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FNP Gastrointestinal Board Review Questions and Answers
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FNP Gastrointestinal Board Review Questions and Answers
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FNP Gastrointestinal Board Review Questions andAnswers
what are some worrisome for a 52 year old male with a history of long term gerd CORRECT
ANS-progressive dysphagia, iron dificiency anemia, weight loss, hemoccult positive stools.
what lifestyle factors can you teach to a patient with GERD to reduce occurance? CORRECT
ANS-decrease coffee, caffeine, no mints, stop smoking, avoid NSAIDS and ASA.
what is cullen sign CORRECT ANS-bruising around the umbilicus that idicated bleeding
related to pancreatitis
what is grey turner sign? CORRECT ANS-bruising in the flanks that may indicate bleeding
related to pancreatitis.
what is the treatment for irritable bowel disease CORRECT ANS-increase dietary fiber-
supplement with metamucil or methylcellulose (citrucel) or benefiber.
avoid gas producing foods such as beans, onions, cabbage and high fuctose corn syrup.
Decrease life stress
rule out ameebic parasitic or bacterial infections. check stool for ova and parasites. culture
stool.
duodenal ulcers are more common in this disease CORRECT ANS-Peptic ulcer disease
(PUD)
, FNP Gastrointestinal Board Review Questions and
Answers
what is the most common causative agent of both duodenal and gastric ulcers. CORRECT
ANS-H pylori (gram negative bacterium)
what are some common causes of gastric or duodenal ulcers CORRECT ANS-H. pylore #1
chronic NSAID usage
bisphosphonates
what are some worrisome symptoms of gastric or duodenal ulcers CORRECT ANS-early
satiety, anorexia, anemia, recurrent vomiting, hematemesis, weight loss.
s/s of gastric ulcers CORRECT ANS-dull aching epigastric pain that is episodic. described as
gnawing or burning. Pain relieved by eating or antacids with recurrence 2-4 hours after a
meal. pain reocur when hungry. black tarry stools or red/maroon blood in stools. coffee
ground emesis, iron deficiency anemia.
patients with gastric or duodenal ulcers must be tested for what condition? CORRECT ANS-
H pylori
what are the two tests that can be done to confirm the erradication of H. Pylore CORRECT
ANS-urea breath test and stool antigen
gold standard for diagnosis of H pylori CORRECT ANS-upper endoscopy and biopsy
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