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FNP Board Exam Questions pt 3 (GI, male GU- Qs & As
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FNP Board Exam Questions pt 3 (GI, male GU- Qs & As
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FNP Board Exam Questions pt 3 (GI, male GU- Qs & AsWhich of the following is the most likely complaint in a patient with an anal fissure?
A) "I have anal pain that is relieved by having a bowel movement."
B) "Even after I have a bowel movement, I feel like I still need to go more."
C) "I have anal pain for up to 1-2 hours after I have a bowel movement."
D) "I itch down there almost all the time." CORRECT ANS-C) "I have anal pain for up to 1-2
hours after I have a bowel movement."
Long term, recurrent high-dose use of oral mineral oil can lead to deficiency in
A) iron
B) vitamin A
C) vitamin C
D) vitamin B12 CORRECT ANS-B) vitamin A
Consistent, long term use of high dose mineral oil is discouraged due to its potential to
attenuate absorption of the fat soluble vitamins (vitamin A, D, E, K) and essential fatty acids.
Rectal bleeding associated with hemorrhoids is usually described as
A) streaks of bright red blood on the stool
, FNP Board Exam Questions pt 3 (GI, male GU- Qs & As
B) dark brown to black in color and mixed in with normal-appearing stool
C) a large amount of brisk red bleeding
D) significant blood clots and mucus mixed with stool CORRECT ANS-A) streaks of bright
red blood on the stool
Therapy for hemorrhoids includes all of the following except
A) weight control
B) low-fat diet
C) topical corticosteroids
D) the use of a stool softener CORRECT ANS-B) low-fat diet
You advise a 58-year-female about the benefits of a high-fiber diet. Which of the following
foods provides the highest fiber content?
A) a small banana
B) 1 cup of cooked oatmeal
C) 1/2 cup serving of brown rice
D) a medium-sized blueberry muffin CORRECT ANS-B) 1 cup of cooked oatmeal
, FNP Board Exam Questions pt 3 (GI, male GU- Qs & As
The average adult should aim for a minimum of 20-30 grams of fiber per day, preferably by
eating high-fiber foods, such as dry beans, peas, oat products, and most (but not all) whole
fruits and vegetables.
A 54-year-old male with an anal fissure does not respond to dietary intervention and standard
therapy during the last 2 weeks. Additional treatment options include all of the following
except
A) intraanal nitroglycerine ointment
B) botulinum toxicum injection to the internal anal sphincter
C) surgical sphincterotomy
D) rubber band ligation of the lesion CORRECT ANS-D) rubber band ligation of the leisure
Risk factors for the development of hemorrhoidal symptoms include all of the following
except
A) prolonged sitting
B) insertive anal intercourse
C) chronic diarrhea
D) excessive alcohol use CORRECT ANS-B) insertive anal intercourse
, FNP Board Exam Questions pt 3 (GI, male GU- Qs & As
Risk factors for the development of hemorrhoids include excessive alcohol use, chronic
diarrhea or constipation, obesity, high/low fiber diet, prolonged sitting, sedentary lifestyle,
receptive partner in anal intercourse, and loss of pelvic floor muscle tone.
Which of the following best describes a Grade III internal hemorrhoid?
A) the hemorrhoid does not prolapse
B) the hemorrhoid prolapses upon defecation but reduces spontaneously
C) the hemorrhoid prolapses upon defecation and must be reduced manually
D) the hemorrhoid is prolapsed and cannot be manually reduced CORRECT ANS-C) the
hemorrhoid prolapses upon defecation and must be reduced manually
External hemorrhoids are not graded. Internal hemorrhoids are graded as follows:
Grade I: hemorrhoids do not prolapse
Grade II: hemorrhoids prolapse upon defecation but reduce spontaneously
Grade III: hemorrhoids prolapse upon defecation and must be reduced manually
Grade IV: hemorrhoids are prolapsed and cannot be manually reduced
Which of the following patients should be evaluated for possible surgical intervention for
hemorrhoids?
A) 28-year-old female w/ symptomatic external hemorrhoids who delivered a child 6 days ago
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