NSG554 Exam 3 /NSG 554 Primary Care
Exam 3 Newest 2025/2026 With Complete
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symptoms of appendicitis - . . ANSWER ✔ ✔RLQ pain,
abdominal rigidity, fever
McBurney's point - . . ANSWER ✔ ✔Pain in RLQ with
appendicitis
Rovsing's sign - . . ANSWER ✔ ✔Pain in RLQ with
palpation of LLQ indicative of appendicitis
Obturator sign - . . ANSWER ✔ ✔RLQ pain on internal
rotation of right thigh indicative of appendicitis
Psoas sign - . . ANSWER ✔ ✔RLQ pain with extension
of right thigh indicative of appendicitis
bump sign - . . ANSWER ✔ ✔patient notes abd pain
when driving over a speed bump
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Markle sign - . . ANSWER ✔ ✔pain elicited in a certain
area of the abdomen when the standing patient drops from
standing on toes to the heels with a jarring landing
simple appendicitis treatment - . . ANSWER ✔
✔metronidazole and ceftizoxime
diagnostics for appendicitis - . . ANSWER ✔
✔abdominal CT w/ contrast, CBC, BMP, amylase and
lipase, Hcg, urinalysis
Murphy's sign - . . ANSWER ✔ ✔pain with palpation of
the RUQ during inspiration, indicative of cholecystitis
Charcot's triad - . . ANSWER ✔ ✔RUQ pain, fever,
jaundice
Reynold's pentad - . . ANSWER ✔ ✔Charcott's Triad +
- Hypotension
- AMS
1. RUQ pain
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2. Jaudice
3. Fever
4. Hypotension
5. AMS
*Associated w/supporative cholangitis, poorer prognosis*
Ursodeoxycholic acid - . . ANSWER ✔ ✔Medication
used to dissolve small gallstones in patients who are poor
surgical candidates
Also, the treatment for Primary Biliary Cirrhosis
laparoscopic cholecystectomy is contraindicated in - . .
ANSWER ✔ ✔coagulopathy, cirrhosis, portal htn,
pregnancy, peritonitis, cardiopulmonary disease, prior
surgical adhesions
Acalculous Cholecystitis antibiotic - . . ANSWER ✔
✔piperacillin
how to treat recurrent c. diff? - . . ANSWER ✔
✔fidaxomicin or bezlotoxumab
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antibiotics that Cause of C. Diff - . . ANSWER ✔
✔clindamycin and fluoroquinolone
absorbents - . . ANSWER ✔ ✔Taken after every bowel
movement to absorb toxins or bacteria and coat walls of GI
tract
include attapulgite (kaopectate), bismuth subsalicylate,
activated charcoal, kaolin-pectin
bismuth subsalicylate - . . ANSWER ✔ ✔Pepto Bismol
do not give to immunocompromised patients
Donnatal - . . ANSWER ✔ ✔antispasmatic
may cause aspirin toxicity
Crofelemer - . . ANSWER ✔ ✔antidiarrheal for patients
with HIV/AIDS
clonidine and Octreotide - . . ANSWER ✔
✔Antidiarrheal for diabetic autonomic neuropathy