NR 511 Differential Diagnosis and Primary Care Final Exam Review – Complete Question and Answer
Format
GASTROINTESTINAL DISORDERS
Q: What should a 38-year-old male patient with a recent ileostomy do to relieve food blockage? A: Massage
the peristomal area.
Q: What is associated with the presence of diverticula? A: Obesity.
Q: What diagnosis is suggested by sudden LLQ pain, fever, chills, anorexia, nausea, and painless bloody
stools? A: Acute diverticulitis.
Q: What should be recommended to an 82-year-old female with IBS and diverticulosis? A: Bulk laxative.
Q: What is part of the treatment plan for IBS? A: High-fiber diet.
Q: What should be included in the H&P for a 35-year-old female with abdominal pain? A: Digital rectal exam,
sexual history, and pelvic exam.
Q: What makes a diagnosis of diverticulitis unlikely in a 28-year-old female with colicky abdominal pain? A:
Her age.
Q: What is the next step for a GERD patient with no symptom improvement after omeprazole and diet
change? A: Order an endoscopy.
Q: Which medication should be avoided in GERD? A: NSAIDs.
Q: What activity should GERD patients eliminate? A: Weight lifting.
Q: What should be included in the differential for a patient with dry cough, heartburn at night, and food
stuck sensation? A: GERD.
Q: What lifestyle changes should be advised for GERD? A: Stop smoking, eat smaller meals, avoid bedtime
snacks.
Q: What does the presence of Barrett’s epithelium in GERD indicate? A: Premalignant tissue, resistance to
gastric acid, and supports healing.
Q: What dietary item should GERD patients eliminate? A: Coffee.
Q: What condition is suggested by RUQ pain radiating to the back? A: Acute cholelithiasis.
Q: What lab finding is expected in acute cholelithiasis? A: Elevated alkaline phosphatase.
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Format
GASTROINTESTINAL DISORDERS
Q: What should a 38-year-old male patient with a recent ileostomy do to relieve food blockage? A: Massage
the peristomal area.
Q: What is associated with the presence of diverticula? A: Obesity.
Q: What diagnosis is suggested by sudden LLQ pain, fever, chills, anorexia, nausea, and painless bloody
stools? A: Acute diverticulitis.
Q: What should be recommended to an 82-year-old female with IBS and diverticulosis? A: Bulk laxative.
Q: What is part of the treatment plan for IBS? A: High-fiber diet.
Q: What should be included in the H&P for a 35-year-old female with abdominal pain? A: Digital rectal exam,
sexual history, and pelvic exam.
Q: What makes a diagnosis of diverticulitis unlikely in a 28-year-old female with colicky abdominal pain? A:
Her age.
Q: What is the next step for a GERD patient with no symptom improvement after omeprazole and diet
change? A: Order an endoscopy.
Q: Which medication should be avoided in GERD? A: NSAIDs.
Q: What activity should GERD patients eliminate? A: Weight lifting.
Q: What should be included in the differential for a patient with dry cough, heartburn at night, and food
stuck sensation? A: GERD.
Q: What lifestyle changes should be advised for GERD? A: Stop smoking, eat smaller meals, avoid bedtime
snacks.
Q: What does the presence of Barrett’s epithelium in GERD indicate? A: Premalignant tissue, resistance to
gastric acid, and supports healing.
Q: What dietary item should GERD patients eliminate? A: Coffee.
Q: What condition is suggested by RUQ pain radiating to the back? A: Acute cholelithiasis.
Q: What lab finding is expected in acute cholelithiasis? A: Elevated alkaline phosphatase.
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