2015 AGACNP Gastrointestinal question n answers graded A+ 2023/2024

2015 AGACNP GastrointestinalBody Mass Index - correct answer Mass in kg/square of height in meters 1) Underweight: < 18.5 2) Normal weight: 18.5-25 3) Overweight 25-30 4) Obese : Over 30 Ideal body weight - correct answer Men: 106 + 6lb for every inch over 5 feet Women: 100 + 5 lb for every inch over 5 feet Visceral pain - correct answer - From abdominal viscera: layer over the organ - Vague, dull, nauseating - Poorly localized - Causes referred pain When to counsel about obesity per AHRQ: - correct answer = 20% over IBW Counseling should begin early and when 20% over IBW Somatic pain - correct answer - From parietal peritoneum - Irritated by inflammatory processes - Sharp, well localized pain Referred pain - correct answer - Perceived somewhere other than source - Nerve bundles converge LLQ pain - correct answer Diverticulitis RUQ pain - correct answer Sometimes radiation to the back: cholecystitis Vomiting - correct answer **Know if vomit **Extent of vomiting **Timing in relationship to pain - Vomiting before or during pain, likely not a surgical abdomen -Surgical abdomens typically do not vomit, if so will be hours after post op Generalized abdominal discomfort - correct answer Pancreatitis Radiates to RLQ - correct answer Appendicitis Really bad pain.. unremitting - correct answer Perforation Mesentary ischemia Colicky, wax and waning - correct answer Gastroenteritis Peritonitis signs and symptoms - correct answer Inflammation/irritation of peritoneum - Abdominal pain - Distention - Rigidity - Anorexia - N/V