©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
CMSRN Exam Prep Questions And Correct
Answers
Gastrointestinal Bleeding (Cause/Symptoms/Diagnosis/Treatment) - answer✔Causes: Mallory-
Weiss tear, cancer, NSAID use, history of GERD.
Symptoms: Abdominal discomfort, red bloody stools, asymptomatic.
Diagnosis: CBC, endoscope to confirm.
Treatment: Cause-based. Fluid replacement. Locating source.
Cirrhosis (Cause/Symptoms/Diagnosis/Treatment) - answer✔Causes: Scar tissue replaces
healthy liver tissue. Lipids stored in body cells instead.
Symptoms: Abdominal pain, drowsiness, weight loss. History of Hep C.
Diagnosis:
Treatment: Antivirals (with Hep C), diuretics, beta-blockers (if cardiac affect), Zinc supplement,
liver transplant.
Foreign Bodies (Cause/Symptoms/Diagnosis/Treatment) - answer✔Causes: Accidents. 2cm or
bigger can cause blockage. Children, patients with dentures, and psych patients at risk.
Symptoms: Depends on location.
Diagnosis: Ultrasound (faster if d/t sharp object), or X-ray.
Treatment: Pro-motility medications if safe to pass, or laparoscopic surgery if
large/sharp/dangerous.
GI Obstruction (Cause/Symptoms/Diagnosis/Treatment) - answer✔Causes: Body tissues causing
blockage.
Symptoms: Pain, constipation, N/V/D.
Diagnosis: Endoscopy, X-ray.
, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
Treatment: Antibiotics, colectomy, bowel rest, surgery if hemorrhage.
Gastroenteritis (Cause/Symptoms/Diagnosis/Treatment) - answer✔Causes: Norovirus, bacteria,
foreign bodies
Symptoms: N/V/D, tachycardia, weight loss.
Diagnosis: Symptomatic
Treatment: Fluid replacement, antibiotics, antidiarrheals (for fluid loss)
Crohn's Disease (Cause/Symptoms/Diagnosis/Treatment) - answer✔Causes: IBD in small
intestine, varies severity.
Symptoms: Abdominal pain, cramping, diarrhea, bloody stool, low appetite, weight loss.
Diagnosis: CBC (rule out infection, check anemia), fecal blood test, colonoscopy (check damage,
find granulomas, inflammatory cells that trigger symptoms)
Treatment: anti-inflammatories, corticosteroids, oral 5-aminosalicylates. No cure.
Ulcerative Colitis (Cause/Symptoms/Diagnosis/Treatment) - answer✔Causes: Inflammation,
ulcers, sores in GI tract, large intestine, rectum.
Symptoms: Diarrhea, with blood or pus, abdominal pain, rectal bleeding, urgency to defacate
Diagnosis: proctosigmoiditis causes inflamed rectum and sigmoid colon with bloody diarrhea,
left-sided colitis from sigmoid and descending colon, and pancolitis in entire colon. Colonoscopy
to confirm.
Treatment: antibiotics, corticosteroids (reduce recurring flare-ups). No cure.
Cholecystitis (Cause/Risks/Symptoms/Diagnosis/Treatment) - answer✔Causes: inflammation of
gallbladder from cystic duct blockage by gallstones.
Risks: elderly, women, overweight, weight loss.
Symptoms: RUQ pain, N/V, jaundice, fever, tender gallbladder, gangrene if untreated.
Diagnosis: LFT, RUQ ultrasound (best for women to rule out pregnancy).
Treatment: antibiotics, cholecystectomy, treat asap.
Gastritis (Cause/Symptoms/Diagnosis/Treatment) - answer✔Causes: inflammation stomach
lining, corticosteroid or NSAID use, excessive alcohol use.
Symptoms: abdominal pain, nausea/vomitting.
Diagnosis: symptomatic.
