Nr603 Cea Prep

NR603 CEA PREP: GI ACTUAL QUESTIONS &
VERIFIED ANSWERS

WhichBofBtheBfollowingBgastrointestinalBchangesBisBassociatedBwithBnormalBaging?B-
BCORRECTBANSWER-DecreasedBproductionBofBgastricBacid



AB63-year-
oldBmaleBpresentsBwithBaBsuspectedBlowerBGIBbleed.BHeBreportsBpassingBfrankBsmallBamountsBofBbl
oodBseveralBtimesBtoday.BHeBdeniesBuseBofBNSAID'sBorBbloodBthinners.BWhatBquestionsBwouldBbeBi
mportantBtoBaskBtoBfurtherBdifferentiateByourBdiagnosis?B-BCORRECTBANSWER-
AllBoptionsBareBappropriate



Rationale:BAllBtheBabove,BtheseBquestionsBwouldBhelpBdetermineBifBthisBbleedBwasBassociatedBwit
hBaBpotentialBdiverticularBbleedB(typicallyBpainless),BpainfulBbowelBmovementBassociatedBwithBIBD
B(UC/Crohn's),BandBchangesBinBbowelBhabit/colonoscopyBriskBforBmalignancy.



AnorexiaBnervosaBoccursBmostBcommonlyBinBwhichBofBtheBfollowing?B-BCORRECTBANSWER-High-
levelBathletes

AB29-year-
oldBmaleBpresentsBwithBsevereBabdominalBpain,BheBhasBaBhistoryBofBalcoholBabuse,BandBrecurrentB
pancreatitis.BPatient'sBLipaseBisBelevated,BandBheBhasBnauseaBandBvomitingBasBwell.BAbdominalBCTB
showsBinflammatoryBchangesBaroundBtheBpancreas.BWhatBisBtheBmostBimportantBinterventionBtoB
considerBinBtheBacuteBphase?B-BCORRECTBANSWER-
AdmitBtoBtheBhospitalBforBfluidBresuscitationBtoBavoidBhypovolemicBstate,BandBreduceBriskBofBdevel
opingBfurtherBcomplications

AnBadultBfemaleBreturnsBtoBtheBclinicBwithBsevereBprofuseBwateryBdiarrhea,BabdominalBpain,BandBc
rampingBafterBtreatmentBwithBCiproBxB10Bdays.BWBCBisB12.5,BstoolBcultureBisBpositiveBforBcBdiff.BThe
BNPBwouldBrecommend:B-BCORRECTBANSWER-MetronidazoleB500BtidBforB10-14Bd




Rationale:BTreatmentBofBCBDiffBshouldBincludeBmetronidazoleB(Flagyl)BorBPOBvancomycin.

AnBadultBpresentsBwithBincreasingBabdominalBgirth.BTheBnurseBpractitionerBsuspectsBascites.BWhic
hBfindingBonBphysicalBexamBwouldBconfirmBtheBsuspicionBofBascites?B-BCORRECTBANSWER-
DullnessBshiftsBtoBtheBmoreBdependentBside

, Rationale:BInBtheBfluidBwaveBtestBforBascites,BdullnessBshiftsBtoBtheBmoreBdependentBside.BTheBimp
ulseBofBtheBwaveBshouldBbeBeasilyBpalpable.

AB45-year-
oldBwomanBpresentsBwithBchronicBdiarrhea,BweightBloss,BandBabdominalBpain.BEndoscopyBrevealsB
villousBatrophyBofBtheBsmallBintestine.BWhatBisBtheBmostBappropriateBinitialBmanagement?B-
BCORRECTBANSWER-Gluten-freeBdiet




Rationale:BVillousBatrophyBinBtheBsmallBintestineBsupportsBaBdiagnosisBofBceliacBdiseaseBwhichBcanB
beBmanagedBbyBavoidanceBofBgluten.

AB49-year-
oldBmaleBpresentsBtoByourBserviceBwithBsymptomsBofBfeverB102.3,Bjaundice,BandBabdominalBpain.BI
maginingBrevealsBaBbiliaryBobstruction.BWhichBdiagnosisBisBmostBlikelyBforBthisBpatient?B-
BCORRECTBANSWER-Cholangitis




Rationale:BTheBmostBcommonBcauseBofBthisBisBaBbiliaryBstoneBcausingBobstructionBandBallowingBfor
BascendingBofBbacteriaBandBinfection



AnBadultBfemaleBpresentsBwithBaB1-
weekBhistoryBofBleftBlowerBquadrantBabdominalBpain.BT=101.2BdegreesBF.B(38.4BdegreesBC)BandBanB
elevatedBWBCBcount.BThisBisBtheBpatient'sBfirstBepisodeBofBsevereBabdominalBpain.BTheBnurseBpract
itionerBsuspectsBdiverticulitis.BWhichBofBtheBfollowingBdiagnosticBtestsBwouldBconfirmBtheBdiagnos
is?B-BCORRECTBANSWER-CTBscanBofBtheBabdomen

TheBmostBcommonBsideBeffectBofBtheBoralBribavirinBusedBinBtheBtreatmentBofBhepatitisBCBis:B-
BCORRECTBANSWER-Depression




Rationale:BItBisBimportantBtoBnoteBthatBribavirinBwillBnotBtreatBhepatitisBCBunlessBitBisBtakenBwithBan
otherBmedicationBcalledBpegylated-interferonBαB(PEG-IFNα).

AB59-year-
oldBmaleBpresentsBwithBsymptomsBofBabdominalBpain,Bjaundice,BandBweightBlossBwhichBheBhasBno
tBbeenBtryingBtoBloseBweight.BWhatBwouldBbeBaBmalignancyBassociatedBwithBtheseBsymptoms?B-
BCORRECTBANSWER-PancreaticBcancer