NUR676 Exam 3 Questions And Accurate Answers
Most common GI complaint in primary care and most common dx for GI. - Answer IBS
IBS occurs in. - Answer mostly young adults
but in ALL ages
IBS is considered a. - Answer gut brain disorder
has variety of GI sx
characteristics of IBS - Answer abdominal pain PLUS
1. altered bowel habits
2. sx constipation( infrequent stools/ straining/hard stools/ feeling of incomplete or
difficult evacuation)
Gi motility in IBS result of. - Answer stress
anxiety
drugs
anger
acute intestinal infections
small bowel bacterial overgrowth
common s/sx of IBS - Answer chronic abd pain
bloating /distension
flatulence
bowel habit changes
,what helps differentiate IBS from others - Answer MUST have abdominal pain present
IBS abdominal pain characteristics - Answer nonradiating, intermittent, crampy
usually in LLQ
s/sx of IBS usually occurs after. - Answer consuming meals (large) or alcohol
NOT IBS if. - Answer nocturnal sx
bloody or greasy stools
weight loss or malnutrition
GI bleed
anemia
N/V recurs
fever
Physical exam for IBS - Answer VS
abdominal/pelvic/rectal exams:
-increased tympanic percussion
-palpable sigmoid colon
-tenderness on rectal exam
diagnostics for IBS sx - Answer labs
CBC/ ESR/TSH/LFT
stool cultures
colonoscopy
lactose free diet trial
, abdominal US
GYN/GI referral
colonoscopy recommended for pt with IBS if - Answer 1. <40 healthy adult with acute
bowel change
2. >50
3. pts with weight loss, anemia, occult blood
Initial approach: use ROME IV criteria - Answer 1. sx present >3 months
2. initial sx onset >6 months of IBS dx
3. abdominal pain at least once a weekfor previous 3 months with 2+ sx
-pain with defecation
-pain r/t change in stool frequency
-pain associated with change in appearance of stool
IBS management: - Answer symptomatic treatment
pharmacotherapy
alternative therapy
IBS symptomatic treatment - Answer dietary modifications
medications
supportive and behavioral thearpy
education
reassurance
IBS medications - Answer synthetic fibers
-psyllium: metamucil, benefiber
Most common GI complaint in primary care and most common dx for GI. - Answer IBS
IBS occurs in. - Answer mostly young adults
but in ALL ages
IBS is considered a. - Answer gut brain disorder
has variety of GI sx
characteristics of IBS - Answer abdominal pain PLUS
1. altered bowel habits
2. sx constipation( infrequent stools/ straining/hard stools/ feeling of incomplete or
difficult evacuation)
Gi motility in IBS result of. - Answer stress
anxiety
drugs
anger
acute intestinal infections
small bowel bacterial overgrowth
common s/sx of IBS - Answer chronic abd pain
bloating /distension
flatulence
bowel habit changes
,what helps differentiate IBS from others - Answer MUST have abdominal pain present
IBS abdominal pain characteristics - Answer nonradiating, intermittent, crampy
usually in LLQ
s/sx of IBS usually occurs after. - Answer consuming meals (large) or alcohol
NOT IBS if. - Answer nocturnal sx
bloody or greasy stools
weight loss or malnutrition
GI bleed
anemia
N/V recurs
fever
Physical exam for IBS - Answer VS
abdominal/pelvic/rectal exams:
-increased tympanic percussion
-palpable sigmoid colon
-tenderness on rectal exam
diagnostics for IBS sx - Answer labs
CBC/ ESR/TSH/LFT
stool cultures
colonoscopy
lactose free diet trial
, abdominal US
GYN/GI referral
colonoscopy recommended for pt with IBS if - Answer 1. <40 healthy adult with acute
bowel change
2. >50
3. pts with weight loss, anemia, occult blood
Initial approach: use ROME IV criteria - Answer 1. sx present >3 months
2. initial sx onset >6 months of IBS dx
3. abdominal pain at least once a weekfor previous 3 months with 2+ sx
-pain with defecation
-pain r/t change in stool frequency
-pain associated with change in appearance of stool
IBS management: - Answer symptomatic treatment
pharmacotherapy
alternative therapy
IBS symptomatic treatment - Answer dietary modifications
medications
supportive and behavioral thearpy
education
reassurance
IBS medications - Answer synthetic fibers
-psyllium: metamucil, benefiber
