Finall Exam:l NRl 576/l NR576l (Latestl
2026/l 2027l Update)l Differentiall Diagnosisl
inl Adult-Gerontologyl Primaryl Carel
Guidel |Q/Al |l Gradel A|l 100%l Correctl
(Verifiedl Answers)l -Chamberlain
Q:l Crohn'sl Diseasel Riskl Factors
Answer:
NOD2,l 10-40,l smoking
Q:l Crohn'sl Diseasel Findings
Answer:
abdominall crampingl andl tenderness,l fever,l anorexia,l weightl loss,l spasm,l flatulence,l andl
RLQl painl orl mass,l Stoolsl arel softl orl semiliquid,l steatorrheal (foul-smelling,l fattyl stools)
Q:l Crohn'sl Diseasel Diagnostics
Answer:
-malabsorptionl andl vitaminl andl minerall deficiencies,l elevatedl WBCl countl andl ESR,l asl
welll asl al prolongedl prothrombinl time.
-Colonoscopy,l CTl scan
Q:l Crohn'sl Diseasel Treatment
Answer:
sulfasalazine,l Glucocorticoids,l prednisone,l metronidazole,l 6MP
,Q:l Crohn'sl Diseasel Education
Answer:
low-residuel dietl whenl obstructivel symptomsl arel present-l avoidl alll foodsl highl inl fiber,l
includingl wholel grainl breadsl andl cereals,l alll freshl fruitsl andl vegetables,l andl seedsl andl
nuts
Q:l Ulcerativel Colitisl Riskl Factors
Answer:
10-40,l genetics
Q:l Ulcerativel Colitisl Findings
Answer:
-mild:l fourl orl fewerl loosel bowell movements/dayl associatedl w/abdominall crampsl
relievedl withl defecation,l smalll amountsl ofl bloodl andl mucusl inl thel stool,l andl
sometimesl tenesmus.
-moderate:l fourl tol sixl loosel stools/l dayl containingl morel bloodl andl mucus,l tachycardia,l
mildl fever,l andl weightl loss
-Severe:l morel frequentl bloodyl bowell movementsl (sixl tol 10/day);l abdominall painl andl
tenderness;l andl symptomsl ofl anemia,l hypovolemia,l andl impairedl nutrition
Q:l Ulcerativel Colitisl Diagnostics
Answer:
sigmoidoscopy,l colonoscopy
Q:l Ulcerativel Colitisl Treatment
Answer:
-5-aminosalicylicl acidl (5-ASA),l Corticosteroids
-Lomotil,l loperamide,l codeine
-mesalaminel orl hydrocortisone
,-Immunosuppressivel (immunomodulating)l agents—azathioprinel (Imuran),l cyclosporine,l andl
metabolitel 6-mercaptopurinel (6MP)
Q:l Ulcerativel Colitisl Education
Answer:
blandl dietl thatl isl highl inl caloriesl andl proteinl yetl lowl inl fat,l parenterall nutritionl orl
orall supplementationl forl malnutritionl mayl bel necessary
Q:l IBDl Findings
Answer:
(1)l gradual,l withl vaguel abdominall discomfort,l malaise,l cramping,l andl bloody,l
mucopurulentl stools;l (2)l abrupt,l withl frequentl periodsl ofl bloodyl diarrhea,l anorexia,l
fever,l andl weightl loss;l andl (3)l abruptl andl fulminating,l withl sudden,l violentl diarrheal
occurringl nocturnally,l highl fever,l intensel abdominall cramping,l signsl ofl peritonitis,l
weightl loss,l andl anorexia.l Stoolsl mayl containl blood,l mucus,l and/orl pus.
Q:l IBDl Treatment
Answer:
immunosuppressantsl and/orl biologics
Q:l Colorectall Cancerl Riskl Factors
Answer:
increasingl agel (45+l andl 65+),l males,l familyl hx,l polyps,l barrett'sl esophagus
Q:l Colorectall Cancerl Findings
Answer:
-mostl arel asymptomatic
melena,l changel inl bowell habits/l stooll caliberl (narrowedl orl ribbonlike)
, Q:l Colorectall Cancerl Diagnostics
Answer:
CBC,l LFT,l carcinoembryonicl antigenl (CEA),l colonoscopy
Q:l Colorectall Cancerl Treatment
Answer:
Staging,l Surgicall resection,l chemotherapy,l Radiation
Q:l Colorectall Cancerl Education
Answer:
prevention:l stressingl al dietl thatl isl lowl inl fatl andl refinedl carbohydratesl andl highl inl
fiber,l fruits,l vegetables,l andl complexl carbohydrates.l Becausel obesityl andl al sedentaryl
lifestylel arel riskl factors,l patientsl shouldl bel assistedl inl pursuingl weightl lossl andl
exercise.l Thel risk/benefit/costl ratiol makesl thesel preventivel measuresl worthl suggesting.
Q:l PUDl Riskl Factors
Answer:
H.l Pylori,l NSAIDs,l Genetics,l bloodl type,l personality,l smoking
Duodenal:l 30-55
Gastric:l 55-70
Q:l PUDl Findings
Answer:
burningl orl gnawingl (hunger)l sensationl orl painl (dyspepsia)l oftenl relievedl byl foodl orl
antacids,l nocturnall pain
Duodenal:l reductionl inl painl afterl eating
Gastric:l morel intensel painl afterl eating
2026/l 2027l Update)l Differentiall Diagnosisl
inl Adult-Gerontologyl Primaryl Carel
Guidel |Q/Al |l Gradel A|l 100%l Correctl
(Verifiedl Answers)l -Chamberlain
Q:l Crohn'sl Diseasel Riskl Factors
Answer:
NOD2,l 10-40,l smoking
Q:l Crohn'sl Diseasel Findings
Answer:
abdominall crampingl andl tenderness,l fever,l anorexia,l weightl loss,l spasm,l flatulence,l andl
RLQl painl orl mass,l Stoolsl arel softl orl semiliquid,l steatorrheal (foul-smelling,l fattyl stools)
Q:l Crohn'sl Diseasel Diagnostics
Answer:
-malabsorptionl andl vitaminl andl minerall deficiencies,l elevatedl WBCl countl andl ESR,l asl
welll asl al prolongedl prothrombinl time.
-Colonoscopy,l CTl scan
Q:l Crohn'sl Diseasel Treatment
Answer:
sulfasalazine,l Glucocorticoids,l prednisone,l metronidazole,l 6MP
,Q:l Crohn'sl Diseasel Education
Answer:
low-residuel dietl whenl obstructivel symptomsl arel present-l avoidl alll foodsl highl inl fiber,l
includingl wholel grainl breadsl andl cereals,l alll freshl fruitsl andl vegetables,l andl seedsl andl
nuts
Q:l Ulcerativel Colitisl Riskl Factors
Answer:
10-40,l genetics
Q:l Ulcerativel Colitisl Findings
Answer:
-mild:l fourl orl fewerl loosel bowell movements/dayl associatedl w/abdominall crampsl
relievedl withl defecation,l smalll amountsl ofl bloodl andl mucusl inl thel stool,l andl
sometimesl tenesmus.
-moderate:l fourl tol sixl loosel stools/l dayl containingl morel bloodl andl mucus,l tachycardia,l
mildl fever,l andl weightl loss
-Severe:l morel frequentl bloodyl bowell movementsl (sixl tol 10/day);l abdominall painl andl
tenderness;l andl symptomsl ofl anemia,l hypovolemia,l andl impairedl nutrition
Q:l Ulcerativel Colitisl Diagnostics
Answer:
sigmoidoscopy,l colonoscopy
Q:l Ulcerativel Colitisl Treatment
Answer:
-5-aminosalicylicl acidl (5-ASA),l Corticosteroids
-Lomotil,l loperamide,l codeine
-mesalaminel orl hydrocortisone
,-Immunosuppressivel (immunomodulating)l agents—azathioprinel (Imuran),l cyclosporine,l andl
metabolitel 6-mercaptopurinel (6MP)
Q:l Ulcerativel Colitisl Education
Answer:
blandl dietl thatl isl highl inl caloriesl andl proteinl yetl lowl inl fat,l parenterall nutritionl orl
orall supplementationl forl malnutritionl mayl bel necessary
Q:l IBDl Findings
Answer:
(1)l gradual,l withl vaguel abdominall discomfort,l malaise,l cramping,l andl bloody,l
mucopurulentl stools;l (2)l abrupt,l withl frequentl periodsl ofl bloodyl diarrhea,l anorexia,l
fever,l andl weightl loss;l andl (3)l abruptl andl fulminating,l withl sudden,l violentl diarrheal
occurringl nocturnally,l highl fever,l intensel abdominall cramping,l signsl ofl peritonitis,l
weightl loss,l andl anorexia.l Stoolsl mayl containl blood,l mucus,l and/orl pus.
Q:l IBDl Treatment
Answer:
immunosuppressantsl and/orl biologics
Q:l Colorectall Cancerl Riskl Factors
Answer:
increasingl agel (45+l andl 65+),l males,l familyl hx,l polyps,l barrett'sl esophagus
Q:l Colorectall Cancerl Findings
Answer:
-mostl arel asymptomatic
melena,l changel inl bowell habits/l stooll caliberl (narrowedl orl ribbonlike)
, Q:l Colorectall Cancerl Diagnostics
Answer:
CBC,l LFT,l carcinoembryonicl antigenl (CEA),l colonoscopy
Q:l Colorectall Cancerl Treatment
Answer:
Staging,l Surgicall resection,l chemotherapy,l Radiation
Q:l Colorectall Cancerl Education
Answer:
prevention:l stressingl al dietl thatl isl lowl inl fatl andl refinedl carbohydratesl andl highl inl
fiber,l fruits,l vegetables,l andl complexl carbohydrates.l Becausel obesityl andl al sedentaryl
lifestylel arel riskl factors,l patientsl shouldl bel assistedl inl pursuingl weightl lossl andl
exercise.l Thel risk/benefit/costl ratiol makesl thesel preventivel measuresl worthl suggesting.
Q:l PUDl Riskl Factors
Answer:
H.l Pylori,l NSAIDs,l Genetics,l bloodl type,l personality,l smoking
Duodenal:l 30-55
Gastric:l 55-70
Q:l PUDl Findings
Answer:
burningl orl gnawingl (hunger)l sensationl orl painl (dyspepsia)l oftenl relievedl byl foodl orl
antacids,l nocturnall pain
Duodenal:l reductionl inl painl afterl eating
Gastric:l morel intensel painl afterl eating
