NR 545 Exam Questions and Answers
(Verified Answers) Final Exam
Peptic Ulcer
Penetration of submucosa that can cause a perforation
Causes for peptic ulcer
H pylori, alcohol, caffeine, NSAIDS, inadequate blood supply,
atrophy to mucosa
Gastric ulcer symptoms
Epigastric pain, belching, burning sensation immediately after
eating, antacids provide small relief
Duodenal Ulcer symptoms
Epigastric pain, burning 3-4 hours after eating, pain worse at
night, antacids relieves pain
Complications of peptic ulcers
hemorrhage, obstruction, perforation
Common blood type for peptic ulcers
Type "O"
Diagnostics of peptic ulcer
Fiberoptic endoscopy, barium Xray, stool antigen (h pylori), Urea
breath test
Treatment for peptic ulcer
PPI, Amoxicillin, clarithromycin
PPI, Clarithromycin, metronidazole
PPI, Bismuth, tetracycline, metronidazole
Ulcerative Colitis
Inflammation that starts in the rectum up to the colon. Ulcers
develop. Tissue destruction interferes with absorption of fluids
and electrolytes
Complication of Ulcerative colitis
Toxic megacolon (inflammation impairs peristalsis, leading to
obstruction and dilation of the colon)
Signs/symptoms ulcerative colitis
, NR 545 Exam Questions and Answers
(Verified Answers) Final Exam
Watery diarrhea with blood and mucous, abdominal pain and
cramping, tenesmus (spasm in the rectum associated with the
need to poop)
Treatment for ulcerative colitis
Anti-inflammatories (sulfasalazine)
Anti-diarrheal (loperamide)
Diet (total parenteral nutrition or high protein, vitamin, calories and
low fat)
Antibiotics (metronidazole, cipro)
Appendicitis
Inflammation and infection of the appendix.
Causes of appendicitis
Obstruction, twisting, potential abscess formation and perforation
Subjective data (appendicitis)
Colicky pain when walking and coughing
Epigastric/periumbilical pain (RLQ)
N/V
Mild fever
Shaking chills
Objective data (appendicitis)
Positive McBurney sign
Positive Obturator sign
Positive Psoas sign
Positive Rovsign sign
Diagnostics for appendicitis
CBC (leukocytosis)
US
CT scan or MRI
Treatment for appendicitis
NPO
IV Hydration
(Verified Answers) Final Exam
Peptic Ulcer
Penetration of submucosa that can cause a perforation
Causes for peptic ulcer
H pylori, alcohol, caffeine, NSAIDS, inadequate blood supply,
atrophy to mucosa
Gastric ulcer symptoms
Epigastric pain, belching, burning sensation immediately after
eating, antacids provide small relief
Duodenal Ulcer symptoms
Epigastric pain, burning 3-4 hours after eating, pain worse at
night, antacids relieves pain
Complications of peptic ulcers
hemorrhage, obstruction, perforation
Common blood type for peptic ulcers
Type "O"
Diagnostics of peptic ulcer
Fiberoptic endoscopy, barium Xray, stool antigen (h pylori), Urea
breath test
Treatment for peptic ulcer
PPI, Amoxicillin, clarithromycin
PPI, Clarithromycin, metronidazole
PPI, Bismuth, tetracycline, metronidazole
Ulcerative Colitis
Inflammation that starts in the rectum up to the colon. Ulcers
develop. Tissue destruction interferes with absorption of fluids
and electrolytes
Complication of Ulcerative colitis
Toxic megacolon (inflammation impairs peristalsis, leading to
obstruction and dilation of the colon)
Signs/symptoms ulcerative colitis
, NR 545 Exam Questions and Answers
(Verified Answers) Final Exam
Watery diarrhea with blood and mucous, abdominal pain and
cramping, tenesmus (spasm in the rectum associated with the
need to poop)
Treatment for ulcerative colitis
Anti-inflammatories (sulfasalazine)
Anti-diarrheal (loperamide)
Diet (total parenteral nutrition or high protein, vitamin, calories and
low fat)
Antibiotics (metronidazole, cipro)
Appendicitis
Inflammation and infection of the appendix.
Causes of appendicitis
Obstruction, twisting, potential abscess formation and perforation
Subjective data (appendicitis)
Colicky pain when walking and coughing
Epigastric/periumbilical pain (RLQ)
N/V
Mild fever
Shaking chills
Objective data (appendicitis)
Positive McBurney sign
Positive Obturator sign
Positive Psoas sign
Positive Rovsign sign
Diagnostics for appendicitis
CBC (leukocytosis)
US
CT scan or MRI
Treatment for appendicitis
NPO
IV Hydration
