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NSG 6001 Week 3 Midterm Exam 2025

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A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which of the following should be included in the history and physical -Correct Answer nature of the pain, timing of the pain, palliative and provocative aspects, associated symptoms (n/v). A patient comes to the office complaining of constipation. The patient lists all of the following medications. Which drug could be responsible for the contipation -Correct Answer Pepto-Bismol A patient is seen with complaints of diarrhea. Which of the following should be included in the patient's differential diagnosis? -Correct Answer frequency, amount and fluidity, color and characteristics. Diet history, recent travel, medication use, source of drinking water A 29 year old Englishman is seen in the office with complaints of pain in his chest and belly. He has been suffering the pain for 2 weeks and gets temporary relief from Alka-Seltzer. The burning wakes him at night and radiates up to his chest. Which factor favors a diagnosis of gastric ulcer -Correct Answer His use of Alka Seltzer Which of the following is most effective in diagnosing appendicitis -Correct Answer History and physical A 46-year-old patient is seen in the clinic with abdominal pain. Which of the following tests is essential for this patient? -Correct Answer Urine human chorionic gonadotropin . A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain after meals. She is often constipated and takes laxatives, which are followed by a couple of days of diarrhea. She temporarily feels better after a bowel movement. She states she is embarrassed by flatulence and has abdominal distension. She has had no weight loss or blood in her stool. This problem has gone on for about 6 months. What should the next step be? -Correct Answer Obtain a complete history A 28-year-old patient is seen in the clinic with colicky abdominal pain particular with meals. She has frequent constipation, flatulence, and abdominal distension. Which of the data make a diagnosis of diverticulitis unlikely? -Correct Answer Her age A 28-year-old patient is seen with complaints of diarrhea. Which of the following responses to the history questions would help the primary care physician (PCP) establish the diagnosis of irritable bowel syndrome? -Correct Answer Which of the following dietary instructions should be given to a patient with GERD? -Correct Answer Eliminate coffee The patient with GERD should be instructed to eliminate which of these activities? -Correct Answer Weight lifting . A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in appendicitis? -Correct Answer Very early . A patient is seen in the clinic with right upper quadrant pain that is radiating to the middle of the back. The NP suspects acute cholelithiasis. The NP should expect which of the following laboratory findings? -Correct Answer Elevated alkaline phosphatase Which of the following is part of the treatment plan for the patient with irritable bowel syndrome? -Correct Answer High fiber diet

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NSG 6001 Week 3



NSG 6001 Week 3 Midterm Exam 2025
A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which
of the following should be included in the history and physical -Correct Answer ✔nature
of the pain, timing of the pain, palliative and provocative aspects, associated symptoms
(n/v).


A patient comes to the office complaining of constipation. The patient lists all of the
following medications. Which drug could be responsible for the contipation -Correct
Answer ✔Pepto-Bismol


A patient is seen with complaints of diarrhea. Which of the following should be included
in the patient's differential diagnosis? -Correct Answer ✔frequency, amount and fluidity,
color and characteristics. Diet history, recent travel, medication use, source of drinking
water


A 29 year old Englishman is seen in the office with complaints of pain in his chest and
belly. He has been suffering the pain for 2 weeks and gets temporary relief from Alka-
Seltzer. The burning wakes him at night and radiates up to his chest. Which factor favors
a diagnosis of gastric ulcer -Correct Answer ✔His use of Alka Seltzer


Which of the following is most effective in diagnosing appendicitis -Correct Answer
✔History and physical


A 46-year-old patient is seen in the clinic with abdominal pain. Which of the following
tests is essential for this patient? -Correct Answer ✔Urine human chorionic
gonadotropin


. A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain
after meals. She is often constipated and takes laxatives, which are followed by a couple


NSG 6001 Week 3

, NSG 6001 Week 3


of days of diarrhea. She temporarily feels better after a bowel movement. She states she
is embarrassed by flatulence and has abdominal distension. She has had no weight loss
or blood in her stool. This problem has gone on for about 6 months. What should the
next step be? -Correct Answer ✔Obtain a complete history


A 28-year-old patient is seen in the clinic with colicky abdominal pain particular with
meals. She has frequent constipation, flatulence, and abdominal distension. Which of
the data make a diagnosis of diverticulitis unlikely? -Correct Answer ✔Her age


A 28-year-old patient is seen with complaints of diarrhea. Which of the following
responses to the history questions would help the primary care physician (PCP) establish
the diagnosis of irritable bowel syndrome? -Correct Answer ✔


Which of the following dietary instructions should be given to a patient with GERD? -
Correct Answer ✔Eliminate coffee


The patient with GERD should be instructed to eliminate which of these activities? -
Correct Answer ✔Weight lifting


. A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what
point in appendicitis? -Correct Answer ✔Very early


. A patient is seen in the clinic with right upper quadrant pain that is radiating to the
middle of the back. The NP suspects acute cholelithiasis. The NP should expect which of
the following laboratory findings? -Correct Answer ✔Elevated alkaline phosphatase


Which of the following is part of the treatment plan for the patient with irritable bowel
syndrome? -Correct Answer ✔High fiber diet




NSG 6001 Week 3

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