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CMN 568 Unit 5 Acute Abdominal Pain Study Guide with complete Solutions |Latest 2024/2025
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CMN 568 Unit 5 Acute Abdominal Pain Study Guide with complete Solutions |Latest 2024/2025
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CMN 568 Unit 5- Acute Abdominal Pain _`- _`- _`- _`- _`- _`- _`-Study Guide with complete Solutions. _`- _`- _`- _`-
Which of the following is the treatment of choice with early diagnosis of
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
appendicitis, if an abscess develops, or in recurrent appendicitis?
_`- _`- _`- _`- _`- _`- _`- _`-
a. Analgesics
_`-
b. IV fluids
_`- _`-
c. Antibiotics
_`-
d. Appendectomy
_`- _`-_`- _`- d. Appendectomy
_`-
Mengel 7 _`-
Which of the following is the MOST sensitive test for diagnosing acute
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
abdominal pain? _`-
a. KUB_`-
b. Abd U/S
_`- _`-
c. CT
_`-
d. Upper endoscopy
_`- _`- _`-_`- _`- c. CT _`-
- Useful for appendicitis, abscesses, AAA, diverticulitis, bowel obstruction,
_`- _`- _`- _`- _`- _`- _`- _`- _`-
tumors.
PPT18
Acute abdominal pain with LLQ tenderness and mass, fever, and leukocytosis
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
are manifestations consistent with a diagnosis of:
_`- _`- _`- _`- _`- _`-
a. Appendicitis
_`-
b. Diverticulitis
_`-
,c. Pancreatitis
_`-
d. Cholecystitis
_`- _`-_`- _`- b. Diverticulitis
_`-
PPT 26 _`-
Which of the following diagnostic procedures would contraindicated during
_`- _`- _`- _`- _`- _`- _`- _`- _`-
the initial stages of an acute attack of diverticulitis?
_`- _`- _`- _`- _`- _`- _`- _`-
a. CT scan with contrast
_`- _`- _`- _`-
b. Barium enema
_`- _`-
c. Flex sigmoidoscopy
_`- _`-
d. All of the above
_`- _`- _`- _`-
e. B and C
_`- _`- _`- _`-_`- _`- e. B and C
_`- _`- _`-
PPT 28 _`-
The 50 year old patient c/o heartburn, typically 30 minutes after meals
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
when he reclines on his couch, in the absence of 'alarm' symptoms, what
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
should be the initial treatment?
_`- _`- _`- _`-
a. PPI for 4-8 weeks
_`- _`- _`- _`-
b. H2 antagonist for 4-8 weeks
_`- _`- _`- _`- _`-
c. Refer to GI for upper endoscopy
_`- _`- _`- _`- _`- _`-
d. Antacids prn for heartburn
_`- _`- _`- _`- _`-_`- _`- a. PPI for 4-8 weeks
_`- _`- _`- _`-
Abd Pain PPT
_`- _`-
Standard triple therapy of H. pylori-associated PUD includes all EXCEPT:
_`- _`- _`- _`- _`- _`- _`- _`- _`-
a. PPI po BID
_`- _`- _`-
b. Clarithromycin 500 mg po BID
_`- _`- _`- _`- _`-
,c. Amoxicillin 1 gm po BID
_`- _`- _`- _`- _`-
d. Bismuth subsalicylate 525 mg po BID
_`- _`- _`- _`- _`- _`- _`-_`- _`- d. Bismuth subsalicylate 525
_`- _`- _`- _`-
mg po BID _`- _`-
Mengel 600 _`-
- Standard therapy lasts 14 days
_`- _`- _`- _`- _`-
Name the 2 main causes of PUD?
_`- _`- _`- _`- _`- _`- _`-_`- NSAIDs and H. pylori
_`- _`- _`- _`-
Name the 7 alarm symptoms of GERD..
_`- _`- _`- _`- _`- _`- _`-_`- _`- 1. age > 55
_`- _`- _`-
2. anemia
_`-
3. melena
_`-
4. hematemesis
_`-
5. dysphagia
_`-
6. significant wt loss
_`- _`- _`-
7. difficult/painful swallowing
_`- _`-
Smoking worsens symptoms in all of the following EXCEPT..
_`- _`- _`- _`- _`- _`- _`- _`-
a. GERD
_`-
b. Ulcerative colitis
_`- _`-
c. PUD
_`-
d. Crohn's
_`- _`-_`- _`- b. Ulcerative colitis
_`- _`-
PPT8
, Pain elicited by palpating the RUQ as the patient takes in a deep breath is
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
termed...
a. Murphy's Sign
_`- _`-
b. Rovsing Sign
_`- _`-
c. Iliopsoas Sign
_`- _`-
d. Mcburney Sign
_`- _`- _`-_`- _`- a. Murphy's Sign
_`- _`-
- Seen with inflammation of the gallbladder
_`- _`- _`- _`- _`- _`-
PPT12
Palpation of the LLQ causes pain the in RLQ, as seen with appendicitis, this
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
is termed...
_`-
a. Murphy's Sign
_`- _`-
b. Rovsing Sign
_`- _`-
c. Iliopsoas Sign
_`- _`-
d. Mcburney Sign
_`- _`- _`-_`- _`- b. Rovsing Sign
_`- _`-
PPT13
A pt experiences pain in the RLQ with internal rotation of the right hip,
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
often seen with appendicitis. This is termed..
_`- _`- _`- _`- _`- _`-
a. Obturator Sign
_`- _`-
b. Rovsing Sign
_`- _`-
c. Iliopsoas Sign
_`- _`-
d. Mcburney Sign
_`- _`- _`-_`- _`- a. Obturator Sign
_`- _`-
PPT14
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