1
NR511 Midterm Study Guide Worksheet latest sg
Recommended tips for success:
1. Studying
View/review the material a minimum of three times:
a. Read assigned chapters, view module content and take notes by filling in the grid below.
b. Create 5x8 flash cards for each disease using your notes and the grid. Test yourself or ask your friends and co-workers to test your knowledge using the
flashcards. Success is a team sport.
c. Review the flash cards and grid within 24hrs of the exam.
2. Testing
a. Do not change your answer unless you are very sure that it is wrong.
b. Before answering, carefully read the root of the question.
c. Eliminate at least two of the answers and then use your critical thinking to narrow the choices. There may be two correct answers. Your job is to distinguish
which of the answers is the MOST correct.
d. Make sure that you are rested, nourished and in a good environment for test taking.
Directions:
For each condition, fill in:
1. risks associated with the condition (e.g. alcoholism and pancreatitis)
2. significant subjective and objective findings especially those unique to the condition (e.g. appendicitis and RLQ abdominal pain)
3. the best diagnostic test used to confirm or diagnose
4. first line treatment with a second line option for the condition
5. most important patient education regarding the treatment (answers should follow EBM guidelines)
Disease Risk Subjective Finding Objective Findings Diagnostics Treatment Education
GI DISORDERS
, 2
Appendicitis -Most common -Dx made clinically, -May have HTN\tachy -Labs are not -Surgical; preoperative care, -F\U with surgeon
between 10-30yrs; based primarily on proportional to diagnostic and NPO, correction of
but can occur at any H&P exam pain\symptoms nonspecific fluid\electrolyte imbalances -Ambulation after
age; rare in infants
, 3
and older adults - Classic presentation -When lying flat, may -Women should -Avoid narcotics surgery
includes acute onset of flex R knee to relieve have urine
-men more at risk mild to severe colicky, tension in abd muscle human chorionic -Atb with 3rd gen -Adv diet when
epigastric, or gonadotrophin to cephalosporin; Ex: bowel sounds
- Diets low in fiber, -Pain with palpation in ampicillin, gentamycin, return
high in fat, refined periumbilical pain r\o ectopic
abd, diffuse in early pregnancy flagyl
sugars, & other carbs - Pain is vague at first stages. Localized to -Return to hosp
at increased risk. then localizes within RLQ later - +Rovsing’s Sign- with s\s of infection
- Obstruction of 24hrs to RLQ deep palpation & -Avoid heavy lifting
-Positive for rebound release in LLQ
appendix is cause of - Pain exacerbated by pain; ask pt to cough for at least 2 wks
majority of causes rebound
walking\coughing to localize pain pain in RLQ
appendicitis location
- Men may feel - +Psoas Sign- lift
- contributing radiated pain in testes -Sudden cessation of
factors: Intra-abd R leg against
pain means gentle pressure
tumors, positive - Abd muscle rigidity, perforation and is ER
family hx N\V, anorexia causes pain
- Recent roundworm - Mildly elevated temp - +Obturator
infection or viral GI 99-100F common Sign- flex R hip &
infection knee and slowly
- If RLQ accompanied rotate internally
by shaking chills, causes pain
perforation should be
suspected - +McBurney’s
Sign- pain with
- Older adults may pressure applied
present with to point between
weakness, anorexia, umbilicus & ilium
abd distention, mild
pain leading to delayed - x-ray\CT helpful
dx and increased when paired with
morbidity. positive H&P
findings
Celiac disease ** Mostly diagnosed in Many asymptomatic. Muscle wasting Serologic testing lifelong adherence to a teaching related to
adulthood. May complain of (anemia), reduces for anti-tTG IgA strict gluten-free diet. gluten free diet.
(autoimmune diarrhea, gas, subcutaneous fat, antibody
disorder caused by an dyspepsia, wt loss. ataxia, & peripheral Some people with
immunologic neuropathy (vitamin celiac disease have
A family member Referral to a dietician to
response to gluten) Atypical symptoms: vitamin or nutrient
with celiac disease Total IgA (2% of
, 4
or dermatitis fatigue, B12 deficiencies) pts have IgA help. deficiencies that do
herpetiformis deficiency and not cause them to
bone or joint pain, osteoporosis or will falsely test feel ill, such as
osteopenia (bone negative) anemia due to iron
arthritis, loss) Some pts may need
Type 1 diabetes treatment with deficiency or bone
osteoporosis, or hypothyroidism immunomodulating agents. loss due to vitamin
osteopenia (bone loss) duodenal D deficiency.
biopsies However, these
Down syndrome or liver and biliary tract deficiencies can
Turner syndrome disorders Pts with dermatitis cause problems
(transaminitis, fatty herpetiformis found over the long term.
liver, primary to have signs of celiac Test for
Autoimmune thyroid sclerosing cholangitis, disease on intestinal nutritional Untreated
disease biopsy. deficiencies celiac/developing
depression or anxiety associated with certain types of
malabsorption of gastrointestinal
peripheral neuropathy
C.D. (hemoglobin, cancer. This risk can
Microscopic colitis seizures or migraines
iron, folate, vit be reduced by
(lymphocytic or missed menstrual B12, Calcium, and eating a gluten-free
collagenous colitis) periods Vitamin D.) diet.
infertility or recurrent
Addison's disease miscarriage
canker sores inside the
mouth
dermatitis
herpetiformis (itchy
skin rash)
Cholelithiasis is the formation of Patient complaint of Right side involuntary Mild elevation of a. Initial management-- Nonsurgical
gallstones and is indigestion, nausea, guarding of WBC up to 15, begins with definitive intervention: weight
found in 90% of vomiting (after abdominal muscles, 000 diagnosis. When loss, avoidance of
patients with consuming meal high Positive Murphy's asymptomatic (normally an fatty foods to
cholecystitis. in fat), and pain in RUG sign, possible Abdominal Xray: incidental finding while decrease attacks,
or epigastrium that palpable gallbladder, Quick, exploring another problem) alternative birth
--Risk factors--2 noninvasive,
may radiate to the Low grade fever require no further control for persons
types of stones reliable, and cost-
NR511 Midterm Study Guide Worksheet latest sg
Recommended tips for success:
1. Studying
View/review the material a minimum of three times:
a. Read assigned chapters, view module content and take notes by filling in the grid below.
b. Create 5x8 flash cards for each disease using your notes and the grid. Test yourself or ask your friends and co-workers to test your knowledge using the
flashcards. Success is a team sport.
c. Review the flash cards and grid within 24hrs of the exam.
2. Testing
a. Do not change your answer unless you are very sure that it is wrong.
b. Before answering, carefully read the root of the question.
c. Eliminate at least two of the answers and then use your critical thinking to narrow the choices. There may be two correct answers. Your job is to distinguish
which of the answers is the MOST correct.
d. Make sure that you are rested, nourished and in a good environment for test taking.
Directions:
For each condition, fill in:
1. risks associated with the condition (e.g. alcoholism and pancreatitis)
2. significant subjective and objective findings especially those unique to the condition (e.g. appendicitis and RLQ abdominal pain)
3. the best diagnostic test used to confirm or diagnose
4. first line treatment with a second line option for the condition
5. most important patient education regarding the treatment (answers should follow EBM guidelines)
Disease Risk Subjective Finding Objective Findings Diagnostics Treatment Education
GI DISORDERS
, 2
Appendicitis -Most common -Dx made clinically, -May have HTN\tachy -Labs are not -Surgical; preoperative care, -F\U with surgeon
between 10-30yrs; based primarily on proportional to diagnostic and NPO, correction of
but can occur at any H&P exam pain\symptoms nonspecific fluid\electrolyte imbalances -Ambulation after
age; rare in infants
, 3
and older adults - Classic presentation -When lying flat, may -Women should -Avoid narcotics surgery
includes acute onset of flex R knee to relieve have urine
-men more at risk mild to severe colicky, tension in abd muscle human chorionic -Atb with 3rd gen -Adv diet when
epigastric, or gonadotrophin to cephalosporin; Ex: bowel sounds
- Diets low in fiber, -Pain with palpation in ampicillin, gentamycin, return
high in fat, refined periumbilical pain r\o ectopic
abd, diffuse in early pregnancy flagyl
sugars, & other carbs - Pain is vague at first stages. Localized to -Return to hosp
at increased risk. then localizes within RLQ later - +Rovsing’s Sign- with s\s of infection
- Obstruction of 24hrs to RLQ deep palpation & -Avoid heavy lifting
-Positive for rebound release in LLQ
appendix is cause of - Pain exacerbated by pain; ask pt to cough for at least 2 wks
majority of causes rebound
walking\coughing to localize pain pain in RLQ
appendicitis location
- Men may feel - +Psoas Sign- lift
- contributing radiated pain in testes -Sudden cessation of
factors: Intra-abd R leg against
pain means gentle pressure
tumors, positive - Abd muscle rigidity, perforation and is ER
family hx N\V, anorexia causes pain
- Recent roundworm - Mildly elevated temp - +Obturator
infection or viral GI 99-100F common Sign- flex R hip &
infection knee and slowly
- If RLQ accompanied rotate internally
by shaking chills, causes pain
perforation should be
suspected - +McBurney’s
Sign- pain with
- Older adults may pressure applied
present with to point between
weakness, anorexia, umbilicus & ilium
abd distention, mild
pain leading to delayed - x-ray\CT helpful
dx and increased when paired with
morbidity. positive H&P
findings
Celiac disease ** Mostly diagnosed in Many asymptomatic. Muscle wasting Serologic testing lifelong adherence to a teaching related to
adulthood. May complain of (anemia), reduces for anti-tTG IgA strict gluten-free diet. gluten free diet.
(autoimmune diarrhea, gas, subcutaneous fat, antibody
disorder caused by an dyspepsia, wt loss. ataxia, & peripheral Some people with
immunologic neuropathy (vitamin celiac disease have
A family member Referral to a dietician to
response to gluten) Atypical symptoms: vitamin or nutrient
with celiac disease Total IgA (2% of
, 4
or dermatitis fatigue, B12 deficiencies) pts have IgA help. deficiencies that do
herpetiformis deficiency and not cause them to
bone or joint pain, osteoporosis or will falsely test feel ill, such as
osteopenia (bone negative) anemia due to iron
arthritis, loss) Some pts may need
Type 1 diabetes treatment with deficiency or bone
osteoporosis, or hypothyroidism immunomodulating agents. loss due to vitamin
osteopenia (bone loss) duodenal D deficiency.
biopsies However, these
Down syndrome or liver and biliary tract deficiencies can
Turner syndrome disorders Pts with dermatitis cause problems
(transaminitis, fatty herpetiformis found over the long term.
liver, primary to have signs of celiac Test for
Autoimmune thyroid sclerosing cholangitis, disease on intestinal nutritional Untreated
disease biopsy. deficiencies celiac/developing
depression or anxiety associated with certain types of
malabsorption of gastrointestinal
peripheral neuropathy
C.D. (hemoglobin, cancer. This risk can
Microscopic colitis seizures or migraines
iron, folate, vit be reduced by
(lymphocytic or missed menstrual B12, Calcium, and eating a gluten-free
collagenous colitis) periods Vitamin D.) diet.
infertility or recurrent
Addison's disease miscarriage
canker sores inside the
mouth
dermatitis
herpetiformis (itchy
skin rash)
Cholelithiasis is the formation of Patient complaint of Right side involuntary Mild elevation of a. Initial management-- Nonsurgical
gallstones and is indigestion, nausea, guarding of WBC up to 15, begins with definitive intervention: weight
found in 90% of vomiting (after abdominal muscles, 000 diagnosis. When loss, avoidance of
patients with consuming meal high Positive Murphy's asymptomatic (normally an fatty foods to
cholecystitis. in fat), and pain in RUG sign, possible Abdominal Xray: incidental finding while decrease attacks,
or epigastrium that palpable gallbladder, Quick, exploring another problem) alternative birth
--Risk factors--2 noninvasive,
may radiate to the Low grade fever require no further control for persons
types of stones reliable, and cost-
