When considering an IBS diagnosis, the NP should be aware that:
A. diagnosis is largely based on clinical presentation and application of
the Rome III Criteria.
B. a colonoscopy should be done routinely when the diagnosis is
suspected.
C. complete blood count (CBC), erythrocyte sedimentation rate (ESR),
CRP, and serum albumin should be the initial labs for an IBS workup.
D. once an IBS diagnosis has been confirmed, you can assure the
patient that treatment is generally curative. - Correct Answer ✔️✔
,️A. diagnosis is largely based on clinical presentation and application
of the Rome III Criteria.
Rebound tenderness is best described as abdominal pain that worsens
with:
A. light palpation at the site of the discomfort.
B. release of deep palpation at the site of the discomfort.
C. palpation on the contralateral side of the abdomen.
D. deep palpation at the site of the discomfort. - Correct Answer ✔
️✔️B. release of deep palpation at the site of the discomfort.
,Laboratory evaluation during an IBD flare will reveal elevated levels of
all of the following except:
A. CRP.
B. SeCr.
C. ESR.
D. WBC. - Correct Answer ✔️✔️B. SeCr.
Altering the gut pain threshold in IBS is a possible therapeutic outcome
with the use of:
A. loperamide (Imodium®).
, B. dicyclomine (Bentyl®).
C. bismuth subsalicylate (Pepto-Bismol®).
D. amitriptyline (Elavil®). - Correct Answer ✔️✔️D. amitriptyline
(Elavil®).
Which of the following is most likely to be noted in a person with
colorectal cancer?
A. gross rectal bleeding
B. weight loss