What is the most common cause of neonatal obstruction?
Hirschsprung Disease
What is the definition of Hirschsprung disease?
Congenital absence of ganglion cells in section of large intestine which results in
lack of motility
What is the gold standard for diagnosis of Hirschsprung Disease?
Biopsy
A 1 month old infant is brought in by his mother with complaints of multiple
episodes of forceful vomiting that is getting worse. What condition would you
suspect?
Pyloric Stenosis
,FNP 652 FAMILY PRIMARY CARE GRAND CANYON UNIVERSITY 2024
A 1 month old infant is brought in by his mother with constant hunger and weight
loss despite the mother trying to supplement his feeding. He has had regular bouts
of vomiting, which the mother thought was normal for infants. You palpate an
olive shaped mass in the right upper quadrant of the abdomen. What diagnosis do
you suspect?
Pyloric Stenosis
What is the treatment for Zollinger-Ellison Syndrome?
PPI
What percentage of weight loss is enough to improve obesity related co-
morbidities?
5-10%
What medication for obesity blocks the digestion and absorption of fat in the
stomach and small intestines?
Orlistat
What are the ranges for BMI for class I, II and III of obesity?
I >30- <35
II >35-<40
,FNP 652 FAMILY PRIMARY CARE GRAND CANYON UNIVERSITY 2024
III >40
What frequency and duration of GI symptoms constitutes irritable bowel
syndrome?
Symptoms present at least 3 days a month for at least 3 months.
A 30 year old female patient presents with complaints of cramping abdominal pain
with frequent diarrhea for the past year. She has had no weight loss or blood in her
stool. She frequently feels bloated and as though she cannot go out with friends,
because she needs to use the restroom so frequently. What diagnosis do you
suspect?
Irritable bowel syndrome
An emergent condition where one bowel segment becomes invaginated into
another
Intussusception
Mother presents with her 2 year old child who is complaining of severe abdominal
pain and 4 episodes of vomiting in the last 24 hours. He has had 4 episodes of
"currant jelly" like stool, and the most recent one had blood in it. What diagnosis
do you suspect?
, FNP 652 FAMILY PRIMARY CARE GRAND CANYON UNIVERSITY 2024
Intussusception
What is the gold standard for diagnosis of intussusception?
abdominal ultrasound
What condition is associated with a "bulls eye" or "coiled spring" appearance when
seen on fluoroscopy or ultrasound?
Intussusception
What is the treatment for intussusception?
Air contrast enema under fluoroscopy
What types of viral hepatitis are self limiting and cause only acute viral disease and
have complete viral clearance?
Hepatitis A and E
What types of viral hepatitis can result in chronic infections?
Hepatitis B, C, and D
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