DUNPHY PRIMARY CARE MIDTERM REVIEW| TOP
SCORES MADE SIMPLE | TRUSTED TEST
SOLUTIONS!
QUALITY CONTENT YOU CAN RELY ON!
Nausea is difficult to discern in a young child. What question might you ask to determine if
a child has nausea?
1. "Are you sick to your tummy?"
2. "Are you hungry?"
3. "Are you eating the way you normally eat?"
4. "Are you nauseous?" Answer: "Are you hungry?"
Zena just had a hemorrhoidectomy. You know she has not understood your teaching when
she tells you she will:
1. Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
2. Drink at least 2000 mL of fluids per day.
3. Decrease her dietary fiber for 1 month.
4. Take stool softeners as prescribed. Answer: Decrease her dietary fiber for 1 month.
Susan, age 59, has no specific complaints when she comes in for her annual examination.
She does, however, have type 2 diabetes mellitus (DM), slight hypertension, dyslipidemia,
and central obesity. How would you diagnose her?
1. As a healthy adult with several problems.
2. As having a glycemic event.
3. As having metabolic syndrome.
4. As having multiple organ dysfunction. Answer: As having metabolic syndrome.
Simon, age 72, states that he is worried because he has a bowel movement only every third
day. You respond:
1. "You should have two to three stools per day."
2. "You should defecate once a day."
3. "You should have at least three stools per week."
1
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,4. "There is no such thing as a 'normal' pattern of defecation." Answer: "There is no such
thing as a 'normal' pattern of defecation."
Matt, age 26, recently returned from a camping trip and has gastroenteritis. He says that he
has been eating only canned food. Which of the following pathogens do you suspect?
1.
Campylobacter jejuni.
2.
Clostridium botulinum.
3.
Clostridium perfringens.
4.
Staphylococcus. Answer: Clostridium botulinum.
Timothy, age 68, complains of an abrupt change in his defecation pattern. You evaluate him
for:
1.
Constipation.
2.
Colorectal cancer.
3.
Irritable bowel syndrome.
4.
Acute appendicitis. Answer: Colorectal cancer.
Martina, age 34, has AIDS and currently suffers from diarrhea. You suspect she has which
protozoal infection of the bowel?
1.
Giardiasis.
2.
Amebiasis.
3.
2
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,Cryptosporidiosis.
4.
Escherichia coli. Answer: Cryptosporidiosis
Anson tells you he thinks his antacids are causing his diarrhea. You respond:
1.
"Antacids contain fructose, which may not be totally absorbed, resulting in fluid being
drawn into the bowel."
2.
"Antacids contain sorbitol or mannitol, which are sugars that aren't absorbed and can
cause fluid to be drawn into the bowel."
3.
"Antacids contain caffeine, which decreases bowel transit time."
4.
"Antacids may contain magnesium, which decreases bowel transit time and may contain
poorly absorbed salts that draw fluid into the bowel." Answer: "Antacids may contain
magnesium, which decreases bowel transit time and may contain poorly absorbed salts
that draw fluid into the bowel."
Tina has a chronic hepatitis C infection. She asks you how to prevent its transmission. You
respond:
1.
"Do not donate blood until one year after diagnosis."
2.
"Abstain from sex altogether."
3.
"There is no possibility of transmission through razors or toothbrushes."
4.
"Abstain from sex during your period." Answer: "Abstain from sex during your period."
Marcie just returned from Central America with traveler's diarrhea. Which is the best
treatment?
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
, 1.
Metronidazole (Flagyl).
2.
Supportive care.
3.
Quinolone antibiotics.
4.
Gastric lavage. Answer: Supportive care.
Rose, a client with gastroesophageal reflux disease (GERD), has many other concurrent
conditions. In teaching Rose about medications to avoid, what do you recommend she
refrain from using?
1.
Antibiotics.
2.
Nonsteroidal anti-inflammatory drugs (NSAIDs).
3.
Oral contraceptives.
4.
Antifungals. Answer: Nonsteroidal anti-inflammatory drugs (NSAIDs).
Lucy, age 49, has pain in both the left and right lower quadrants. What might you suspect?
1.
A gastric ulcer.
2.
Gastritis.
3.
Pelvic inflammatory disease.
4.
Pancreatitis. Answer: Pelvic inflammatory disease.
4
APPHIA - Crafted with Care and Precision for Academic Excellence.
SCORES MADE SIMPLE | TRUSTED TEST
SOLUTIONS!
QUALITY CONTENT YOU CAN RELY ON!
Nausea is difficult to discern in a young child. What question might you ask to determine if
a child has nausea?
1. "Are you sick to your tummy?"
2. "Are you hungry?"
3. "Are you eating the way you normally eat?"
4. "Are you nauseous?" Answer: "Are you hungry?"
Zena just had a hemorrhoidectomy. You know she has not understood your teaching when
she tells you she will:
1. Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
2. Drink at least 2000 mL of fluids per day.
3. Decrease her dietary fiber for 1 month.
4. Take stool softeners as prescribed. Answer: Decrease her dietary fiber for 1 month.
Susan, age 59, has no specific complaints when she comes in for her annual examination.
She does, however, have type 2 diabetes mellitus (DM), slight hypertension, dyslipidemia,
and central obesity. How would you diagnose her?
1. As a healthy adult with several problems.
2. As having a glycemic event.
3. As having metabolic syndrome.
4. As having multiple organ dysfunction. Answer: As having metabolic syndrome.
Simon, age 72, states that he is worried because he has a bowel movement only every third
day. You respond:
1. "You should have two to three stools per day."
2. "You should defecate once a day."
3. "You should have at least three stools per week."
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,4. "There is no such thing as a 'normal' pattern of defecation." Answer: "There is no such
thing as a 'normal' pattern of defecation."
Matt, age 26, recently returned from a camping trip and has gastroenteritis. He says that he
has been eating only canned food. Which of the following pathogens do you suspect?
1.
Campylobacter jejuni.
2.
Clostridium botulinum.
3.
Clostridium perfringens.
4.
Staphylococcus. Answer: Clostridium botulinum.
Timothy, age 68, complains of an abrupt change in his defecation pattern. You evaluate him
for:
1.
Constipation.
2.
Colorectal cancer.
3.
Irritable bowel syndrome.
4.
Acute appendicitis. Answer: Colorectal cancer.
Martina, age 34, has AIDS and currently suffers from diarrhea. You suspect she has which
protozoal infection of the bowel?
1.
Giardiasis.
2.
Amebiasis.
3.
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
,Cryptosporidiosis.
4.
Escherichia coli. Answer: Cryptosporidiosis
Anson tells you he thinks his antacids are causing his diarrhea. You respond:
1.
"Antacids contain fructose, which may not be totally absorbed, resulting in fluid being
drawn into the bowel."
2.
"Antacids contain sorbitol or mannitol, which are sugars that aren't absorbed and can
cause fluid to be drawn into the bowel."
3.
"Antacids contain caffeine, which decreases bowel transit time."
4.
"Antacids may contain magnesium, which decreases bowel transit time and may contain
poorly absorbed salts that draw fluid into the bowel." Answer: "Antacids may contain
magnesium, which decreases bowel transit time and may contain poorly absorbed salts
that draw fluid into the bowel."
Tina has a chronic hepatitis C infection. She asks you how to prevent its transmission. You
respond:
1.
"Do not donate blood until one year after diagnosis."
2.
"Abstain from sex altogether."
3.
"There is no possibility of transmission through razors or toothbrushes."
4.
"Abstain from sex during your period." Answer: "Abstain from sex during your period."
Marcie just returned from Central America with traveler's diarrhea. Which is the best
treatment?
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
, 1.
Metronidazole (Flagyl).
2.
Supportive care.
3.
Quinolone antibiotics.
4.
Gastric lavage. Answer: Supportive care.
Rose, a client with gastroesophageal reflux disease (GERD), has many other concurrent
conditions. In teaching Rose about medications to avoid, what do you recommend she
refrain from using?
1.
Antibiotics.
2.
Nonsteroidal anti-inflammatory drugs (NSAIDs).
3.
Oral contraceptives.
4.
Antifungals. Answer: Nonsteroidal anti-inflammatory drugs (NSAIDs).
Lucy, age 49, has pain in both the left and right lower quadrants. What might you suspect?
1.
A gastric ulcer.
2.
Gastritis.
3.
Pelvic inflammatory disease.
4.
Pancreatitis. Answer: Pelvic inflammatory disease.
4
APPHIA - Crafted with Care and Precision for Academic Excellence.
