Module 4 GI-CMN 568 Questions and Answers Already
Passed
What is the gold standard to diagnose acute pancreatitis?
a - KUB
b - Ultrasound
c - MRI
d - CT
e- all of the above CORRECT ANS-B. Use ultrasound to diagnose acute pancreatitis. KUBs
can show calcified gallstones, air in the peritoneal space, or atelectasis of lower lobe of lungs.
CT can show an enlarged pancreas, differentiate pancreatitis froom other intra0abd problems,
and provides initial assessment of prognosis. CT or MRIs are valuable after the first 3 days to
identify areas of necrotizing pancreatitis.
A 55M presents to your primary care clinic with deep epigastic pain radiating into his back,
nausea, vomiting, sweating, abd tenderness/distention, and fever. Labs show leukocytosis,
elevated serum amylase and serum lipase. What kind of imaging do you order for diagnosis?
a - HIDA scan
b - CT
, Module 4 GI-CMN 568 Questions and Answers Already
Passed
c - MRI
d - Ultrasound
e - KUB CORRECT ANS-D. Use ultrasound to diagnose acute pancreatitis.
A 5 year old girl presents to your primary care clinic with bloody diarrhea and fever. On exam,
you note that her abdomen is distended and tender but otherwise has good skin turgor, moist
mucosal membranes, and tolerates eating and drinking. Her mother says that her daughter
has had multiple loose stools and fever after a recent course of antibiotics in the hospital.
What statement from the mother demonstrates that she understands discharge instructions?
a-"I need to bring her to the hospital for IV antibiotics."
b-"I need to bring her to the hospital for IV steroids."
c-"I will treat her at home with Flagyl (metronidazole) by mouth."
d-"I will treat her at home with prednisone by mouth."
e-"I can treat her fever at home and the diarrhea will resolve on its own." CORRECT ANS-C.
C. diff is suspected because of the recent course of antibiotics, a hospital stay, and fever. This
requires PO metronidazole or vancomycin. Use PO prednisone for ulcerative colitis.
Gastroenteritis is usually self-limiting.
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