FNP 652 MIDTERM EXAM GRAND CANYON
UNIVERSITY 2026/2027 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST |BRAND NEW
VERSION|JUST RELEASED!!
What medication would you prescribe for mild to moderate chronic treatment of ulcerative
colitis patient?
Oral aminosalicylates
A patient presents with an acute ulcerative colitis exacerbation. What type of medication would
you prescribe on top of his current aminosalicylates?
Oral steroids (ex: prednisone)
Care should be used with what type of medication in patients who have known ulcerative
colitis?
Anti-diarrheal
Patients with ulcerative colitis who are not responsive to oral steroid treatment should be
prescribed what type of medication?
Immune modulators
What is the goal of treatment for patients with ulcerative colitis?
Terminate the acute attack and prevent recurrence of attacks
What is the curative measure for ulcerative colitis in those who are unresponsive to treatment?
Surgery
1|Page
,Disease characterized by slow progressive transmural inflammation of the GI tract, small
intestine, and/or large intestine, often involving the terminal ileum. It is typically found in
several locations of the intestines with sections in between that are unaffected.
Crohn's disease
What medication is used for maintenance care in Crohn's disease?
sulfasalazine (aminosalicylate), or melamine
Patient with known Crohn's disease presents to the clinic for evaluation. You note disease
process involvement of the perirectal area, what medication should you prescribe?
Flagyl
Patient presents with severe fatigue, abdominal pain, prolonged diarrhea with no blood, and
unintentional weight loss with occasional fever. What diagnosis do you suspect?
Crohn's disease
What are examples of extracolonic disease found in Crohn's disease?
uveitis, arthritis, dermatitis, joint swelling, hepatosplenomegaly
By what age does colic typically resolve?
3-4 months
Patient presents with severe right upper quadrant abdominal pain with nausea and vomiting.
She has a positive Murph's sign, and is running a low grade fever. This episode has lasted for the
last 8 hours and occurred following eating a high fat dinner. What diagnosis do you suspect?
Cholecystitis
Patient with suspected cholecystitis, what diagnostic study should be ordered first?
Abdominal ultrasound
2|Page
, If patient is suspected to have cholecystitis, but the abdominal ultrasound came back negative,
what study would you order next?
HIDA scan
For patient who is diagnosed with acute cholecystitis, what is the plan for management and
care?
NPO, nausea medications, and surgery within 72 hours of diagnosis
In a patient who is suspected to have acute appendicitis, what 4 physical exam maneuvers will
you perform?
McBurney's point, posts sign, Rovsing sign, and obturator sign
How do you evaluate for possible retrocecal appendicitis?
Rectal exam
What 2 gastroenteritis causative organisms do we not suggest the use of antibiotics in
treatment?
S. Aureus, and salmonella
What antibiotic would you prescribe for a patient positive for shigella?
Bactrim
What antibiotic would you prescribe for a patient with gastritis that is positive for E. Coli?
Bactrim
What are two antibiotic choices for outpatient management of a patient with C. Difficile
Flagyl or Vancomycin
What two medications should be prescribed for management of acute gastroenteritis?
Promethazine and zofran
3|Page
UNIVERSITY 2026/2027 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST |BRAND NEW
VERSION|JUST RELEASED!!
What medication would you prescribe for mild to moderate chronic treatment of ulcerative
colitis patient?
Oral aminosalicylates
A patient presents with an acute ulcerative colitis exacerbation. What type of medication would
you prescribe on top of his current aminosalicylates?
Oral steroids (ex: prednisone)
Care should be used with what type of medication in patients who have known ulcerative
colitis?
Anti-diarrheal
Patients with ulcerative colitis who are not responsive to oral steroid treatment should be
prescribed what type of medication?
Immune modulators
What is the goal of treatment for patients with ulcerative colitis?
Terminate the acute attack and prevent recurrence of attacks
What is the curative measure for ulcerative colitis in those who are unresponsive to treatment?
Surgery
1|Page
,Disease characterized by slow progressive transmural inflammation of the GI tract, small
intestine, and/or large intestine, often involving the terminal ileum. It is typically found in
several locations of the intestines with sections in between that are unaffected.
Crohn's disease
What medication is used for maintenance care in Crohn's disease?
sulfasalazine (aminosalicylate), or melamine
Patient with known Crohn's disease presents to the clinic for evaluation. You note disease
process involvement of the perirectal area, what medication should you prescribe?
Flagyl
Patient presents with severe fatigue, abdominal pain, prolonged diarrhea with no blood, and
unintentional weight loss with occasional fever. What diagnosis do you suspect?
Crohn's disease
What are examples of extracolonic disease found in Crohn's disease?
uveitis, arthritis, dermatitis, joint swelling, hepatosplenomegaly
By what age does colic typically resolve?
3-4 months
Patient presents with severe right upper quadrant abdominal pain with nausea and vomiting.
She has a positive Murph's sign, and is running a low grade fever. This episode has lasted for the
last 8 hours and occurred following eating a high fat dinner. What diagnosis do you suspect?
Cholecystitis
Patient with suspected cholecystitis, what diagnostic study should be ordered first?
Abdominal ultrasound
2|Page
, If patient is suspected to have cholecystitis, but the abdominal ultrasound came back negative,
what study would you order next?
HIDA scan
For patient who is diagnosed with acute cholecystitis, what is the plan for management and
care?
NPO, nausea medications, and surgery within 72 hours of diagnosis
In a patient who is suspected to have acute appendicitis, what 4 physical exam maneuvers will
you perform?
McBurney's point, posts sign, Rovsing sign, and obturator sign
How do you evaluate for possible retrocecal appendicitis?
Rectal exam
What 2 gastroenteritis causative organisms do we not suggest the use of antibiotics in
treatment?
S. Aureus, and salmonella
What antibiotic would you prescribe for a patient positive for shigella?
Bactrim
What antibiotic would you prescribe for a patient with gastritis that is positive for E. Coli?
Bactrim
What are two antibiotic choices for outpatient management of a patient with C. Difficile
Flagyl or Vancomycin
What two medications should be prescribed for management of acute gastroenteritis?
Promethazine and zofran
3|Page
