NUR 652 Quiz 3 study questions with Correct Answers/
Verified/ Latest Update
4 risk factors for peptic ulcer disease - ✔✔H. pylori, smoking, NSAID long term use, men
Gastric peptic ulcer has pain when - ✔✔stomach is full
Duodenal ulcer has pain when - ✔✔stomach is empty
when there is a peptic ulcer 50% get relief when? - ✔✔food or antacid but pain returns in 2-
4 hours
H pylori management - ✔✔2 antibiotics, PPI or bismuth (tetracycline &
metronidazole/tinidazole X14 days)
H. Pylori when and how do you verify cure - ✔✔4 weeks after therapy, 2 full weeks no PPI,
use breath or stool test
risk factors for colic - ✔✔prenatal smoking, stress in home per lecture and COP (p103 Burns
- normal early behavioral development)
Colic presentation - ✔✔peak of crying 2 months, unexpected, resists soothing, pain like face
even without pain, long lasting (5 hours or more) evening
if gaining weight well and normal physical exam, and a child with colic appears normal, what
do you do? - ✔✔No labs, no radiology
How do you manage colic - ✔✔If mother is breastfeeding change her diet to low allergen
per COP. According to Burns acknowledge how difficult it is , ask parents how they are
handling it. No evidence changing formulas or trying medications will help
risk factors for appendicitis - ✔✔5-50 years old (Burns), more males
, family history
Appendicitis presentation - ✔✔-Periumbilical pain that moves to RLQ
-Fever, anorexia, vomiting, occasionally diarrhea
-Pt may have peritoneal signs
What happens to presentation of appendicitis if it perforates - ✔✔pain is intense, then no
pain when it perforates. Over time will become rigid abdomen with pain again as peritonitis
progresses
What is the name of the RLQ appendix point of tenderness - ✔✔McBurney's point
What is Rovsing Sign - ✔✔RLQ pain elicited by palpating LLQ
What is the obturator sign? - ✔✔passive internal rotation of the flexed hip leading to RLQ
pain
IBS risk factors - ✔✔late 20s, female, stress, diet, family history, depression, anxiety
IBS presentation - ✔✔recurrent episodes of crampy lower abdominal pain with bloating,
flatulence accompanied by either constipation and or diarrhea. PAIN RELIEVED WITH
DEFECATION trigger recent emotional stress
Stool may have mucous BUT NO BLOOD
CHANGE in bowel habits
Treatment for IBS-D - ✔✔antidiarrheals, SSRI, TCA
risk factors celiac disease - ✔✔other autoimmune diseases, family history, female
predominant 2:1
Verified/ Latest Update
4 risk factors for peptic ulcer disease - ✔✔H. pylori, smoking, NSAID long term use, men
Gastric peptic ulcer has pain when - ✔✔stomach is full
Duodenal ulcer has pain when - ✔✔stomach is empty
when there is a peptic ulcer 50% get relief when? - ✔✔food or antacid but pain returns in 2-
4 hours
H pylori management - ✔✔2 antibiotics, PPI or bismuth (tetracycline &
metronidazole/tinidazole X14 days)
H. Pylori when and how do you verify cure - ✔✔4 weeks after therapy, 2 full weeks no PPI,
use breath or stool test
risk factors for colic - ✔✔prenatal smoking, stress in home per lecture and COP (p103 Burns
- normal early behavioral development)
Colic presentation - ✔✔peak of crying 2 months, unexpected, resists soothing, pain like face
even without pain, long lasting (5 hours or more) evening
if gaining weight well and normal physical exam, and a child with colic appears normal, what
do you do? - ✔✔No labs, no radiology
How do you manage colic - ✔✔If mother is breastfeeding change her diet to low allergen
per COP. According to Burns acknowledge how difficult it is , ask parents how they are
handling it. No evidence changing formulas or trying medications will help
risk factors for appendicitis - ✔✔5-50 years old (Burns), more males
, family history
Appendicitis presentation - ✔✔-Periumbilical pain that moves to RLQ
-Fever, anorexia, vomiting, occasionally diarrhea
-Pt may have peritoneal signs
What happens to presentation of appendicitis if it perforates - ✔✔pain is intense, then no
pain when it perforates. Over time will become rigid abdomen with pain again as peritonitis
progresses
What is the name of the RLQ appendix point of tenderness - ✔✔McBurney's point
What is Rovsing Sign - ✔✔RLQ pain elicited by palpating LLQ
What is the obturator sign? - ✔✔passive internal rotation of the flexed hip leading to RLQ
pain
IBS risk factors - ✔✔late 20s, female, stress, diet, family history, depression, anxiety
IBS presentation - ✔✔recurrent episodes of crampy lower abdominal pain with bloating,
flatulence accompanied by either constipation and or diarrhea. PAIN RELIEVED WITH
DEFECATION trigger recent emotional stress
Stool may have mucous BUT NO BLOOD
CHANGE in bowel habits
Treatment for IBS-D - ✔✔antidiarrheals, SSRI, TCA
risk factors celiac disease - ✔✔other autoimmune diseases, family history, female
predominant 2:1
