NR 511 Differential Diagnosis and
Primary Care- Final Exam Review
Topics
GI Disorders
....
Ulcerative colitis
A 38-year-old male patient has recently had an ileostomy for ulcerative colitis. Which self-care
measures should the clinician teach him about to relieve food blockage?
massage the peristomal area
Diverticulitis
Which of the following is true regarding diverticula
obesity is correlated
Left lower quadrant abdominal pain for 2 days, the pain started suddenly and then fever, chills,
anorexia, nausea and painless bloody stools.
Acute diverticulitis
pg. 1
,An 82-year-old female has been diagnosed with irritable bowel, chronic constipation, and
diverticulosis following a colonoscopy. Which pharmacological agent should the clinician
recommend?
bulk laxative
Which of the following is part of the treatment plan for the
patient with irritable bowel syndrome?
High fiber diet
A 35-year-old female patent is seen in the clinic complaining of abdominal pain. Which of the
following should be included in the history and physical exam?
digital rectal exam, Sexual history, Pelvic exam
We have an expert-written solution to this problem!
A 28-year-old patent is seen in the clinic with colicky abdominal pain, particularly with meals.
She has
frequent constipation, flatulence, and abdominal distension. Which of the data make a
diagnosis of
diverticulitis unlikely?
Her age
We have an expert-written solution to this problem!
C. diff Definition and Risk factors
C. diff Symptoms
pg. 2
,C. diff Diagnosis
C. diff Treatment
GERD pathophysiology
A 54-year-old female presents to your primary care office for routine reevaluation for
gastroesophageal reflux disease (GERD). She has been treated with diet modifications and 6
weeks of omeprazole without improvement of her symptoms. What is the next step in the
management of this patient's GERD?
Order an endoscopy (This is the next step in treatment in order to evaluate the etiology of the
patient's
GERD and consider biopsy if necessary)
pg. 3
, We have an expert-written solution to this problem!
A 67-year-old female on multiple medications for chronic conditions was just diagnosed with
gastroesophageal reflux disease (GERD). In teaching the patient about the disease, what
medication should the clinician recommend that the patient refrain from using?
nonsteroidal anti-inflammatory drugs
The patient with gastro esophageal reflux disease (GERD)
should be instructed to eliminate which of these activities?
Weight lifting
A patient is seen with a sudden onset of flank pain
accompanied by nausea, vomiting, and diaphoresis, in addition to
nephrolithiasis, which of the following should be added to the list
of differential diagnoses?
Pancreatitis, peptic ulcer disease, diverticulitis, All of
the above
A patient is diagnosed with Giardia after a backpacking trip in
the mountains. Which of the following would be the appropriate
treatment?
Metrinidazole
A patient is seen in the clinic with right upper quadrant (RUQ)
pain that is radiating to the middle of the back. The clinician
suspects acute cholelithiasis. The clinician should expect which of
the following laboratory findings?
Elevated alkaline phosphatase
A patient is diagnosed with gastroesophageal reflux disease
(GERD), and his endoscopic report reveals the presence of
Barretts epithelium. Which of the following information should the
clinician include in the explanation of the pathology
This is a premalignant tissue, This tissue is resistant to
gastric acid, This tissue supports healing of the esophagus:
All of the above
pg. 4
Primary Care- Final Exam Review
Topics
GI Disorders
....
Ulcerative colitis
A 38-year-old male patient has recently had an ileostomy for ulcerative colitis. Which self-care
measures should the clinician teach him about to relieve food blockage?
massage the peristomal area
Diverticulitis
Which of the following is true regarding diverticula
obesity is correlated
Left lower quadrant abdominal pain for 2 days, the pain started suddenly and then fever, chills,
anorexia, nausea and painless bloody stools.
Acute diverticulitis
pg. 1
,An 82-year-old female has been diagnosed with irritable bowel, chronic constipation, and
diverticulosis following a colonoscopy. Which pharmacological agent should the clinician
recommend?
bulk laxative
Which of the following is part of the treatment plan for the
patient with irritable bowel syndrome?
High fiber diet
A 35-year-old female patent is seen in the clinic complaining of abdominal pain. Which of the
following should be included in the history and physical exam?
digital rectal exam, Sexual history, Pelvic exam
We have an expert-written solution to this problem!
A 28-year-old patent is seen in the clinic with colicky abdominal pain, particularly with meals.
She has
frequent constipation, flatulence, and abdominal distension. Which of the data make a
diagnosis of
diverticulitis unlikely?
Her age
We have an expert-written solution to this problem!
C. diff Definition and Risk factors
C. diff Symptoms
pg. 2
,C. diff Diagnosis
C. diff Treatment
GERD pathophysiology
A 54-year-old female presents to your primary care office for routine reevaluation for
gastroesophageal reflux disease (GERD). She has been treated with diet modifications and 6
weeks of omeprazole without improvement of her symptoms. What is the next step in the
management of this patient's GERD?
Order an endoscopy (This is the next step in treatment in order to evaluate the etiology of the
patient's
GERD and consider biopsy if necessary)
pg. 3
, We have an expert-written solution to this problem!
A 67-year-old female on multiple medications for chronic conditions was just diagnosed with
gastroesophageal reflux disease (GERD). In teaching the patient about the disease, what
medication should the clinician recommend that the patient refrain from using?
nonsteroidal anti-inflammatory drugs
The patient with gastro esophageal reflux disease (GERD)
should be instructed to eliminate which of these activities?
Weight lifting
A patient is seen with a sudden onset of flank pain
accompanied by nausea, vomiting, and diaphoresis, in addition to
nephrolithiasis, which of the following should be added to the list
of differential diagnoses?
Pancreatitis, peptic ulcer disease, diverticulitis, All of
the above
A patient is diagnosed with Giardia after a backpacking trip in
the mountains. Which of the following would be the appropriate
treatment?
Metrinidazole
A patient is seen in the clinic with right upper quadrant (RUQ)
pain that is radiating to the middle of the back. The clinician
suspects acute cholelithiasis. The clinician should expect which of
the following laboratory findings?
Elevated alkaline phosphatase
A patient is diagnosed with gastroesophageal reflux disease
(GERD), and his endoscopic report reveals the presence of
Barretts epithelium. Which of the following information should the
clinician include in the explanation of the pathology
This is a premalignant tissue, This tissue is resistant to
gastric acid, This tissue supports healing of the esophagus:
All of the above
pg. 4
