Nurs 677 Exam 2 Questions With Complete Solutions
What are the extra esophageal impact of GERD
Dental erosions, sore throat, laryngitis, hoarseness, chronic
cough, wheezing, asthma, bronchospasm
What is the cause of IBD
unknown
What are thoughts of what causes IBD
cigarette smoking, genetic mutations, long term dietary patterns,
microbiome
Clinical presentation of IBD
symptom duration varies, fatigue, weight loss, anorexia, fever,
chills, NV, joint pains, and mouth sores. Lower quadrant pain.
abdominal pain and loose watery stools, tenesmus, rectal
bleeding
What is the first line treatment for IBD
UC 5-aminosalicylic acid products
What are other treatment for IBD
corticosteroids, immunomodulators, biologics, antibiotics,
surgery
Clinical presentation of PUD
epigastric pain or dyspepsia, pain with earring, postprandial
belching, fullness, fat food intolerance, nausea and vomiting,
, upper abdominal pain, epigastric pain that is sharp and gnawing
2 to 5 hours after eating or in the middle of the night
What symptoms indicate a ruptured ulcer from PUD
rigid abdomen and positive rebound tenderness
What is the standard diagnostic criteria for PUD
endoscopy with biopsy
What is the brain gut disorder
IBS
What is IBS
abdominal discomfort associated with aletered bowel habits and
symptoms of constipation, including infrequent stools, straining,
passage of hard stools, and feelings of incomplete or difficult
evacuation
Clinical presentation of IBS
pain described as non radiating, intermittent, crampy, typically
in the left lower quadrants, can be associated with diarrhea,
constipation of alternating of both
Pharmacotherapy for IBS
Fiber, antispasmodic, antidiarrheal meds, anticonstipation meds,
psychotropic meds,
Symptomatic treatment for IBS
Dietary modifications, medications, supportive and behavioral
therapy, education, and reassurance
What are the extra esophageal impact of GERD
Dental erosions, sore throat, laryngitis, hoarseness, chronic
cough, wheezing, asthma, bronchospasm
What is the cause of IBD
unknown
What are thoughts of what causes IBD
cigarette smoking, genetic mutations, long term dietary patterns,
microbiome
Clinical presentation of IBD
symptom duration varies, fatigue, weight loss, anorexia, fever,
chills, NV, joint pains, and mouth sores. Lower quadrant pain.
abdominal pain and loose watery stools, tenesmus, rectal
bleeding
What is the first line treatment for IBD
UC 5-aminosalicylic acid products
What are other treatment for IBD
corticosteroids, immunomodulators, biologics, antibiotics,
surgery
Clinical presentation of PUD
epigastric pain or dyspepsia, pain with earring, postprandial
belching, fullness, fat food intolerance, nausea and vomiting,
, upper abdominal pain, epigastric pain that is sharp and gnawing
2 to 5 hours after eating or in the middle of the night
What symptoms indicate a ruptured ulcer from PUD
rigid abdomen and positive rebound tenderness
What is the standard diagnostic criteria for PUD
endoscopy with biopsy
What is the brain gut disorder
IBS
What is IBS
abdominal discomfort associated with aletered bowel habits and
symptoms of constipation, including infrequent stools, straining,
passage of hard stools, and feelings of incomplete or difficult
evacuation
Clinical presentation of IBS
pain described as non radiating, intermittent, crampy, typically
in the left lower quadrants, can be associated with diarrhea,
constipation of alternating of both
Pharmacotherapy for IBS
Fiber, antispasmodic, antidiarrheal meds, anticonstipation meds,
psychotropic meds,
Symptomatic treatment for IBS
Dietary modifications, medications, supportive and behavioral
therapy, education, and reassurance
