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NR511 Final Exam Latest Edition 2024/2025 Graded A REAL EXAM
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NR511 Final Exam Latest Edition 2024/2025 Graded A REAL EXAMNR511 Final Exam Latest Edition 2024/2025 Graded A REAL EXAMNR511 Final Exam Latest Edition 2024/2025 Graded A REAL EXAMNR511 Final Exam Latest Edition 2024/2025 Graded A REAL EXAMNR511 Final Exam Latest Edition 2024/2025 Graded A REAL EXA...

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  • March 29, 2024
  • 53
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • NR511
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NR511 Final Exam Latest Edition 2024/2025
Graded A REAL EXAM


1. Abdominal pain can be caused by ________, __________, and _________

factors

mechanical

inflammatory

ischemic

2. visceral pain caused by and is described as

distention or spasm of a hollow viscus



generalized and dull

3. Parietal pain caused by and is described as

irritation of the peritoneum



sharp and localized

4. colicky abdominal pain described as and what can cause it

intermittent and worsening



gallstones or renal stones

5. Burning abdominal pain caused by and is associated with

, irritation of the gastric mucosa by gastric contents



peptic ulcers and esophagitis

6. differential diagnosis for sudden onset abdominal pain

mesenteric infarction

urinary stones

intestinal perforation

intestinal obstruction

pancreatitis

ectopic pregnancy

dissection/rupture of AAA

7. differential diagnosis for burning abdominal pain

peptic ulcer disease

GERD

Gastritis

8. differential diagnosis for cramping abdominal pain

IBS

Inflammatory bowel disease (chrons, ulcerative colitis)

gastroenteritis

diverticulitis

salpingitis

9. differential diagnosis for visceral abdominal pain

, appendicitis

cholecystitis/cholelithiasis

10. what is ulcerative colitis

Ulcerative inflammatory bowel disease, just in the LARGE intestine, mucosal surface of

the colon

11. parts of large intestine

cecum, colon, rectum

12. areas typically affected in ulcerative colitis

typically rectosigmoid area but can be whole colon , rectal

13. common symptom of ulcerative colitis

bloody diarrhea , purulent diarrhea

14. what changes to the tissues happen in ulcerative colitis

friability, erosion, bleeding

15. only complete treatment for ulcerative colitis

total colectomy (not first line)

16. differences between flares and remissions in ulcerative colitis

flares - new damage

remission - tissue trying to heal

17. suspected origin or cause of ulcerative colitis

T cell / autoimmune destruction that is worsened by stress, diet

18. other symptoms of ulcerative colitis (besides blood / diarrhea)

tenesmus, even at night, cramping, may go >10 times per day

19. pattern / distribution of lesions in ulcerative colitis

, continuous , throughout (NOT like Chrohn's which has skip lesions)

20. Where is the pain in ulcerative colitis?

LLQ

21. anti-inflammatory drugs used in ulcerative colitis

sulfasalazine

mesalamine

22. immunosuppressive drugs used in ulcerative colitis

steroids

azathioprine

cyclosporine

23. If a patient with ulcerative colitis develops a fever......

refer to hospital, consider toxic colitis , possible peritonitis

24. diagnostics for ulcerative colitis

sigmoidoscopy

biopsy

may need ESR, CRP (inflammatory markers), stool cultures (rule out pathogen)

25. what is always present in the stool of patients with ulcerative colitis

fecal leukocytes

26. what diagnostic should not be done in ulcerative colitis

barium enema - may precipitate megacolon

27. what is diverticulitis

inflammation of the diverticula (small bulging pouches in the lining of the intestine)

28. what is an important risk factor for diverticulitis

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