NR 511 Differential Diagnosis and Primary Care- Final
Exam Review
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GI Disorders ....
Ulcerative colitis
A 38-year-old male patient has recently hadmassage the peristomal
area an ileostomy for ulcerative colitis. Which
self-care measures should the clinician
teach him about to relieve food blockage?
Diverticulitis
Which of the following is true regarding obesity is
correlated diverticula
,Left lower quadrant abdominal pain for 2 Acute
diverticulitis days, the pain started suddenly and then
fever, chills, anorexia, nausea and painless
bloody stools.
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?
Which of the following is part of the High fiber
diet treatment plan for the
patient with irritable bowel syndrome?
A 35-year-old female patent is seen in the digital rectal exam, Sexual history, Pelvic
exam clinic complaining of abdominal pain. Which
of the following should be included in the
history and physical exam?
A 28-year-old patent is seen in the clinic Her
age with colicky abdominal pain, particularly
with meals. She has
frequent constipation, flatulence, and
abdominal distension. Which of the data
make a diagnosis of
diverticulitis unlikely?
C. diff Definition and Risk factors
C. diff Symptoms
C. diff Diagnosis
C. diff Treatment
GERD pathophysiology
,A 54-year-old female presents to your Order an endoscopy (This is the next step in treatment
in primary care office for routine reevaluation order to evaluate the etiology of the
patient's
for gastroesophageal reflux disease (GERD). GERD and consider biopsy if necessary)
She has been treated with diet
modifications and 6 weeks of omeprazole
without
improvement of her symptoms. What is the
next step in the management of this patient's
GERD?
A 67-year-old female on multiple nonsteroidal anti-inflammatory
drugs medications for chronic conditions was just
diagnosed with gastroesophageal reflux
disease (GERD). In teaching the patient
about the disease, what medication should
the clinician recommend that the patient
refrain from using?
The patient with gastro esophageal reflux Weight lifting
disease (GERD)
should be instructed to eliminate which of
these activities?
A patient is seen with a sudden onset of Pancreatitis, peptic ulcer disease, diverticulitis, All
of flank pain the above
accompanied by nausea, vomiting, and
diaphoresis, in addition to
nephrolithiasis, which of the following
should be added to the list
of differential diagnoses?
A patient is diagnosed with Giardia after a Metrinidazole
backpacking trip in
the mountains. Which of the following would
be the appropriate
treatment?
A patient is seen in the clinic with right Elevated alkaline
phosphatase upper quadrant (RUQ)
pain that is radiating to the middle of
the back. The clinician
suspects acute cholelithiasis. The clinician
should expect which of
the following laboratory findings?
, A patient is diagnosed with This is a premalignant tissue, This tissue is resistant to
gastroesophageal reflux disease gastric acid, This tissue supports healing of the
esophagus: (GERD), and his endoscopic report reveals All of the above
the presence of
Barretts epithelium. Which of the following
information should the
clinician include in the explanation of the
pathology
which of the following dietary information Eliminate coffee
should be given to a
patient with gastroesophageal reflux
disease (GERD)
Mark has necrotizing fasciitis of his left Clostridium perfringens
lower extremity.
Pressure on the skin reveals crepitus due
to gas production by which anaerobic
bacteria?
A patient is diagnosed with GERD, the stop smoking
clinician knows that she misunderstands the eat smaller meals
teaching when she says: -have a snack before retiring for bed.
a patient presents to the clinic with a dry GERD
cough, non smoker, for 5 weeks. the cough
increases at night, he reports episodes of
heartburn after meals. what should the
differential include?
A 64-year-old obese woman comes in GERD
complaining of difficulty swallowing for the
past 3 weeks. She states that "some
foods get stuck" and she has been
having "heartburn" at night when she
lies down, especially if she has had a
heavy meal.
Occasionally, she awakes at night coughing.
She denies weight gain and/or weight loss,
vomiting, or change in bowel movements or
color of stools. She denies alcohol and
tobacco use. There is no pertinent family
history or findings on review of systems
(ROS). Physical examination is normal, with
no abdominal tenderness, and the stool is
occult blood (OB) negative. What is the
most likely diagnosis?