CMN 568 Module 4 GI Exam Questions And Correct Answers
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Course
CMN 568
Institution
CMN 568
CMN 568 Module 4 GI Exam Questions And
Correct Answers
What is the gold standard to diagnose acute pancreatitis?
a - KUB
b - Ultrasound
c - MRI
d - CT
e- all of the above - answerB. Use ultrasound to diagnose acute pancreatitis. KUBs can show
calcified gallstones, air in the peritoneal spac...
CMN 568 Module 4 GI Exam Questions And
Correct Answers
What is the gold standard to diagnose acute pancreatitis?
a - KUB
b - Ultrasound
c - MRI
d - CT
e- all of the above - answer✔✔B. Use ultrasound to diagnose acute pancreatitis. KUBs can show
calcified gallstones, air in the peritoneal space, or atelectasis of lower lobe of lungs. CT can
show an enlarged pancreas, differentiate pancreatitis froom other intra0abd problems, and
provides initial assessment of prognosis. CT or MRIs are valuable after the first 3 days to
identify areas of necrotizing pancreatitis.
A 55M presents to your primary care clinic with deep epigastic pain radiating into his back,
nausea, vomiting, sweating, abd tenderness/distention, and fever. Labs show leukocytosis,
elevated serum amylase and serum lipase. What kind of imaging do you order for diagnosis?
a - HIDA scan
b - CT
c - MRI
d - Ultrasound
e - KUB - answer✔✔D. Use ultrasound to diagnose acute pancreatitis.
A 5 year old girl presents to your primary care clinic with bloody diarrhea and fever. On exam,
you note that her abdomen is distended and tender but otherwise has good skin turgor, moist
mucosal membranes, and tolerates eating and drinking. Her mother says that her daughter has
had multiple loose stools and fever after a recent course of antibiotics in the hospital. What
statement from the mother demonstrates that she understands discharge instructions?
a-"I need to bring her to the hospital for IV antibiotics."
b-"I need to bring her to the hospital for IV steroids."
c-"I will treat her at home with Flagyl (metronidazole) by mouth."
d-"I will treat her at home with prednisone by mouth."
e-"I can treat her fever at home and the diarrhea will resolve on its own." - answer✔✔C. C. diff
is suspected because of the recent course of antibiotics, a hospital stay, and fever. This requires
PO metronidazole or vancomycin. Use PO prednisone for ulcerative colitis. Gastroenteritis is
usually self-limiting.
The FNP diagnosed a 10 month old infant with gastroesophageal reflux (GER). What statements
from the parent require further education (select all that apply)?
A- "I must offer my baby larger feedings with more space between meals."
B- "I must offer my baby fewer feedings with less space between meals."
C- "You will refer us to a specialist if you suspect that my baby is not growing."
D- "This condition is not usually harmful and will resolve by 18 months."
E- "This condition is harmful and we must be seen by a GI specialist immediately." -
answer✔✔A, E. Offer smaller feedings at more frequent intervals. Parents can thicken feedings
with rice cereal (2-3 tsp/oz of formula). Further investigation is warranted if failure to thrive is
suspected.
The following are risk factors for what disease process?
High sodium intake
High animal protein in diet
Dehydration
Sedentary lifestyle
HTN
CVD
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