labs will be elevated in pancreatitis? - Answers amylase and lipase
checking stool for occult blood could indicate what potential dx? - Answers cancer, IBD, diverticulitis,
PUD
If female of childbearing age, even teens what is one test that is indicated for abd symptoms? - Answers
pregnancy test
