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CMN 568 Module 4 GI – Questions And Answers (Pass!)
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CMN 568 Module 4 GI – Questions And Answers (Pass!)
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CMN 568 Module 4 GI – Questions And Answers (Pass!)What is the gold standard to diagnose acute pancreatitis?
a - KUB
b - Ultrasound
c - MRI
d - CT
e- all of the above Right Ans - 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 Right Ans - 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."
Right Ans - 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." Right Ans - 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
white male
Living in areas of high humidity and elevated temperatures Right Ans -
Kidney Stones
What medications can treat uncomplicated urinary tract infections in females?
Right Ans - Fosfomycin, Macrobid (nitrofurantoin), Bactrim (trimethoprim-
sulfamethoaxole), Cephalexin,
Phenazopyradine for analgesia
What signs and symptoms would indicate acute pyelonephritis? Select all that
apply.
a-Flank pain with costovertebral angle tenderness
b-Dysuria, polyuria, positive urine culture
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