NRNP 6540 Week 7 Quiz Knowledge Check 2022 / 2023

1. June is a 69-year-old being seen for her GYN exam. She still has her uterus and ovaries. What do you expect to find on bimanual examination? Examining the female genito-reproductive system would be the same in younger and older patients. On a bimanual examination, the ovaries should not be palpable and the uterus should be small and firm. 2. Your 82-year-old patient comes to the clinic with complaints of cramping abdominal pain, nausea, vomiting, and obstipation for the past 4 days. His PMH includes hernia repair, HTN, and atrial fibrillation. Your examination leads you to suspect a small bowel obstruction. What is your diagnostic test of choice to determine the diagnosis? The initial diagnostic test for small bowel obstruction is the plain abdominal x-ray with flat and upright views. This radiologic test identifies multiple air-fluids, distention of small bowel loops and absence of gas in the areas of the colon. If no obstructions are seen in the x-rays but the provider has a high suspicion of the diagnosis, a CT scan is recommended. CT scan is found to be as high as 90% sensitive in identifying the presence of bowel