Final Exam: Midterm Exam: NR576 / NR 576
Differential Diagnosis in Adult-Gerontology
Primary Care Exam Review| Guide with Verified
Answers (2023/ 2024 Newly Updated) -
Chamberlain
1). Peptic ulcer disease
Ans: characterized by nawing burning sensation after eating. It is common with people
who take NSAIDs or have a hx of H. Pylori. Tarry stools is another indicator
2). Cholelithiasis
Ans: RUQ pain (epigastric) that radiates to the tip of the scapula on the right side.
Described as intense acute. presence of gall stones and heart burn can be s/s.
3). What are not s/s of cholelithiasis
Ans: black tarry stools and GI bleed
4). Cholecystitis
Ans: severe upper R qd pain accompanied by N/V. Fever is common d/t inflammation
and infection
5). Gerd
Ans: heart burn or reflux that occurs when lying down or after eating. Epigastric pain is
common
6). Erosive esophagus
Ans: associated with epigastric pain, difficulty swallowing and reflux. Can lead to
esophageal bleeding and is common in ETOH use and NSAIDS. Heart burn is most
common s/s.
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, 7). Acute gastritis
Ans: feeling full after eating few bites, nausea, bloating lack of appetite and black tarry
stool
8). Esophagitis
Ans: has many forms: reflux esophagitis, infectious esophagitis they commonly have
dysphagia
9). Key diagnostics for dx
Ans: RBC, stool antigen, H. Pylori, can do H. Pylori ures breath test, EKG and endoscopy
10). Achalasia
Ans: lack of esophageal peristalsis and impaired relaxation of lower esophageal
spinchter. during swallowing. Heartburn is a common symptom
11). Acute gastritis
Ans: inflammatory changes in gastric mucosa: Generalized epigastric discomfort heart
burn is common s/s
12). Non ulcer dyspepsia
Ans: called functional dyspepsia characterized by indgiestion with no obvious cause
13). Chornic gastritis
Ans: inflammation of inner lining of stomach secondary to mucosal injury usually
asymptomatic but may manifest as epigastric pain, heartburn, N/V and anorexia and
weight loss
14). Esophageal cancer
Ans: malignant cells with in esophagus. s/s can include heartburn dysphagia.
PaperStoc.com Page 2 of 7
Differential Diagnosis in Adult-Gerontology
Primary Care Exam Review| Guide with Verified
Answers (2023/ 2024 Newly Updated) -
Chamberlain
1). Peptic ulcer disease
Ans: characterized by nawing burning sensation after eating. It is common with people
who take NSAIDs or have a hx of H. Pylori. Tarry stools is another indicator
2). Cholelithiasis
Ans: RUQ pain (epigastric) that radiates to the tip of the scapula on the right side.
Described as intense acute. presence of gall stones and heart burn can be s/s.
3). What are not s/s of cholelithiasis
Ans: black tarry stools and GI bleed
4). Cholecystitis
Ans: severe upper R qd pain accompanied by N/V. Fever is common d/t inflammation
and infection
5). Gerd
Ans: heart burn or reflux that occurs when lying down or after eating. Epigastric pain is
common
6). Erosive esophagus
Ans: associated with epigastric pain, difficulty swallowing and reflux. Can lead to
esophageal bleeding and is common in ETOH use and NSAIDS. Heart burn is most
common s/s.
PaperStoc.com Page 1 of 7
, 7). Acute gastritis
Ans: feeling full after eating few bites, nausea, bloating lack of appetite and black tarry
stool
8). Esophagitis
Ans: has many forms: reflux esophagitis, infectious esophagitis they commonly have
dysphagia
9). Key diagnostics for dx
Ans: RBC, stool antigen, H. Pylori, can do H. Pylori ures breath test, EKG and endoscopy
10). Achalasia
Ans: lack of esophageal peristalsis and impaired relaxation of lower esophageal
spinchter. during swallowing. Heartburn is a common symptom
11). Acute gastritis
Ans: inflammatory changes in gastric mucosa: Generalized epigastric discomfort heart
burn is common s/s
12). Non ulcer dyspepsia
Ans: called functional dyspepsia characterized by indgiestion with no obvious cause
13). Chornic gastritis
Ans: inflammation of inner lining of stomach secondary to mucosal injury usually
asymptomatic but may manifest as epigastric pain, heartburn, N/V and anorexia and
weight loss
14). Esophageal cancer
Ans: malignant cells with in esophagus. s/s can include heartburn dysphagia.
PaperStoc.com Page 2 of 7
