Exam (elaborations)
CMN 568 Module 4 GI Questions and Answers 2024
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Exam of 5 pages for the course CMN 568 at CMN 568 (CMN 568 Module 4 GI)
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CMN 568 Module 4 GIWhat 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 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 - answerD. 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." - answerC. 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." -
answerA, 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 - answerKidney Stones
What medications can treat uncomplicated urinary tract infections in females? -
answerFosfomycin, 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
c-Leukocytosis with a left shift
d-UA: positive for pyuria, bacteriuria, hematuria, white cell casts
e-diarrhea - answera,b,c,d,e. All are associated with acute pyelonephritis. Refer if there
is evidence of urolithiasis, obstruction, or pt does not improve with treatment within 48
hr.
_________ __________ is an autoimmune GI condition can lead to infertility,
amenorrhea, early menopause, or miscarriage in females. - answerceliac disease
This disease seems to be more common in people with type 1 diabetes, microscopic
colitis, Sjogren's syndrome, and autoimmune thyroid disease. - answerceliac disease
IgA TTA and endoscopy are used to diagnose this disease. - answerCeliac
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