APEA 3P PREP-GL EXAM WITH VERIFIED QUESTIONS AND ANSWERS
An 83-year-old patient is diagnosed with diverticulitis. The most common
complaint is:
rectal bleeding.
bloating and
cramping.
left lower quadrant pain.
frequentbelchingand
flatulence.
C.
Diverticular disease is more common in olde...
APEA 3P PREP-GL EXAM WITH VERIFIED QUESTIONS AND ANSWERS
An 83-year-old patient is diagnosed with diverticulitis. The most common
complaint is:
rectal bleeding.
bloating and
cramping.
left lower quadrant pain.
frequent belching and
flatulence.
C.
Diverticular disease is more common in older adults. About 70% of
patients diagnosed with diverticulitis have left lower quadrant pain.
Rectal bleeding may have varied etiologies, such as rectal carcinoma or
hemorrhoids. Bloating and cramping are often found in patients with
diverticular disease (diverticulosis) but not specifically diverticulitis.
Belching and flatulence are not specifically associated with diverticulosis.
What is true regarding older adults who are overweight?
This is clearly associated with increased mortality in older
adults. Mortality in older adults related to overweight states
,declines over time. BMI is a good way to assess nutritional
status in older adults.
There are no potential metabolic or functional benefits to weight loss in
older adults. B.
Overweight and obese states are not as important in predicting mortality
in older adults as they are in their younger counterparts. After age 65
years (some studies demonstrate after age 70), weight is less significant
in decreasing risk for mortalitythan in younger adults. There are some
benefits to weight loss in the obese older adults. One of them is better
balance and decreased risk for falls. Others include less sleep apnea,
decreased risk of diabetes, and decreased rates of shortness of breath
with respiratory and cardiac diseases.
The relationship between colon polyps and colon cancer is those polyps:
eventually, all become malignant.
have a slow progression to colon
cancer. have a rapid progression to
colon cancer. have no relationship to
colon cancer.
B.
,Colon polyps are usually slow-growing and take a long time to progress to
cancer. This is the reason that a colonoscopy does not need to be
repeated annually. While not all polyps grow slowly, this is the usual
progression.
A 5-year-old has been diagnosed with pinworms. He lives with his mother.
There are no other members of the household. How should his mother be
managed?
Reassure the mother that if she develops symptoms, she will need to be
treated. Visually assess the mother’s rectum for redness or presence of
worms.
Have the mother collect a stool specimen and send it to the
laboratory. Perform the “scotch tape” test and look at the collection
under the microscope. D.
The diagnosis of pinworms (Enterobiasis) is made by using a piece of
scotch tape ona tongue depressor. It is touched against the patient’s
rectum. The greatest yield of eggs will occur during the nighttime or early
AM. Eggs will be found here if they are present. Worms and eggs are
rarely found in stool specimens, so this is not a good plan. When the
scotch tape is examined under a low power microscope, the eggs will be
easily visualized since they are large and bean shaped. The finding of an
adult worm would confirm the diagnosis. These are large enough to be
seen with
, the naked eye. If the mother is symptomatic, she should be treated with
or without a rectal exam. It is very likely she is infected.
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