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CMN 568 Exam 4: Questions With Solutions (Complete)
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CMN 568 Exam 4: Questions With Solutions (Complete)
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CMN 568 Exam 4: Questions With Solutions (Complete)After age ____ hernias are repaired surgically and will not close on their own
Right Ans - 4 years of age
If a pt comes in with foreceful projectile vomiting, what should you suspect?
Right Ans - Pyloric stenosis
What kind of ulcer is relieved with meals? Right Ans - Duodenal
Non-healing ulcers are suspicious for what? Right Ans - Malignancy
Murphy Sign Right Ans - Pain with palpation of the RUQ with inspiration --
> inflamed gallbladder
Rovsing Sign Right Ans - pain in the RLQ when the LLQ is palpated -->
indicative of appendicitis
Obturator Sign Right Ans - Pain in the RLQ on internal rotation of right
thigh/hip --> indicative of appendicitis
Iliopsoas Sign Right Ans - Extension of the right hip causes abdominal pain
due to appendicitis.
What is the most sensitive test for diagnosing acute abdominal pain? Right
Ans - CT
Symptoms of appendicitis Right Ans - - Anorexia
- Preumbilical pain that later migrates to RLQ
- Nausea & vomiting (usually after onset of pain)
- pt prfers to remain still
Severe epigastric pain that may radiate to the back is indicative of what?
Right Ans - Pancreatitis
GERD Right Ans - Heartburn that usually occurs 30-60 minutes after meals
and with reclining.
Pain may be relieved antacids.
,2 major causes of PUD Right Ans - H. pylori and NSAIDs
NSAP (nonspecific abdominal pain) is the most frequent cause in ___________
patients Right Ans - Pediatric
T/F: Smoking lessens the symptoms in ulcerative colitis Right Ans - True
Common causes of abdominal pain in the epigastric region: Right Ans - - MI
- PUD
- Biliary disease
- Pancretitis
Common causes of abdominal pain in the RUQ: Right Ans - - Hepatitis
- gallbladder (biliary) disease
- renal disease (pyelo or renal stone)
Common causes of abdominal pain in the LUQ: Right Ans - - Spleen
- Renal disease
Common causes of abdominal pain in the periumbulical region: Right Ans -
- Early appendicitis
- Small bowel disease
Common causes of abdominal pain in the LLQ: Right Ans - - Diverticulitis
(can be diffuse)
Common causes of abdominal pain in the RLQ: Right Ans - - Appendicitis
- PID
- Ovarian cyst
- Ectopic pregnancy
Common causes of diffuse abdominal pain: Right Ans - - IBD
- IBS
- Gastroenteritis
- AAA
- Bowel obstruction
- Ischemic bowel
, T/F: Voluntary guarding is usually symmetric Right Ans - True
Voluntary guarding Right Ans - - usually symmetric
- muscles more tense on inspiration
- usually does NOT hurt to rise form supine to sitting position
- lessens WITH distraction
Involuntary guarding Right Ans - - asymmetrical
- rigidity present on inspiration and expiration
- Rising to sitting greatly increases pain
- Does NOT change with distraction
T/F: Amylase and lipase are decreased in pancreatitis Right Ans - False
They are elevated!
T/F: Surgeons forgo imaging prior to surgery for appendicitis Right Ans -
True
Causes of gastroenterisi Right Ans - <10% due to parasites
10-20% due to bacterial infections
70-80% due to viruses
Restriction of what type of medication for uncomplicated UTIs? Right Ans -
Fluoroquinolones
Cystitis is commonly caused by: Right Ans - Coliform. bacteria (E. coli) and
gram-positive (enterococci)
First-line treatment for uncomplicated cystitis in women? Right Ans -
Fosfomycine
Nitrufurantoin
Trimethoprim-Sulfamethoxazole
Symptoms of acute pyelonephritis Right Ans - - Fever
- Flank pain
- Shaking / Chills
- Irritative voiding symptoms
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