Pam Bartley Gastrointestinal CEN Review Questions and Correct Answers/ Latest Update / Already Graded

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Pam Bartley Gastrointestinal CEN Review
Questions and Correct Answers/ Latest
Update / Already Graded
acute abdomen

Ans: A condition of sudden onset of pain within the abdomen,
usually indicating peritonitis; immediate medical or surgical
treatment is necessary.


peritonitis

Ans: inflammation of the peritoneum from ruptured appendix,
pancreatitis, penetrating trauma, or peritoneal dialysis


peritonitis s/s

Ans: diffuse pain, rebound tenderness, guarding, and fever


peritonitis tx

Ans: gastric tube insertion, IVFs, analgesics, antiemetics,
antibiotics


appendicitis



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Ans: obstruction of the appendix leads to peritonitis, most
common in males 10-30


Where is McBurney's point?

Ans: RLQ


What is Rovsing's sign?

Ans: palpation of LLQ causes pain in RLQ


What is Markle sign?

Ans: Pain when dropping from standing on toes to the heels,
feel increased pain on RLQ


Psoas sign

Ans: RLQ pain with extension of right thigh indicative of
appendicitis


appendicitis s/s

Ans: dull, steady periumbilical pain with anorexia and nausea
early, McBurney's point pain, Rovsing's Sign, Markle Sign,
Psoas sign

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appendicitis dx

Ans: CBC to detect infection, initial CT or ultrasound, frequent
ultrasound reassessment


appendicitis tx

Ans: IVF, analgesics, surgery (Keep NPO)


upper GI bleed cause

Ans: from peptic ulcer disease, Mallory-Weiss syndrome, and
frequent NSAID use


Upper GI bleed s/s

Ans: hematemesis (blood vomit), signs of shock (diiness,
tachycardia)zz


Upper GI bleed dx

Ans: serial H&H, coag panel, *endoscopy*, high BUN


upper GI bleed TX


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