Final Exam: NR511 / NR 511 (Latest
Update ) Differential
Diagnosis & Primary Care Practicum
| Exam Questions & Answers| 100%
Correct | Grade A - Chamberlain
Question:
22yo F represents with intermittent cramping abdominal pain that is worse
with eating. Experiences watery, frequent stools and has had episodes of
nausea and vomiting. Fatigue and no appetite. Boyfriend is also sick - both
travelled recently. Stool positive for leukocytes and Giardia.
What differentials would you consider?
Answer:
The loose stools rules out constipation
N/V rules out IBD and IBS
BF being sick makes it concerning for gastroenteritis
Stool sample concerning for gastroenteritis r/t parasite
,Question:
Treatment for gastroenteritis
Answer:
Fluids
Imodium
BRAT diet - banana, rice, applesauce, toast
Zofran PRN
PE: bottled water, hand hygiene, "boil, cook, peel or forget"
Question:
Anemia hemoglobin levels
Answer:
M <13.5
F <12
Varies if CKD
Question:
Anemia of chronic disease
Answer:
Microcytic anemia with ↓ serum iron, ↓ total iron-binding capacity (TIBC),
and normal or ↑ ferritin***
, Question:
Iron deficiency anemia
Answer:
anemia caused by inadequate iron intake
microcytic anemia with ↓ serum iron, ↑ total iron-binding capacity*** (TIBC),
and ↓ ferritin
Question:
Pernicious anemia
Answer:
macrocytic
lack of mature erythrocytes caused by inability to absorb vitamin B12 into the
bloodstream
could be autoimmune or relate to gastritis, H. Pylori, bariatric surgery or
being vegan
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