Unit 4: CMN568/ CMN 568 (New 2023/ 2024)
Intro to Family NP Exam Questions and Verified
Answers| 100% Correct| Grade A
QUESTION
In patients with severe protein deficiency, what is necessary to test
for celiac disease?
Answer:
biopsy
QUESTION
What should a patient with positive serology and normal biopsies
have done if celiac disease is suspected?
Answer:
be put on a gluten free diet trial
QUESTION
A person who tests neg. for serology and biopsy, but responds
clinically to a gluten free diet may have what?
Answer:
gluten sensitivity
QUESTION
Epigastric pain or burning, early satiety, or post-prandial fullness are
s/s of what?
Answer:
dyspepsia
,QUESTION
What diagnostic procedure is warranted in patients with alarm
features or in those older than 55?
Answer:
endoscopy
QUESTION
In patients without alarm features,<55 y/o, and s/s of dyspepsia,
what should first be done?
Answer:
Testing for H. Pylori and a 4 week trial of PPI
QUESTION
What is the most common cause of chronic dyspepsia?
Answer:
functional dyspepsia
QUESTION
What is the typical profile of functional dyspepsia?
Answer:
younger, report a variety of abdominal and extraGI
complaints, show signs of anxiety or depression, or has a hx.
of psychotropic medication use
QUESTION
In patients older than 55 with c/o symptoms associated with
dyspepsia, what lab tests should initially be done?
Answer:
,CBC, electrolytes, liver enzymes, calcium, and thyroid tests,
urea breath test (or other noninvasive tests for H. Pylori)
QUESTION
In most clinical settings, a test for what should initially be done in
patients with c/o of dyspepsia?
Answer:
H. Pylori
QUESTION
What are 3 noninvasive tests for H. Pylori?
Answer:
urea breath test, fecal antigen, and IgG serology
QUESTION
What are "alarm features"?
Answer:
weight loss, dysphagia, recurrent vomiting, evidence of bleeding, or
anemia
QUESTION
What is the study of choice to diagnose gastroduodenal ulcers,
erosive esophagitis, or upper GI malignancies?
Answer:
upper endoscopy
QUESTION
, what is warranted when symptoms of dyspepsia fail to respond to
initial empiric management strategies within 4-8 weeks or when
frequent symptoms relapse occurs after d/c of antisecretory
therapy?
Answer:
endoscopy
QUESTION
If a patient has symptom relapse after discontinuation of a 4
week empiric trial of PPIs, what should be done next?
Answer:
test for H. Pylori and tx if positive
QUESTION
What patient education should be included in the treatment and
management of patients with functional dyspepsia?
Answer:
Avoid alchohol and caffeine. Consume small, low-fat meals
QUESTION
What pharmacologic agents are used to tx. functional dyspepsia?
Answer:
4-8 weeks of PPIs, low doses of antidepressants
QUESTION
What black box warning is associated with metoclopramide when
used for more than 3 months? who is at the most risk?
Answer:
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