Exam (elaborations)
CMN 568 UNIT 4 QUESTIONS AND ANSWERS 2024
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CMN 568 UNIT 4 QUESTIONS AND ANSWERS 2024
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CMN 568 UNIT 4What is the most sensitive and specific method for identifying Zollinger-Ellison
syndrome? - ANSWERS-demonstration of an increased fasting serum gastrin
concentration
What are atypical symptoms of celiac disease? - ANSWERS-dermatitis
herpetiformis, iron deficiency anemia, and osteoporosis
Most patients with celiac disease also have what? - ANSWERS-lactose intolerance
How is diagnosis confirmed for lactase deficiency? - ANSWERS-hydrogen breath
test
Smoking may lessen symptoms in what conditions? - ANSWERS-ulcerative colitits
What is Murphy's sign and what condition is it seen in? - ANSWERS-pain in RUQ
on inspiration, seen with inflammed gallbadder. can be illicited by palpating RUQ
on inspiration
What is the most sensitive test for diagnosing acute abdominal pain? - ANSWERS-
CT
,What are alarm markers for herniations in infants? - ANSWERS-onset of colicky
abd pain, N/V, and edema or discoloration at site
What are s/s of ulcerative colitis? - ANSWERS-bloody diarrhea, lower abd. cramps
and fecal urgency, anemia, low albumin, neg. stool cx
What is the key to dx of ulcerative colitis? - ANSWERS-sigmoidoscopy
What condition inevitably causes colon cancer? - ANSWERS-familial adenomatous
polyposis
Where is pain usually felt in patient with cholelithiasis (gallstones)? - ANSWERS-
biliary pain characterized by infrequent episodes of steady severe pain in
epigastrium or right upper quadrant with radiation to right scalpula
How are gallstones detected? - ANSWERS-u/s
What is used to relieve biliary pain? - ANSWERS-NSAIDS
A lower tract source of gross hematuria in the absence of infection is most
commonly from what? - ANSWERS-urothelial cell carcinoma of the bladder
microscopic hematuria in the male is most commonly from what? - ANSWERS-bph
, What organisms are the most commonly associated with acute cystitis? -
ANSWERS-coliform bacteria (e.coli) and gram + bacteria (enterococci)
who are considered candidates for prophylactic abx therapy to prevent
recurrence of UTIs? - ANSWERS-women who have 3 or more episodes of cystitis
per year
What are the most common prophylactic abx used to prevent acute cystitis? -
ANSWERS-bactrim, nitrofurantoin, and cephalexin at bedtime or at time of
intercourse
What are the doc for uncomplicated cystitis? - ANSWERS-cephalexin,
nitrofurantoin, and flouroquinolones
What are the abx of choice for the tx of acute pylonephritis? - ANSWERS-cipro,
ofloxacin, and bactrim
How are urinary stone dx? - ANSWERS-CT or u/s
What are most urinary stones composed of? - ANSWERS-calcium
What are the most important factors in the development of urinary stones? -
ANSWERS-high protein and salt intake as well as inadequate hydration
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