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Terms in this set (126)
,A patient develops acute diarrhea and then comes to C. difficile toxin
clinic two weeks later reporting profuse watery,
bloody diarrheal stools 6 to 8 times daily. The
provider notes a toxic appearance with moderate
dehydration. Which test is indicated to diagnose this
cause?
Stool collection for 24-hour stool pH
Qualitative and quantitative fecal fat
C. difficile toxin
Wright stain of stool for white blood cells
A patient reports anal pruritis and occasional A high-fiber diet and increased fluid intake
bleeding with defecation. An examination of the
perianal area reveals external hemorrhoids around
the anal orifice as the patient is bearing down. The
provider orders a
colonoscopy to further evaluate this patient. What is
the treatment for this patient's symptoms?
Referral for possible surgical intervention
A high-fiber diet and increased fluid intake
Daily laxatives to prevent straining with stools
Infiltration of a local anesthetic into the hemorrhoid
A patient has sudden onset of right upper quadrant Common bile duct obstruction
and epigastric abdominal pain with fever, nausea,
and vomiting. The emergency department provider
notes yellowing of the sclerae. What is the probable
cause of these findings?
Acute acalculous cholecystitis
Infectious cholecystitis
Common bile duct obstruction
Chronic cholelithiasis
An 83 year old is diagnosed with diverticulitis. The Left lower quadrant pain
most common complaint is
Rectal bleeding
Bloating and crampiness
Left lower quadrant pain
Frequent belching and flatulence
A patient's CBC demonstrated anemia. Which thalassemia
diagnosis is likely based on this patient's laboratory
values?
MCV 74.1 fL (normal 80-95)
MCH 24 pg (normal 27-31)
MCHC 33% (normal 32-69)
RDW 12% (normal 11-14.5)
iron deficiency anemia
anemia of chronic disease
vitamin B12 deficiency anemia
thalassemia
A patient has fever, nausea, vomiting, anorexia, and Hospitalization for emergent treatment
right upper quadrant abdominal pain. An ultrasound
is negative for gallstones. Which action is necessary
to treat this patient's symptoms?
Hospitalization for emergent treatment
Empiric treatment with antibiotics
Supportive care with close follow-up
Prescribing ursodeoxycholic acid
, A patient has both occasional "coffee ground" emesis Upper GI
and melena stools. What is the most probably source
of bleeding in this patient?
Upper GI
Hepatic
Lower GI
Rectal
An adult patient has intermittent, crampy abdominal Obtain upright and supine radiologic views of the abdomen
pain with vomiting. The provider notes marked
abdominal distention and hyperactive bowel sounds.
What will the provider do initially?
Prescribe an antiemetic and recommend a clear
liquid diet for 24 hours
Obtain upright and supine radiologic views of the
abdomen
Schedule the patient for a barium swallow and
enema
Admit the patient to the hospital for consultation with
a surgeon
What choice below is most commonly associated Gallstones and alcohol abuse
with pancreatitis?
Appendicitis and renal stones
Hypertriglyceridemia and cholecystitis
Gallstones and alcohol abuse
Viral infection and cholecystitis
What medication may be used to treat GERD if a Pantoprazole
patient has tried over the counter ranitidine without
benefit?
Prescription strength ranitidine
Calcium carbonate
Prescription strength ranitidine
Pantoprazole
A 30-year-old woman has right upper quadrant Abdominal ultrasound
abdominal pain, nausea, and vomiting. Which
diagnostic test will the provider order?
Abdominal ultrasound
MRI of the abdomen
Abdominal CT with contrast
Plain abdominal radiographs
Which medications may increase the prevalence of Calcium antagonists
GERD? (Select all that apply.) Aspirin
Benzodiazepines
Calcium antagonists
Aspirin
Oral contraceptives
Hormone replacements
Benzodiazepines
What is the best treatment for H. pylori-related peptic PPI and clarithromycin for 14 days
ulcer disease?
H2RA, bismuth, metronidazole, and tetracycline for
10 to 14 days
PPI, amoxicillin, and clarithromycin for 10 days
PPI and clarithromycin for 14 days
H2RA and clarithromycin for 14 days
E
x
a
m
2
A
c
u
te
C
a
r
e
Students
also
studied
Terms in this set (126)
,A patient develops acute diarrhea and then comes to C. difficile toxin
clinic two weeks later reporting profuse watery,
bloody diarrheal stools 6 to 8 times daily. The
provider notes a toxic appearance with moderate
dehydration. Which test is indicated to diagnose this
cause?
Stool collection for 24-hour stool pH
Qualitative and quantitative fecal fat
C. difficile toxin
Wright stain of stool for white blood cells
A patient reports anal pruritis and occasional A high-fiber diet and increased fluid intake
bleeding with defecation. An examination of the
perianal area reveals external hemorrhoids around
the anal orifice as the patient is bearing down. The
provider orders a
colonoscopy to further evaluate this patient. What is
the treatment for this patient's symptoms?
Referral for possible surgical intervention
A high-fiber diet and increased fluid intake
Daily laxatives to prevent straining with stools
Infiltration of a local anesthetic into the hemorrhoid
A patient has sudden onset of right upper quadrant Common bile duct obstruction
and epigastric abdominal pain with fever, nausea,
and vomiting. The emergency department provider
notes yellowing of the sclerae. What is the probable
cause of these findings?
Acute acalculous cholecystitis
Infectious cholecystitis
Common bile duct obstruction
Chronic cholelithiasis
An 83 year old is diagnosed with diverticulitis. The Left lower quadrant pain
most common complaint is
Rectal bleeding
Bloating and crampiness
Left lower quadrant pain
Frequent belching and flatulence
A patient's CBC demonstrated anemia. Which thalassemia
diagnosis is likely based on this patient's laboratory
values?
MCV 74.1 fL (normal 80-95)
MCH 24 pg (normal 27-31)
MCHC 33% (normal 32-69)
RDW 12% (normal 11-14.5)
iron deficiency anemia
anemia of chronic disease
vitamin B12 deficiency anemia
thalassemia
A patient has fever, nausea, vomiting, anorexia, and Hospitalization for emergent treatment
right upper quadrant abdominal pain. An ultrasound
is negative for gallstones. Which action is necessary
to treat this patient's symptoms?
Hospitalization for emergent treatment
Empiric treatment with antibiotics
Supportive care with close follow-up
Prescribing ursodeoxycholic acid
, A patient has both occasional "coffee ground" emesis Upper GI
and melena stools. What is the most probably source
of bleeding in this patient?
Upper GI
Hepatic
Lower GI
Rectal
An adult patient has intermittent, crampy abdominal Obtain upright and supine radiologic views of the abdomen
pain with vomiting. The provider notes marked
abdominal distention and hyperactive bowel sounds.
What will the provider do initially?
Prescribe an antiemetic and recommend a clear
liquid diet for 24 hours
Obtain upright and supine radiologic views of the
abdomen
Schedule the patient for a barium swallow and
enema
Admit the patient to the hospital for consultation with
a surgeon
What choice below is most commonly associated Gallstones and alcohol abuse
with pancreatitis?
Appendicitis and renal stones
Hypertriglyceridemia and cholecystitis
Gallstones and alcohol abuse
Viral infection and cholecystitis
What medication may be used to treat GERD if a Pantoprazole
patient has tried over the counter ranitidine without
benefit?
Prescription strength ranitidine
Calcium carbonate
Prescription strength ranitidine
Pantoprazole
A 30-year-old woman has right upper quadrant Abdominal ultrasound
abdominal pain, nausea, and vomiting. Which
diagnostic test will the provider order?
Abdominal ultrasound
MRI of the abdomen
Abdominal CT with contrast
Plain abdominal radiographs
Which medications may increase the prevalence of Calcium antagonists
GERD? (Select all that apply.) Aspirin
Benzodiazepines
Calcium antagonists
Aspirin
Oral contraceptives
Hormone replacements
Benzodiazepines
What is the best treatment for H. pylori-related peptic PPI and clarithromycin for 14 days
ulcer disease?
H2RA, bismuth, metronidazole, and tetracycline for
10 to 14 days
PPI, amoxicillin, and clarithromycin for 10 days
PPI and clarithromycin for 14 days
H2RA and clarithromycin for 14 days
