A 35 year old female patient is seen in the clinic complaining of abdominal pain. Which of the following
should be included in the history and physical - ANSWER nature of the pain, timing of the pain, palliative
and provocative aspects, associated symptoms (n/v).
A patient comes to the office complaining of constipation. The patient lists all of the following
medications. Which drug could be responsible for the contipation - ANSWER Pepto-Bismol
A patient is seen with complaints of diarrhea. Which of the following should be included in the patient's
differential diagnosis? - ANSWER frequency, amount and fluidity, color and characteristics. Diet history,
recent travel, medication use, source of drinking water
A 29 year old Englishman is seen in the office with complaints of pain in his chest and belly. He has been
suffering the pain for 2 weeks and gets temporary relief from Alka-Seltzer. The burning wakes him at
night and radiates up to his chest. Which factor favors a diagnosis of gastric ulcer - ANSWER His use of
Alka Seltzer
Which of the following is most effective in diagnosing appendicitis - ANSWER History and physical
A 46-year-old patient is seen in the clinic with abdominal pain. Which of the following tests is essential
for this patient? - ANSWER Urine human chorionic gonadotropin
. A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain after meals. She is
often constipated and takes laxatives, which are followed by a couple of days of diarrhea. She
temporarily feels better after a bowel movement. She states she is embarrassed by flatulence and has
abdominal distension. She has had no weight loss or blood in her stool. This problem has gone on for
about 6 months. What should the next step be? - ANSWER Obtain a complete history
, A 28-year-old patient is seen in the clinic with colicky abdominal pain particular with meals. She has
frequent constipation, flatulence, and abdominal distension. Which of the data make a diagnosis of
diverticulitis unlikely? - ANSWER Her age
A 28-year-old patient is seen with complaints of diarrhea. Which of the following responses to the
history questions would help the primary care physician (PCP) establish the diagnosis of irritable bowel
syndrome? - ANSWER
Which of the following dietary instructions should be given to a patient with GERD? - ANSWER Eliminate
coffee
The patient with GERD should be instructed to eliminate which of these activities? - ANSWER Weight
lifting
. A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in
appendicitis? - ANSWER Very early
. A patient is seen in the clinic with right upper quadrant pain that is radiating to the middle of the back.
The NP suspects acute cholelithiasis. The NP should expect which of the following laboratory findings? -
ANSWER Elevated alkaline phosphatase
Which of the following is part of the treatment plan for the patient with irritable bowel syndrome? -
ANSWER High fiber diet
The nurse is assessing a client diagnosed with gastroesophageal reflux disease. Which of the following
should be included in this assessment? - ANSWER Presence of pyrosis
A client, diagnosed with a hiatal hernia, will experience which of the following symptoms most
frequently? - ANSWER Heartburn
The nurse is instructing a client diagnosed with a hiatal hernia on ways to reduce the symptoms. Which
of the following should be included in these instructions - ANSWER Avoid lying down after meals
should be included in the history and physical - ANSWER nature of the pain, timing of the pain, palliative
and provocative aspects, associated symptoms (n/v).
A patient comes to the office complaining of constipation. The patient lists all of the following
medications. Which drug could be responsible for the contipation - ANSWER Pepto-Bismol
A patient is seen with complaints of diarrhea. Which of the following should be included in the patient's
differential diagnosis? - ANSWER frequency, amount and fluidity, color and characteristics. Diet history,
recent travel, medication use, source of drinking water
A 29 year old Englishman is seen in the office with complaints of pain in his chest and belly. He has been
suffering the pain for 2 weeks and gets temporary relief from Alka-Seltzer. The burning wakes him at
night and radiates up to his chest. Which factor favors a diagnosis of gastric ulcer - ANSWER His use of
Alka Seltzer
Which of the following is most effective in diagnosing appendicitis - ANSWER History and physical
A 46-year-old patient is seen in the clinic with abdominal pain. Which of the following tests is essential
for this patient? - ANSWER Urine human chorionic gonadotropin
. A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain after meals. She is
often constipated and takes laxatives, which are followed by a couple of days of diarrhea. She
temporarily feels better after a bowel movement. She states she is embarrassed by flatulence and has
abdominal distension. She has had no weight loss or blood in her stool. This problem has gone on for
about 6 months. What should the next step be? - ANSWER Obtain a complete history
, A 28-year-old patient is seen in the clinic with colicky abdominal pain particular with meals. She has
frequent constipation, flatulence, and abdominal distension. Which of the data make a diagnosis of
diverticulitis unlikely? - ANSWER Her age
A 28-year-old patient is seen with complaints of diarrhea. Which of the following responses to the
history questions would help the primary care physician (PCP) establish the diagnosis of irritable bowel
syndrome? - ANSWER
Which of the following dietary instructions should be given to a patient with GERD? - ANSWER Eliminate
coffee
The patient with GERD should be instructed to eliminate which of these activities? - ANSWER Weight
lifting
. A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in
appendicitis? - ANSWER Very early
. A patient is seen in the clinic with right upper quadrant pain that is radiating to the middle of the back.
The NP suspects acute cholelithiasis. The NP should expect which of the following laboratory findings? -
ANSWER Elevated alkaline phosphatase
Which of the following is part of the treatment plan for the patient with irritable bowel syndrome? -
ANSWER High fiber diet
The nurse is assessing a client diagnosed with gastroesophageal reflux disease. Which of the following
should be included in this assessment? - ANSWER Presence of pyrosis
A client, diagnosed with a hiatal hernia, will experience which of the following symptoms most
frequently? - ANSWER Heartburn
The nurse is instructing a client diagnosed with a hiatal hernia on ways to reduce the symptoms. Which
of the following should be included in these instructions - ANSWER Avoid lying down after meals
