Finall Exam:l NRl 509/l NR509l (Latestl
2025/l 2026l Update)l Advancedl Physicall
Assessmentl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Chamberlain
Q:l Whatl doesl GERDl feell like?
Answer:
risingl retrosternall burningl pain
mayl occurl withl coughing
Q:l Whatl makesl GERDl worse?
Answer:
alcohol
chocolate
citrus
peppermint
coffee
bendingl overl orl lyingl afterl eating
Q:l Whatl arel 2l commonl causesl ofl pepticl ulcerl disease?
Answer:
H.l Pylori
NSAIDs
Q:l Gastricl vsl duodenall ulcers
Answer:
gastricl ulcerl painl rightl afterl eatingl
duodenall ulcerl painl occursl hoursl afterl eating
Both:l
GERD
hematemesisl
melena
Q:l Treatmentl forl PUD
,Answer:
Stopl irritatingl factorsl (Alcohol,l NSAIDs,l smoking)
PPIs,l H2RA,l antacids
Abxl forl treatmentl ofl H.pylori
Q:l 6l maneuversl forl appendicitis
Answer:
McBurneyl Pointl tendernessl onl directl palpationl -l slowlyl applyl pressurel andl quicklyl
releasel tol seel ifl reboundl tenderness
Rovsingl -l RLQl reboundl tendernessl whenl LLQl palpated
Psoasl -l Raisel thighl (flexion)l tol contractl psoasl musclel (painl =l positivel sign)
Obturatorl -l Flexl rightl thighl atl hip,l bendl kneel andl internallyl rotatel tol contractl obturatorl
musclel
Rectall examl -l right-sidedl rentall tenderness
Pelvicl examl -l palpablel inflamedl appendix
Q:l Symptomsl associatedl withl appendicitisl (besidesl pain)
Answer:
fever
increasedl WBC
N/V
bowell changes
Q:l Diverticulosisl vsl diverticulitis
Answer:
Diverticulosisl occursl whenl small,l bulgingl pouchesl (diverticula)l developl inl yourl
digestivel tract.l Whenl onel orl morel ofl thesel pouchesl becomel inflamedl orl infected,l thel
conditionl isl calledl diverticulitis.
Q:l Symptomsl ofl diverticulitis
Answer:
LLQl pain,l reboundl tenderness
Constipationl (abdominall mass)
Leukocytosis
Hematochezial
Fever
Q:l Hepatitisl Al transmission
,Answer:
fecal-orall route
poorl handwashing,l food/waterl contamination
Q:l Hepatitisl Bl transmission
Answer:
bloodl andl bodyl fluids
Q:l Hepatitisl Cl transmission
Answer:
bloodl andl bodyl fluids
mostl commonl chronicl bloodl bornel disease
Q:l Arel alcoholicl hepatitisl andl alcoholicl cirrhosisl thel same?
Answer:
Yes
Q:l Whatl causesl cholecystitis?
Answer:
Obstructionl (usuallyl relatedl tol GALLSTONES)
Q:l Symptomsl ofl cholecystitis
Answer:
RUQl pain,l fever,l fatl intolerance,l nausea,l heartburn,l jaundice,l steatorrhea,l positivel
Murphy'sl sign
Q:l IBS
Answer:
Differentl froml IBD:l
bloating
gas
Similarl tol IBD:
abdominall pain
cramping
changesl inl BM
Dxl isl CLINICAL
recurrentl abdominall painl ANDl painl improvesl withl BMl ORl onsetl associatedl withl
changel inl BMl frequencyl orl consistency
, Q:l IBD
Answer:
inflammatoryl bowell disease
Differentl froml IBS:
Bloodl inl stool
Fatiguel
Weightl loss
Decreasedl appetite
Similarl tol IBS:l
Abdominall pain
Crampingl
Changesl inl BM
DX:
Chronsl -l skipl lesions,l anywherel inl GIl tract
UCl -l continuousl lesions,l largel intestine
Q:l Signsl ofl colonl cancer
Answer:
Pencil-thinl stools
Hematochezia
Rectal/abdl pain
Sensationl ofl incompletel emptying
Palpablel massl (latel stage)
+cologuardl /l fecall testsl =l colonoscopy
Q:l riskl factorsl forl colonl cancer
Answer:
Africanl American
men
elderly
IBD
familyl history
inactivity
lowl fiberl diet
obesity
alcohol
smoking
Q:l Viscerall vs.l somatic:l earlyl appendicitis
Answer:
2025/l 2026l Update)l Advancedl Physicall
Assessmentl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Chamberlain
Q:l Whatl doesl GERDl feell like?
Answer:
risingl retrosternall burningl pain
mayl occurl withl coughing
Q:l Whatl makesl GERDl worse?
Answer:
alcohol
chocolate
citrus
peppermint
coffee
bendingl overl orl lyingl afterl eating
Q:l Whatl arel 2l commonl causesl ofl pepticl ulcerl disease?
Answer:
H.l Pylori
NSAIDs
Q:l Gastricl vsl duodenall ulcers
Answer:
gastricl ulcerl painl rightl afterl eatingl
duodenall ulcerl painl occursl hoursl afterl eating
Both:l
GERD
hematemesisl
melena
Q:l Treatmentl forl PUD
,Answer:
Stopl irritatingl factorsl (Alcohol,l NSAIDs,l smoking)
PPIs,l H2RA,l antacids
Abxl forl treatmentl ofl H.pylori
Q:l 6l maneuversl forl appendicitis
Answer:
McBurneyl Pointl tendernessl onl directl palpationl -l slowlyl applyl pressurel andl quicklyl
releasel tol seel ifl reboundl tenderness
Rovsingl -l RLQl reboundl tendernessl whenl LLQl palpated
Psoasl -l Raisel thighl (flexion)l tol contractl psoasl musclel (painl =l positivel sign)
Obturatorl -l Flexl rightl thighl atl hip,l bendl kneel andl internallyl rotatel tol contractl obturatorl
musclel
Rectall examl -l right-sidedl rentall tenderness
Pelvicl examl -l palpablel inflamedl appendix
Q:l Symptomsl associatedl withl appendicitisl (besidesl pain)
Answer:
fever
increasedl WBC
N/V
bowell changes
Q:l Diverticulosisl vsl diverticulitis
Answer:
Diverticulosisl occursl whenl small,l bulgingl pouchesl (diverticula)l developl inl yourl
digestivel tract.l Whenl onel orl morel ofl thesel pouchesl becomel inflamedl orl infected,l thel
conditionl isl calledl diverticulitis.
Q:l Symptomsl ofl diverticulitis
Answer:
LLQl pain,l reboundl tenderness
Constipationl (abdominall mass)
Leukocytosis
Hematochezial
Fever
Q:l Hepatitisl Al transmission
,Answer:
fecal-orall route
poorl handwashing,l food/waterl contamination
Q:l Hepatitisl Bl transmission
Answer:
bloodl andl bodyl fluids
Q:l Hepatitisl Cl transmission
Answer:
bloodl andl bodyl fluids
mostl commonl chronicl bloodl bornel disease
Q:l Arel alcoholicl hepatitisl andl alcoholicl cirrhosisl thel same?
Answer:
Yes
Q:l Whatl causesl cholecystitis?
Answer:
Obstructionl (usuallyl relatedl tol GALLSTONES)
Q:l Symptomsl ofl cholecystitis
Answer:
RUQl pain,l fever,l fatl intolerance,l nausea,l heartburn,l jaundice,l steatorrhea,l positivel
Murphy'sl sign
Q:l IBS
Answer:
Differentl froml IBD:l
bloating
gas
Similarl tol IBD:
abdominall pain
cramping
changesl inl BM
Dxl isl CLINICAL
recurrentl abdominall painl ANDl painl improvesl withl BMl ORl onsetl associatedl withl
changel inl BMl frequencyl orl consistency
, Q:l IBD
Answer:
inflammatoryl bowell disease
Differentl froml IBS:
Bloodl inl stool
Fatiguel
Weightl loss
Decreasedl appetite
Similarl tol IBS:l
Abdominall pain
Crampingl
Changesl inl BM
DX:
Chronsl -l skipl lesions,l anywherel inl GIl tract
UCl -l continuousl lesions,l largel intestine
Q:l Signsl ofl colonl cancer
Answer:
Pencil-thinl stools
Hematochezia
Rectal/abdl pain
Sensationl ofl incompletel emptying
Palpablel massl (latel stage)
+cologuardl /l fecall testsl =l colonoscopy
Q:l riskl factorsl forl colonl cancer
Answer:
Africanl American
men
elderly
IBD
familyl history
inactivity
lowl fiberl diet
obesity
alcohol
smoking
Q:l Viscerall vs.l somatic:l earlyl appendicitis
Answer:
