NR511 ACTUAL FINAL EXAM || ACCURATE AND FREQUENTLY ASKED QUESTIONS AND 100% CORRECT ANSWERS|| LATEST AND COMPLETE UPDATE WITH VERIFIED SOLUTIONS GRADED A+|| SURE PASS!!

NR511 ACTUAL FINAL EXAM || ACCURATE AND
FREQUENTLY ASKED QUESTIONS AND 100% CORRECT
ANSWERS|| LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS GRADED A+|| SURE PASS!!


Abdominal pain can be caused by ________, __________, and _________ factors - CORRECT
ANSWER -mechanical

inflammatory

ischemic



visceral pain caused by and is described as - CORRECT ANSWER -distention or spasm of a hollow
viscus



generalized and dull



Parietal pain caused by and is described as - CORRECT ANSWER -irritation of the peritoneum



sharp and localized



colicky abdominal pain described as and what can cause it - CORRECT ANSWER -intermittent
and worsening



gallstones or renal stones



Burning abdominal pain caused by and is associated with - CORRECT ANSWER -irritation of the
gastric mucosa by gastric contents

,peptic ulcers and esophagitis



differential diagnosis for sudden onset abdominal pain - CORRECT ANSWER -mesenteric
infarction

urinary stones

intestinal perforation

intestinal obstruction

pancreatitis

ectopic pregnancy

dissection/rupture of AAA



differential diagnosis for burning abdominal pain - CORRECT ANSWER -peptic ulcer disease

GERD

Gastritis



differential diagnosis for cramping abdominal pain - CORRECT ANSWER -IBS

Inflammatory bowel disease (chrons, ulcerative colitis)

gastroenteritis

diverticulitis

salpingitis



differential diagnosis for visceral abdominal pain - CORRECT ANSWER -appendicitis

cholecystitis/cholelithiasis



what is ulcerative colitis - CORRECT ANSWER -Ulcerative inflammatory bowel disease, just in the
LARGE intestine, mucosal surface of the colon

,parts of large intestine - CORRECT ANSWER -cecum, colon, rectum



areas typically affected in ulcerative colitis - CORRECT ANSWER -typically rectosigmoid area but
can be whole colon , rectal



common symptom of ulcerative colitis - CORRECT ANSWER -bloody diarrhea , purulent diarrhea



what changes to the tissues happen in ulcerative colitis - CORRECT ANSWER -friability, erosion,
bleeding



only complete treatment for ulcerative colitis - CORRECT ANSWER -total colectomy (not first
line)



differences between flares and remissions in ulcerative colitis - CORRECT ANSWER -flares - new
damage

remission - tissue trying to heal



suspected origin or cause of ulcerative colitis - CORRECT ANSWER -T cell / autoimmune
destruction that is worsened by stress, diet



other symptoms of ulcerative colitis (besides blood / diarrhea) - CORRECT ANSWER -tenesmus,
even at night, cramping, may go >10 times per day



pattern / distribution of lesions in ulcerative colitis - CORRECT ANSWER -continuous ,
throughout (NOT like Chrohn's which has skip lesions)



Where is the pain in ulcerative colitis? - CORRECT ANSWER -LLQ

, anti-inflammatory drugs used in ulcerative colitis - CORRECT ANSWER -sulfasalazine

mesalamine



immunosuppressive drugs used in ulcerative colitis - CORRECT ANSWER -steroids

azathioprine

cyclosporine



If a patient with ulcerative colitis develops a fever...... - CORRECT ANSWER -refer to hospital,
consider toxic colitis , possible peritonitis



diagnostics for ulcerative colitis - CORRECT ANSWER -sigmoidoscopy

biopsy

may need ESR, CRP (inflammatory markers), stool cultures (rule out pathogen)



what is always present in the stool of patients with ulcerative colitis - CORRECT ANSWER -fecal
leukocytes



what diagnostic should not be done in ulcerative colitis - CORRECT ANSWER -barium enema -
may precipitate megacolon



what is diverticulitis - CORRECT ANSWER -inflammation of the diverticula (small bulging
pouches in the lining of the intestine)



what is an important risk factor for diverticulitis - CORRECT ANSWER -obesity



symptoms of diverticulitis - CORRECT ANSWER -localized LLQ pain NOT associated with bleeding

fever/chills