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FNP-652 Midterm Exam/206 Questions and Answers
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FNP-652 Midterm Exam/206 Questions and Answers
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FNP-652 Midterm Exam/206Questions and Answers
What is the most common cause of neonatal obstruction? - -Hirschsprung
Disease
-What is the definition of Hirschsprung disease? - -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? - -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? - -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? - -Pyloric Stenosis
-What is the treatment for Zollinger-Ellison Syndrome? - -PPI
-What percentage of weight loss is enough to improve obesity related co-
morbidities? - -5-10%
-What medication for obesity blocks the digestion and absorption of fat in
the stomach and small intestines? - -Orlistat
-What are the ranges for BMI for class I, II and III of obesity? - -I >30- <35
II >35-<40
III >40
-What frequency and duration of GI symptoms constitutes irritable bowel
syndrome? - -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 with 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? - -Irritable bowel syndrome
, -An emergent condition where one bowel segment becomes invaginated
into another - -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 jelly" like stool, and the most recent one had blood in it.
What diagnosis do you suspect? - -Intussusception
-What is the gold standard for diagnosis of intussusception? - -abdominal
ultrasound
-What condition is associated with a "bulls eye" or "coiled spring"
appearance when seen on fluoroscopy or ultrasound? - -Intussusception
-What is the treatment for intussusception? - -Air contrast enema under
fluoroscopy
-What types of viral hepatitis are self limiting and cause only acute viral
disease and have complete viral clearance? - -Hepatitis A and E
-What types of viral hepatitis can result in chronic infections? - -Hepatitis B,
C, and D
-A patient who is newly diagnosed with GERD should receive what type of
medication as first line treatment? - -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 is sending letters
home regarding the child's many absences. What condition do you suspect? -
-Functional Abdominal Pain
-Which liver enzyme is typically higher in Non-alcoholic fatty liver disease?
ALT or AST? - -ALT
-What are potential causes of non alcoholic fatty liver disease? - -Obesity,
DM, hypertriglyceridemia associated with insulin resistance as a part of
metabolic syndrome
-What are the "2 hits" in non-alcoholic fatty liver disease? - -1-insulin
resistance and altered lipid metabolism resulting in fatty acids infiltrating the
liver.
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