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FNP-652 Midterm Exam Questions And Answers
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FNP-652 Midterm Exam Questions And Answers What is the most common cause of neonatal obstruction? - Answer Hirschsprung Disease What is the definition of Hirschsprung disease? - Answer 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? - Answer 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? - A nswer Pyloric Stenosis 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? - Answer Pyloric Stenosis What is the treatment for Zollinger-Ellison Syndrome? - Answer PPI What percentage of weight loss is enough to improve obesity related co-morbidities? - Answer 5- 10% What medication for obesity blocks the digestion and absorption of fat in the stomach and small intestines? - Answer Orlistat What are the ranges for BMI for class I, II and III of obesity? - Answer I >30- <35 II >35-<40 III >40 What frequency and duration of GI symptoms constitutes irritable bowel syndrome? - Answer 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 wi th 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? - Answer Irritable bowel syndrome An emergent condition where one bowel segment becomes invaginated into another - Answer 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 j elly" like stool, and the most recent one had blood in it. What diagnosis do you suspect? - Answer Intussusception What is the gold standard for diagnosis of intussusception? - Answer abdominal ultrasound What condition is associated with a "bulls eye" or "coiled spring" appearance w hen seen on fluoroscopy or ultrasound? - Answer Intussusception What is the treatment for intussusception? - Answer Air contrast enema under fluor oscopy What types of viral hepatitis are self limiting and cause only acute viral disease and ha ve complete viral clearance? - Answer Hepatitis A and E What types of viral hepatitis can result in chronic infections? - Answer Hepatitis B, C, and D A patient who is newly diagnosed with GERD should receive what type of medication as first line treatment? - Answer H2 Antagonist (ex: Ranitidine, Famotidine) A 10 year old female patient presents to the clinic with her mother with complaints of ongoing generalized abdominal pain over the last 6 months. Her stool is negative for occult blood and she is absent of any alarm symptoms. All previous imagining and work up has come back negative. The pain is intermittent, and is unrelated to meals, movement or activity. Pain medications thus far have been ineffective, and the school i s sending letters home regarding the child's many absences. What condition do you suspect? - Answer Functional Abdominal Pain Which liver enzyme is typically higher in Non-alcoholic fatty liver disease? ALT or AST? - Answer ALT What are potential causes of non alcoholic fatty liver disease? - Answer Obesity, DM, hypertriglyceridemia associated with insulin resistance as a part of metabol ic syndrome What are the "2 hits" in non-alcoholic fatty liver disease? - Answer 1-insulin resistance and altered lipid metabolism resulting in fatty acids infiltrating the liver. 2-Inflammation causes more liver injury, which can result in fibrosis and later cirrhos is A mother bring in her 5 year old son who was previously potty trained, but has recentl y started having accidents daily and not using the toilet. What condition do you suspec t? - Answer Encopresis What is Primary Encopresis? - Answer Child has never been toilet trained successfully What is secondary Encopresis? - Answer Child previously toilet trained, but begins to soil Treating a child with encopresis with constipation, what methods of disimpaction shou ld be utilized? - Answer Oral cathartics, enemas or combinationThe benefits of buying summaries with Stuvia:
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