NURS 5432 UTA Quiz 4 With Complete Solution Latest Update
Pyloric Stenosis - Answer Progressive narrowing of the pyloric canal occurring during
infancy
Risk factors: first degree relative affected, strong familial aggregation, multiple
gestation, c-section, preterm infant, firstborn child, formula feeding.
Signs and Symptoms: projectile postprandial non-bilious vomiting that is progressive in
severity and frequency beginning after 2-3 weeks of age. OLIVE SHAPED MASS
PALPABLE IN RUQ. Peristaltic waves visible across abdomen after feeding. Insatiable
hunger with weightloss and dehydration.
Pinworm - Caused by Enterobius vermicularis.
Signs/Symptoms: asymptomatic, intense perianal/intravaginal itching at night usually,
vulvovaginitis in girls, enuresis.
Treatment: Pyrantel pamoate 1mg/kg max 1 g two doses given 2 wks apart for entire
family. OR
albendazole 400mg PO 1 dose and another in 2 wks for entire family.
H. pylori treatment -14 days of Quadruple therapy:
PPI, amoxicillin BID, metronidazole BID, and clarithromycin BID (PAMC) OR
PPI, bismuth, metronidazole, and tetracycline for 14 days (PTMB)
Anti-HBs negative - Answer susceptible no infection
HBeAg positive
Anti-HBc positive
IgM anti-HBc positive
HBsAg positive
Anti-HBs negative - Answer Active Hep B
HBeAg positive
HBsAg positive
Anti-HBc positive
IgM anti-HBc negative
AntiHBs negative - Answer chronic hep B active viral replication
HBeAg negative
HBs Ag positive
Anti-HBc positive
IgM anti-HBc negative
AntiHBs negatibe - Answer chronic hep B w/o active viral replication
HBsAg negative
Anti-HBc positive
Anti-HBs positive - Answer recovered Hep B
HBsAg negative
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