©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
Everything in CMSRN Exam Questions And
Correct Answers
What does Emergency care of Peritonitis Entail? - answer✔Aggressive IV Antibiotics, treat the
infection and control the inflammation first
What are some Signs and Symptoms of Peritonitis - answer✔Abdominal pain, nausea/vomiting,
diarrhea, fever, chills, altered peristalsis, abd distention, possible encephalopathy, rigid abdomen
Ways to diagnose Peritonitis - answer✔Blood cultures, Labs- CBC/BMP, US, CT, Xray of
abdomen, Paracentesis
True or False: A Perforated Appendix requires emergency surgery - answer✔True: because the
patient has a risk of becoming septic and developing peritonitis
What should you rule out when suspecting appendicitis? - answer✔Entopic pregnancies, their s/s
are similar
What is the treatment for appendicitis? - answer✔Antibiotic therapy and possibly appendectomy
s/s of Appendicitis - answer✔RLQ pain, fever, vomiting, anorexia, elevated WBC, pain at
McBurney's point
What causes appendicitis? - answer✔A backup of mucus or fecal matter into the appendix
causing an infection and then subsequent inflammation (fecaliths, bacteria, parasites)
Where does upper GI bleed occur? - answer✔Duodenum and Jejunum
Where does lower GI Bleeding occur - answer✔Large and small intestines
Hematochezia vs Melena - answer✔Melena is the passage of black, tarry stools. Hematochezia is
the passage of fresh blood per anus, usually in or with stools.
What are some causes of GI Bleeds - answer✔NSAID use, Age, alcoholism, steroid use, GERD
Diagnosis of GI Bleed - answer✔Labs- CBC & Coags , Endoscopy, Physical examination
Treatments to GI Bleed - answer✔Antibiotic treatments and PPI
, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
s/s GI Bleed - answer✔black, tarry or dark-colored stools, abdominal pain, nausea, hematemesis,
hematochezia, abdominal distention, dehydration, fever
orthostatic hypotension - answer✔Decrease in blood pressure related to positional or postural
changes from lying to sitting or standing positions
Cholecystitis diagnostics - answer✔Liver Function Tests & US of abdomen
Cirrhosis - answer✔fibrotic tissue that eventually accumulate as scar tissue that replaces
functioning liver cells,
Abnormal retention of lipids in the cells that worsens as the fibrosis continues
S/S of cirrhotic liver disease - answer✔jaundice
anorexia
coagulopathy
GI bleeding
hepatic encephalopathy
portal hypertension
Fluid retention - ascites
Altered mental status
What is the growing cause of Cirrhosis of the liver? - answer✔Hep C
What is the treatment for Cirrhosis? - answer✔When severe, Liver Transplant!
S/S of Diverticulitis - answer✔Nausea, vomiting, fever, weakness, and pain in the LLQ,
tachycardia,
Tx of diverticulitis - answer✔IV broad-spectrum ABX, fluid resuscitation, bowel rest,
analgesics, NG tube if ileus (intestinal obstruction) develops
What is the diet progression for diverticulitis? - answer✔NPO, Clear Liquid Diet, GI Soft/low
fiber, and then symptoms subside high fiber diet (pg. 14)
What should patients with cirrhosis get annually? - answer✔They should get annual endoscopic
screening done to rule out esophageal varices
