NR 511 Differential Diagnosis and Primary Care- Final Exam Review
1. Topics
2. GI Disorders ....
3. Ulcerative colitis
4. A 38-year-old male patient has recent- massage the peristomal area
ly had an ileostomy for ulcerative colitis.
Which self-care measures should the clini-
cian teach him about to relieve food block-
age?
5. Diverticulitis
6. Which of the following is true regarding di- obesity is correlated
verticula
7. Left lower quadrant abdominal pain for 2 Acute diverticulitis
days, the pain started suddenly and then
, NR 511 Differential Diagnosis and Primary Care- Final Exam Review
fever, chills, anorexia, nausea and painless
bloody stools.
8. An 82-year-old female has been diagnosed bulk laxative
with irritable bowel, chronic constipation,
and diverticulosis following a colonoscopy.
Which pharmacological agent should the
clinician recommend?
9. Which of the following is part of the treat- High fiber diet
ment plan for the
patient with irritable bowel syndrome?
10. A 35-year-old female patent is seen in digital rectal exam, Sexual history, Pelvic
the clinic complaining of abdominal pain. exam
Which of the following should be included
in the history and physical exam?
11. A 28-year-old patent is seen in the clin- Her age
ic with colicky abdominal pain, particularly
with meals. She has
frequent constipation, flatulence, and ab-
dominal distension. Which of the data make
a diagnosis of
diverticulitis unlikely?
12. C. diff Definition and Risk factors
13. C. diff Symptoms
, NR 511 Differential Diagnosis and Primary Care- Final Exam Review
14. C. diff Diagnosis
15. C. diff Treatment
16. GERD pathophysiology
17.
18. A 54-year-old female presents to your pri- Order an endoscopy (This is the next step
mary care office for routine reevaluation for in treatment in order to evaluate the etiol-
gastroesophageal reflux disease (GERD). ogy of the patient's
She has been treated with diet modifica- GERD and consider biopsy if necessary)
tions and 6 weeks of omeprazole without
improvement of her symptoms. What is the
, NR 511 Differential Diagnosis and Primary Care- Final Exam Review
next step in the management of this pa-
tient's GERD?
19. A 67-year-old female on multiple medica- nonsteroidal anti-inflammatory drugs
tions for chronic conditions was just di-
agnosed with gastroesophageal reflux dis-
ease (GERD). In teaching the patient about
the disease, what medication should the
clinician recommend that the patient re-
frain from using?
20. The patient with gastro esophageal reflux Weight lifting
disease (GERD)
should be instructed to eliminate which of
these activities?
21. A patient is seen with a sudden onset of Pancreatitis, peptic ulcer disease, diverti-
flank pain culitis, All of
accompanied by nausea, vomiting, and di- the above
aphoresis, in addition to
nephrolithiasis, which of the following
should be added to the list
of differential diagnoses?
22. A patient is diagnosed with Giardia after a Metrinidazole
backpacking trip in
the mountains. Which of the following
would be the appropriate
treatment?
23. A patient is seen in the clinic with right up- Elevated alkaline phosphatase
per quadrant (RUQ)
pain that is radiating to the middle of the
1. Topics
2. GI Disorders ....
3. Ulcerative colitis
4. A 38-year-old male patient has recent- massage the peristomal area
ly had an ileostomy for ulcerative colitis.
Which self-care measures should the clini-
cian teach him about to relieve food block-
age?
5. Diverticulitis
6. Which of the following is true regarding di- obesity is correlated
verticula
7. Left lower quadrant abdominal pain for 2 Acute diverticulitis
days, the pain started suddenly and then
, NR 511 Differential Diagnosis and Primary Care- Final Exam Review
fever, chills, anorexia, nausea and painless
bloody stools.
8. An 82-year-old female has been diagnosed bulk laxative
with irritable bowel, chronic constipation,
and diverticulosis following a colonoscopy.
Which pharmacological agent should the
clinician recommend?
9. Which of the following is part of the treat- High fiber diet
ment plan for the
patient with irritable bowel syndrome?
10. A 35-year-old female patent is seen in digital rectal exam, Sexual history, Pelvic
the clinic complaining of abdominal pain. exam
Which of the following should be included
in the history and physical exam?
11. A 28-year-old patent is seen in the clin- Her age
ic with colicky abdominal pain, particularly
with meals. She has
frequent constipation, flatulence, and ab-
dominal distension. Which of the data make
a diagnosis of
diverticulitis unlikely?
12. C. diff Definition and Risk factors
13. C. diff Symptoms
, NR 511 Differential Diagnosis and Primary Care- Final Exam Review
14. C. diff Diagnosis
15. C. diff Treatment
16. GERD pathophysiology
17.
18. A 54-year-old female presents to your pri- Order an endoscopy (This is the next step
mary care office for routine reevaluation for in treatment in order to evaluate the etiol-
gastroesophageal reflux disease (GERD). ogy of the patient's
She has been treated with diet modifica- GERD and consider biopsy if necessary)
tions and 6 weeks of omeprazole without
improvement of her symptoms. What is the
, NR 511 Differential Diagnosis and Primary Care- Final Exam Review
next step in the management of this pa-
tient's GERD?
19. A 67-year-old female on multiple medica- nonsteroidal anti-inflammatory drugs
tions for chronic conditions was just di-
agnosed with gastroesophageal reflux dis-
ease (GERD). In teaching the patient about
the disease, what medication should the
clinician recommend that the patient re-
frain from using?
20. The patient with gastro esophageal reflux Weight lifting
disease (GERD)
should be instructed to eliminate which of
these activities?
21. A patient is seen with a sudden onset of Pancreatitis, peptic ulcer disease, diverti-
flank pain culitis, All of
accompanied by nausea, vomiting, and di- the above
aphoresis, in addition to
nephrolithiasis, which of the following
should be added to the list
of differential diagnoses?
22. A patient is diagnosed with Giardia after a Metrinidazole
backpacking trip in
the mountains. Which of the following
would be the appropriate
treatment?
23. A patient is seen in the clinic with right up- Elevated alkaline phosphatase
per quadrant (RUQ)
pain that is radiating to the middle of the
