NR283 IExam I3 IReview
AIclient I is Idiagnosed I with I hematochezia. IWhich Iassessment I finding Iconfirms Ithis Idiagnosis?
Bright IRectal Ibleeding
AIpatient Iexperiences Ichronic I intermittent Ipain I in I the Iepigastric Iarea I when Ithe Istomach I is
IemptyIa nd I in Ithe I middle Iof Ithe I night. IThis I history Isupports Ia Idiagnosis Iof
Duodenal Iulcer
chronic Iintermittent Ipain Iin Ithe Iepigastric Iarea Iand Ioccurs I2-3 Ihours
I afterIe ating
(Gastric Iulcer
Pain Ioccurs Idirectly Iafter Ieating)
Which Iof I the I following I is Ia Itrue Istatement Iregarding I ulcerative Icolitis?
Bloody, Ipurulent Idiarrhea I is Ia Icommon Isymptom
20-40 Iyears Iof Iage. IWhite Ipopulation Iand IJewish
Idescent.IC olon Iand Irectum
Which Iof I the I following I is Ia Itrue Istatement Iregarding ICrohn Idisease?
Skip Ilesions Iare Icommon
Affects Iall Ilayers Iof Imucosa
A Iclient Ipresents Iwith Iepigastric Ipain Iand I vomiting. IHe I is I hyperglycemic Iand Itachycardic.
IClient Ir eports Ihe I is I “a Iheavy Idrinker Ibut I never I had Iproblems I like Ithis Ibefore.” IWhich Idisease
Iprocess I isIsupported Iby Ithis Iclient’s Isymptoms?
Acute Ipancreatitis
History Iof Ialcohol Iabuse
Epigastric Ipain Iradiating Ito Ithe
I back ICould I burst I and I lead I to
I peritonitis
(Diverticulitis I– Ikey Ithings I– Ifever, I leukocytosis, Itenderness Iof I left I lower Iquadrant)
I(Cholecystitis I– I inflammation Iof Igull Ibladder I– Ipain I is I referred Ithat Istarts I in I upper Iright
quadrant, Ioccurs Iafter Ieating Ia Ibig I fatty I meal, I maybe Isome Ijaundice I if Istones Iare Iblocking Ibile)
The I most Icommon I manifestation Iof Iportal I hypertension
I is:IVomiting Iof Iblood I from Iesophageal Ibleeding
Portal I hypertension I leads Ito Iesophageal
IvaricesIThis Ipressure Ican Icause
Ibleeding
Which Iof I the I following I is Itrue Iregarding Icholelithiasis?
, Cholesterol Istones Iare Ithe Imost
IcommonIPrevalent Iin Ideveloped
Icountries
Risk I factors I– Ifemale, Iobesity, I middle Iage
A I14-year Iold Iboy I has Ibeen Iadmitted Ito I the Iemergency Iroom I with Iacute-onset Iabdominal Ipain
I inIt he I lower Iright Iquadrant. IAbdominal I rebound Itenderness I is I intense, Iand I he I has Ia I fever Iand
I leukocytosis. IThis I individual I most I likely I is Isuffering I from:
Acute Iappendicitis
Happens I in I younger I individuals
Gastroesophageal Ireflux I is
Caused Iby Ispontaneously Irelaxing I lower Iesophageal
IsphincterImid Iepigastric
heart Iburn
Iregurgitatio
n
A I12-year Iold Ipatient Idevelops Ipancreatic Iatrophy Iwith I loss Iof I his Ibeta Icells. IWhich Iof
ItheIfollowing Iconditions Idoes Ithis Ipatient I most I likely I have?
Diabetes IType I1
Childhood
ILess I insulin
IHypoglycemi
a
(hypothyroidism I– Idecreased Ithyroid
Ihormone)I(Diabetes Itype I2 I– I insulin Iresistant)
(Diabetes I insipidus I– I low I levels Iof IADH I- I)
AIsymptom Iof ISIADH I is
Hyponatremia
Retaining I water Iso Idiluting I the Isalt
(hyperosmolality I– I higher
Iconcentration)I( hypoosmolality I– I lower
Iconcentration)
Symptoms Iof I graves Idisease
I includeIGoiter
Hyperthyroidism
Everything I is Isped I up
Two Isiblings Iare Idiagnosed Iwith Ia Ithyroid Idisorder Idue Ito Idestruction Iof Ithyroid Itissue
IbyIlymphocytes Iand Icirculating I thyroid Iautoantibodies. IThis Ipathology I is I likely Ithe Iresult Iof
Hashimoto Idisease
Hypothyroidism
AIclient I is Idiagnosed I with I hematochezia. IWhich Iassessment I finding Iconfirms Ithis Idiagnosis?
Bright IRectal Ibleeding
AIpatient Iexperiences Ichronic I intermittent Ipain I in I the Iepigastric Iarea I when Ithe Istomach I is
IemptyIa nd I in Ithe I middle Iof Ithe I night. IThis I history Isupports Ia Idiagnosis Iof
Duodenal Iulcer
chronic Iintermittent Ipain Iin Ithe Iepigastric Iarea Iand Ioccurs I2-3 Ihours
I afterIe ating
(Gastric Iulcer
Pain Ioccurs Idirectly Iafter Ieating)
Which Iof I the I following I is Ia Itrue Istatement Iregarding I ulcerative Icolitis?
Bloody, Ipurulent Idiarrhea I is Ia Icommon Isymptom
20-40 Iyears Iof Iage. IWhite Ipopulation Iand IJewish
Idescent.IC olon Iand Irectum
Which Iof I the I following I is Ia Itrue Istatement Iregarding ICrohn Idisease?
Skip Ilesions Iare Icommon
Affects Iall Ilayers Iof Imucosa
A Iclient Ipresents Iwith Iepigastric Ipain Iand I vomiting. IHe I is I hyperglycemic Iand Itachycardic.
IClient Ir eports Ihe I is I “a Iheavy Idrinker Ibut I never I had Iproblems I like Ithis Ibefore.” IWhich Idisease
Iprocess I isIsupported Iby Ithis Iclient’s Isymptoms?
Acute Ipancreatitis
History Iof Ialcohol Iabuse
Epigastric Ipain Iradiating Ito Ithe
I back ICould I burst I and I lead I to
I peritonitis
(Diverticulitis I– Ikey Ithings I– Ifever, I leukocytosis, Itenderness Iof I left I lower Iquadrant)
I(Cholecystitis I– I inflammation Iof Igull Ibladder I– Ipain I is I referred Ithat Istarts I in I upper Iright
quadrant, Ioccurs Iafter Ieating Ia Ibig I fatty I meal, I maybe Isome Ijaundice I if Istones Iare Iblocking Ibile)
The I most Icommon I manifestation Iof Iportal I hypertension
I is:IVomiting Iof Iblood I from Iesophageal Ibleeding
Portal I hypertension I leads Ito Iesophageal
IvaricesIThis Ipressure Ican Icause
Ibleeding
Which Iof I the I following I is Itrue Iregarding Icholelithiasis?
, Cholesterol Istones Iare Ithe Imost
IcommonIPrevalent Iin Ideveloped
Icountries
Risk I factors I– Ifemale, Iobesity, I middle Iage
A I14-year Iold Iboy I has Ibeen Iadmitted Ito I the Iemergency Iroom I with Iacute-onset Iabdominal Ipain
I inIt he I lower Iright Iquadrant. IAbdominal I rebound Itenderness I is I intense, Iand I he I has Ia I fever Iand
I leukocytosis. IThis I individual I most I likely I is Isuffering I from:
Acute Iappendicitis
Happens I in I younger I individuals
Gastroesophageal Ireflux I is
Caused Iby Ispontaneously Irelaxing I lower Iesophageal
IsphincterImid Iepigastric
heart Iburn
Iregurgitatio
n
A I12-year Iold Ipatient Idevelops Ipancreatic Iatrophy Iwith I loss Iof I his Ibeta Icells. IWhich Iof
ItheIfollowing Iconditions Idoes Ithis Ipatient I most I likely I have?
Diabetes IType I1
Childhood
ILess I insulin
IHypoglycemi
a
(hypothyroidism I– Idecreased Ithyroid
Ihormone)I(Diabetes Itype I2 I– I insulin Iresistant)
(Diabetes I insipidus I– I low I levels Iof IADH I- I)
AIsymptom Iof ISIADH I is
Hyponatremia
Retaining I water Iso Idiluting I the Isalt
(hyperosmolality I– I higher
Iconcentration)I( hypoosmolality I– I lower
Iconcentration)
Symptoms Iof I graves Idisease
I includeIGoiter
Hyperthyroidism
Everything I is Isped I up
Two Isiblings Iare Idiagnosed Iwith Ia Ithyroid Idisorder Idue Ito Idestruction Iof Ithyroid Itissue
IbyIlymphocytes Iand Icirculating I thyroid Iautoantibodies. IThis Ipathology I is I likely Ithe Iresult Iof
Hashimoto Idisease
Hypothyroidism
