NR576/NR 576 FINAL EXAM
QUESTIONS AND DETAILED
ANSWERS GRADED A+
LATEST 2026-2027
Acute appendicitis diagnostics - CORRECT ANSWER-Diagnosis is made clinically and based on
history and physical
Elevated WBC
Mild Fever, 99-100
RLQ pain/McBurneys point
CT abd may help rule out other diagnostic possibilities
ABD ultrasound helps to visualize the inflamed appendix
Acute pancreatitis diagnostics - CORRECT ANSWER-Pain in epigastrium which radiates to back
Labs
Increase in amylase; gold standard in diagnoses (up to 3x the normal level)
Increase in lipase
CT scan
US to look for gallstones
Acute cholecystitis diagnostics - CORRECT ANSWER-US confirmed
Detects stones
,Sonographic murphy sign
Tenderness when sonogram is over gallbladder
GB wall thickening
Sludge
Distention of GB or common bile duct
Cholescintigraphy (HIDA scan)
Radiolabeled marker used to visualize the biliary system
Acute cholecys - ducts are blocked, GB can't be seen
Endoscopic Retrograde Cholangiopancreatography (ERCP)
Endoscope down to pancreas
Dye injected & viewed via fluoro
Magnetic Resonance Cholangiopancreatography (MRCP)
1. Visualizes bili system with MRI
Acute appendicitis treatment - CORRECT ANSWER-• Appendectomy
• Antibiotic
• Drain abscesses
• Can be removed prophylactically
Acute pancreatitis treatment - CORRECT ANSWER-o pain management
o hydration
o electrolytes
o rest bowels
NPO
IV nourishment
o Treat complications
, O2
ATB
Acute cholecystitis treatment - CORRECT ANSWER-o Supportive measures
IV
Pain management
ATB
o Surgical Removal
1. Cholecystectomy
1. Laparoscopic
What is sensorineural hearing loss - CORRECT ANSWER-Results from deterioration of cochlea
-Loss of hair cells form the organ of Corti
-Gradual and progressive
-Not correctable but preventable
What is conductive hearing loss - CORRECT ANSWER-Obstruction between middle and outer ear
-Most types are reversible
Triad symptoms associated with Meniere's disease - CORRECT ANSWER-Sensory disorder of
labyrinth (semi-circular canal system) and cochlea
-S/S: -Vertigo
-Hearing loss
-Tinnitus
Symptoms associated with peritonsillar abscess - CORRECT ANSWER-Increasing unilateral ear
and throat pain ipsilateral to the affected tonsil
QUESTIONS AND DETAILED
ANSWERS GRADED A+
LATEST 2026-2027
Acute appendicitis diagnostics - CORRECT ANSWER-Diagnosis is made clinically and based on
history and physical
Elevated WBC
Mild Fever, 99-100
RLQ pain/McBurneys point
CT abd may help rule out other diagnostic possibilities
ABD ultrasound helps to visualize the inflamed appendix
Acute pancreatitis diagnostics - CORRECT ANSWER-Pain in epigastrium which radiates to back
Labs
Increase in amylase; gold standard in diagnoses (up to 3x the normal level)
Increase in lipase
CT scan
US to look for gallstones
Acute cholecystitis diagnostics - CORRECT ANSWER-US confirmed
Detects stones
,Sonographic murphy sign
Tenderness when sonogram is over gallbladder
GB wall thickening
Sludge
Distention of GB or common bile duct
Cholescintigraphy (HIDA scan)
Radiolabeled marker used to visualize the biliary system
Acute cholecys - ducts are blocked, GB can't be seen
Endoscopic Retrograde Cholangiopancreatography (ERCP)
Endoscope down to pancreas
Dye injected & viewed via fluoro
Magnetic Resonance Cholangiopancreatography (MRCP)
1. Visualizes bili system with MRI
Acute appendicitis treatment - CORRECT ANSWER-• Appendectomy
• Antibiotic
• Drain abscesses
• Can be removed prophylactically
Acute pancreatitis treatment - CORRECT ANSWER-o pain management
o hydration
o electrolytes
o rest bowels
NPO
IV nourishment
o Treat complications
, O2
ATB
Acute cholecystitis treatment - CORRECT ANSWER-o Supportive measures
IV
Pain management
ATB
o Surgical Removal
1. Cholecystectomy
1. Laparoscopic
What is sensorineural hearing loss - CORRECT ANSWER-Results from deterioration of cochlea
-Loss of hair cells form the organ of Corti
-Gradual and progressive
-Not correctable but preventable
What is conductive hearing loss - CORRECT ANSWER-Obstruction between middle and outer ear
-Most types are reversible
Triad symptoms associated with Meniere's disease - CORRECT ANSWER-Sensory disorder of
labyrinth (semi-circular canal system) and cochlea
-S/S: -Vertigo
-Hearing loss
-Tinnitus
Symptoms associated with peritonsillar abscess - CORRECT ANSWER-Increasing unilateral ear
and throat pain ipsilateral to the affected tonsil
