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FNP Exam Gastrointestinal disorders Questions and Answers
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  • Gastroenterology

physiologic reflux - Answer-is short lived and occurs after eating pathologic reflux - Answer-s/s heart burn, throat pain, mucosal injury and nocturnal s/s pH of stomach is 1-3, esophagus pH is 3-5 - Answer-so burning develops GERD causes - Answer-irritation of esophageal mucosa GERD tx...

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  • October 8, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • fnp exam gastrointestinal disorders questions and
  • physiologic reflux answer is short lived and occ

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  • Gastroenterology
  • Gastroenterology

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FNP Exam Gastrointestinal disorders
Questions and Answers
physiologic reflux - Answer-is short lived and occurs after eating

pathologic reflux - Answer-s/s heart burn, throat pain, mucosal injury and nocturnal s/s

pH of stomach is 1-3, esophagus pH is 3-5 - Answer-so burning develops

GERD causes - Answer-irritation of esophageal mucosa

GERD tx - Answer-BID PPI

decreases ph, provides fastest relief for 30 min - Answer-antacids

H2 antagonist - Answer-decrease acid production for 6-12 hours

examples of h2 antagonist - Answer-tagamet, zantac, pepcid, axid

PPI proton pump inhibitor - Answer-reduce gastric secretion and ph rises to 5

PPI lasts for how long? - Answer-4-8 weeks

Examples of PPI - Answer-prilosec, prevacid, nexium, protonix

decreases absorption of Fe, Ca, Vit D, Vit B12 - Answer-PPI

Barrett esophagus - Answer-predisposes pt to adenocarcinoma

fecal leukocytes, fever and blood - Answer-most likely bacterial pathogen causing
diarrhea

IBS - Answer-GI syndrome with recurrent abd pain and altered defacation

what neurotransmitter chemical can cause IBS - Answer-serotonin

s/s of IBS - Answer-crampy, alternating bowel, mucus present with stool

inflammatory bowel disease - Answer-bloody nocturnal diarrhea

Inflammatory bowel disease (IBD) - Answer-systemic, fatigue, fever, bloody diarrhea,
arthritis,

if bright red blood per rectum >50 - Answer-do colonoscopy

, if bright red blood per rectum 40-49 - Answer-sigmoidoscopy or colonoscopy if sig is
negative

if bright red blood per rectum <40 - Answer-assess cancer risk

colon cancer - Answer-2nd most common cancer in women

most colon cancer - Answer-comes from polyps

start screening colon cancer - Answer-age 50

colon cancer screening annually >50 - Answer-guiac fecal occult blood

colon cancer screening every 10 years - Answer-colonoscopy

liver function test-ALT/AST - Answer-measures integrity of liver

PT/Abumin - Answer-measures synthetic activity of the liver (how well it makes things)

Bili, ALP - Answer-measures excretory function of liver (how well it metabolizes)

Mild to mod elevation of ALT/AST - Answer-2-10x normal

what raises ALT, AST - Answer-statins, Hep b and c, hemochromatosis, fatty liver, etoh

ALT>AST (middle letter is L-liver) - Answer-viral hepatitis

AST>ALT (middle letter is s-Statins, acetaminopen,and tequila- etoh) - Answer-
medications effecting levels

AST>ALT 2x - Answer-think etoh abuse

viral hepatitis - Answer-A,b,c,d,e (b,c,d are chronic)

hepatitis markers - Answer-IgG, IgM, Hep B surface antigen, Hepatitis B surface
antibody

IgM - Answer-M=moment you get infection-acute

IgG - Answer-G=gone-when infection is gone

+IgM - Answer-pt recently infected

+IgG - Answer-pt recovered from exposure

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