NUR 631 Exam 2 over 200 questions with correct answers
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Course
NUR 631
Institution
NUR 631
NUR 631 Exam 2 over 200 questions with correct answers/NUR 631 Exam 2 over 200 questions with correct answers/NUR 631 Exam 2 over 200 questions with correct answers
NUR 631 Exam 2
What are examples of things that can cause visceral pain? - correct answer Intestine, biliary
tree, liver disease
What are examples of things that can cause parietal pain? - correct answer Appendicitis,
peritonitis
What are examples of things that can cause referred pain? - correct answer Cholecystitis
What are examples of things that can cause colicky pain? - correct answer Renal stones
What is the order in which you should perform an abdominal physical exam? - correct answer
1. inspection
2. auscultation
3. percussion
4. palpation
What diagnosis would you consider for a 30 year old with heart burn, early satiety, burping and
generalized abdominal pain? - correct answer Dyspepsia related to gastritis
What diagnosis would you consider for a 50 YEAR OLD SMOKER with heart burn and abdominal
pain? - correct answer Colon cancer
How high is the bilirubin level when the patient is starting to develop physical jaundice? -
correct answer 2.5 or higher
______________ bilirubin is unconjugated, which means that it has not been metabolized by
the liver or made into a water soluble form of bilirubin - correct answer Indirect bilirubin
________________ is processed bilirubin that is water soluble - correct answer Direct bilirubin
What are some of the causes of elevated indirect bilirubin levels? - correct answer - hemolysis
- heart failure
- Gilbert syndrome
- neonates
- hyperthyroidism
- chronic hepatitis & advanced liver cirrhosis
What are some of the causes of elevated direct bilirubin levels? - correct answer -
choledocholithiasis
- tumors
- AIDS
,NUR 631 Exam 2
- acute/chronic pancreatitis
- viral hepatitis
- alcoholic hepaitits
- biliary tree cholangitis
- sepsis
- TPN
- postoperative cholestasis
- sickle cell disease
- pregnancy
- end stage liver disease
What does a history of fever, chills and RUQ pain indicate? - correct answer Acute cholangitis
What does RUQ pain with a history of anorexia, malaise and myalgias indicate? - correct
answer Viral hepatitis
What is the terminology for when the gallbladder is so distended that you can palpate it? -
correct answer Courvoiser Sign
What is the terminology for inspiratory arrest that occurs when you are putting pressure on the
RUQ due to inflammed gallbladder? - correct answer Murphey's Sign
Which liver enzyme is specific for hepatocytes? - correct answer ALT
Which liver enzyme is more specific to alcohol, statins and tylenol use? - correct answer AST
If the ratio of AST to ALT is 2 to 1, what does this indicate? - correct answer Liver damage due
to alcohol, statins or tylenol
If the ratio of ALT is twice as high as AST, what does this indicate? - correct answer Viral
hepatitis
What is the normal range for ALT and AST? - correct answer 30-40
What does an elevated ALT, AST and Alk Phos indicate? - correct answer Gallbladder
obstruction
What are the signs and symptoms in a patient that has MILD melena? - correct answer Resting
tachycardia
What are the signs and symptoms in a patient that has melena with a blood volume loss of at
least 15%? - correct answer Orthostatic hypotension
, NUR 631 Exam 2
What are the signs and symptoms of a patient that has melena with a blood volume loss of at
least 40%? - correct answer Supine hypotension + abdominal pain
What type of anemia would someone with melena have? - correct answer Iron deficiency
anemia
What is the gold standard diagnostic test for a patient with Melena? - correct answer
Endoscopy
What are the leading causes for dysphagia? - correct answer Alzheimer disease + stroke
This type of dysphagia is due to a tumor that is obstructing the passage of food - correct
answer Mechanical dysphagia
This type of dysphagia is due to a neurological deficit resulting in the inability to swallow -
correct answer Functional dysphagia
What is the gold standard diagnostic test for dysphagia? - correct answer Video fluoroscopic
swallow study
IF a patient over the age of 50 comes in with dysphagia, what would you assume? - correct
answer Esophegeal cancer
If a patient comes in with SUDDEN dysphagia, what would you assume? - correct answer
Patient had a stroke
What is the term used to describe the chronic immunological disease that manifests in
intestinal inflammation? - correct answer Inflammatory Bowel Disease
What is the term used to describe a clinical syndrome of uncertain etiology characterized by
lower abdominal pain and alternating diarrhea and/or constipation - correct answer Irritable
Bowel Syndrome
What is the term used to describe the disease process in which the MUCOSAL surface of the
colon and rectum erodes resulting in bloody diarrhea? - correct answer Ulcerative Colitis
What is the term used to describe the disease process in which ALL layers of the bowel wall
have tissue damage characterized by skip (cobblestone) lesions in both the small and large
intestine? - correct answer Chron's Disease
What are the signs and symptoms of Ulcerative colitis? - correct answer - Diarrhea
- 4-10 bowel movements a day
- small and large amounts of blood and mucus in the stool
- abdominal pain and tenderness
- impaired nutrition, anemia and hypovolemia
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