623 Adult - GERD - NP Certification, Fitzgerald 4th ed UPDATED Exam Questions and CORRECT Answers
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Course
GERD
Institution
GERD
623 Adult - GERD - NP Certification,
Fitzgerald 4th ed UPDATED Exam
Questions and CORRECT Answers
a. avoiding the trigger foods - CORRECT ANSWER- a 35 y/o woman c/o of a 6 month
hx of periodic heartburn primarily after eating tomato based sauces. her wt is unchanged and
exam reveals a sing...
623 Adult - GERD - NP Certification,
Fitzgerald 4th ed UPDATED Exam
Questions and CORRECT Answers
a. avoiding the trigger foods - CORRECT ANSWER✔✔- a 35 y/o woman c/o of a 6 month
hx of periodic heartburn primarily after eating tomato based sauces. her wt is unchanged and
exam reveals a single alterned finding of epigastric tenderness without rebound. as first-line
tx, you advise.
a. avoiding the trigger foods
b. the use of a prokinetic agent
c. the addition of sucralfate with meals
d. increased fluid intake with food intake
b. esophageal adenocarcinoma - CORRECT ANSWER✔✔- you see a 62 y.o man dx with
esophageal columnar epithelial metaplasia. you realize he is at increased risk for:
a. esophageal stricture
b. esophageal adenocarcinoma
c. gastroesophageal reflux
d. H. pylori colonization
b. increase the pH of the stomach - CORRECT ANSWER✔✔- in caring for a pt with
symptomatic gastroensophageal reflux, you prescribe a PPI to:
a. enhance motility
b. increase the pH of the stomach
c. reduce lower esophageal pressure
d. help limit H. pylori growth
d. no specific diagnostic testing is needed - CORRECT ANSWER✔✔- a 38 y/o nonsmoking
man presents with s/s consistent of GERD. he has self-txed with OTC antacids and acid
suppression tx with effect. his wt is stable and he denies nausea, vomiting, diarrhea, or
melena. which of the following represents the most appropriate diagnostic plan for this pt?
a. fecal testing for H. pylori antigen
b. upper GI endoscopy
, c. barium swallow
d. no specific diagnostic testing is needed
a. recent initiation of estrogen-progestin hormonal tx - CORRECT ANSWER✔✔- which of
the following is most likely to be found in a 50 y/o woman with new-onset reflux
esophagitis?
a. recent initiation of estrogen-progestin hormonal tx
b. recent wt loss
c. report of melena
d. evidence of H. pylori infection
b. chronic sore throat - CORRECT ANSWER✔✔- which of the following is likely to be
reported in a pt with persistent GERD?
a. hematemesis
b. chronic sore throat
c. diarrhea
d. melena
c. amlodipine (calcium channel blocker) - CORRECT ANSWER✔✔- a 58 y/o man recently
began taking an antihypertensive medication and reports that his heartburn has become much
worse. he is most likely taking:
a. atenolol (beta blocker)
b. trandolapril (acei)
c. amlodipine (calcium channel blocker)
d. losartan (arb)
b. separated from the anacid use by 2-4 hrs before or 4-6 hrs after taking the fluoroquinolone
- CORRECT ANSWER✔✔- you prescribe a fluoroquinolone antibiotic to a 54 y/o woman
who has occasional GERD sxs that she txs with an antacid. when discussing appropriate
medication use, you advise that she should take the antimicrobial:
a. with the antacid
b. separated from the anacid use by 2-4 hrs before or 4-6 hrs after taking the fluoroquinolone
c. without regard to antacid use
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