1
NR
NR 605/ NR605 F INAL EXAM: (NEW 2025/
2026 UPDATE) DIAGNOSIS & MANAGEMENT IN
PMH ACROSS THE LIFESPAN I REVIEW| QUESTIONS
& ANSWERS| GRADE A| 100% CORRECT (VERIFIED
SOLUTIONS)- CHAMBERLAIN
Epigastric pain, beginning 30 minutes to 2 hours after eating when the stomach is empty
or in the middle of the night, is consistent with which diagnosis? - ANS ✓Duodenal ulcer
Which type of hepatitis is transferred via the fecal-oral route? - ANS ✓Hepatitis A
Why does a person with cystic fibrosis have an exocrine pancreatic insufficiency? - ANS
✓Because the pancreatic ducts are obstructed with mucus
What is the primary cause of duodenal ulcers. - ANS ✓Helicobacter pylori
If a person lacks the enzyme lactase and ingests lactose, the lactose will not be
hydrolyzed and absorbed into the intestinal wall; the type of diarrhea that results is
_____ diarrhea. - ANS ✓Osmotic
Increased gastrin secretion by the mother in the last trimester of pregnancy may cause
which condition in the infant? - ANS ✓Pyloric stenosis
Cystic fibrosis is characterized by which symptom? - ANS ✓Excessive mucus production
characterizes cystic fibrosis.
Why is prolonged diarrhea more severe in children than it is in adults? - ANS ✓Fluid
reserves are smaller in children.
Which statement is FALSE regarding the pathophysiologic process of acute
pancreatitis?
1)
Bile duct or pancreatic duct obstruction blocks the outflow of pancreatic digestive
enzymes.
2)
Acute pancreatitis can also result from direct cellular injury from drugs or viral
infection.
3)
NR 605
, 2
NR
Acute pancreatitis is an autoimmune disease in which immunoglobulin G (IgG) coats
the pancreatic acinar cells; consequently, the pancreatic enzymes destroy the cells.
4)
Acute pancreatitis digests pancreatic tissue and is usually very painful. - ANS ✓3)
Acute pancreatitis is an autoimmune disease in which immunoglobulin G (IgG) coats
the pancreatic acinar cells; consequently, the pancreatic enzymes destroy the cells.
Prolonged diarrhea may cause - ANS ✓Dehydration and metabolic acidosis
Mr. Smith a 45 y. o. man report fatigue for about four weeks with worsening nausea
although he denies vomiting. He also had a cough, and a headache for the last 3 weks
and assumed he had a "cold." Today he presents with dark urine, clay colored stools
and "yellow eyes." You review his hepatitis seriology and find a surface antigen present.
You know this means - ANS ✓There is an acute infection
IBS is diagnosed by symptoms and exclusion of structural/biochemical causes. Which of
the following is an "alarm symptom" that would require more extensive diagnostic
testing? - ANS ✓Weight loss
T/F Signs and symptoms of chronic gastritis correlate with the severity of the disease. -
ANS ✓Gastric emptying is slowed, causing greater exposure of the mucosa to acid.
Irritable bowel syndrome is characterized by all except:
a. Pain
b. Diarrhea
c. Constipation
d. Bloody Stool - ANS ✓d. Bloody stool
Which statement is false concerning how abdominal pain is produced?
a.Chemical mediators, such as histamine, bradykinin, and serotonin, produce
abdominal pain.
b.Edema and vascular congestion produce abdominal pain by stretching.
c.Ischemia, caused by distention of bowel obstruction or mesenteric vessel thrombosis,
produces abdominal pain.
d.Low concentrations of anaerobes, such as Streptococci, Lactobacilli, Staphylococci,
Enterobacteria, and Bacteroides, produce abdominal pain - ANS ✓d.Low concentrations
of anaerobes, such as Streptococci, Lactobacilli, Staphylococci, Enterobacteria, and
Bacteroides, produce abdominal pain
How can abdominal pain that is visceral in nature best be described?
a.Abdominal pain that is visceral in nature is diffused, vague, poorly localized, and dull.
NR 605
NR
NR 605/ NR605 F INAL EXAM: (NEW 2025/
2026 UPDATE) DIAGNOSIS & MANAGEMENT IN
PMH ACROSS THE LIFESPAN I REVIEW| QUESTIONS
& ANSWERS| GRADE A| 100% CORRECT (VERIFIED
SOLUTIONS)- CHAMBERLAIN
Epigastric pain, beginning 30 minutes to 2 hours after eating when the stomach is empty
or in the middle of the night, is consistent with which diagnosis? - ANS ✓Duodenal ulcer
Which type of hepatitis is transferred via the fecal-oral route? - ANS ✓Hepatitis A
Why does a person with cystic fibrosis have an exocrine pancreatic insufficiency? - ANS
✓Because the pancreatic ducts are obstructed with mucus
What is the primary cause of duodenal ulcers. - ANS ✓Helicobacter pylori
If a person lacks the enzyme lactase and ingests lactose, the lactose will not be
hydrolyzed and absorbed into the intestinal wall; the type of diarrhea that results is
_____ diarrhea. - ANS ✓Osmotic
Increased gastrin secretion by the mother in the last trimester of pregnancy may cause
which condition in the infant? - ANS ✓Pyloric stenosis
Cystic fibrosis is characterized by which symptom? - ANS ✓Excessive mucus production
characterizes cystic fibrosis.
Why is prolonged diarrhea more severe in children than it is in adults? - ANS ✓Fluid
reserves are smaller in children.
Which statement is FALSE regarding the pathophysiologic process of acute
pancreatitis?
1)
Bile duct or pancreatic duct obstruction blocks the outflow of pancreatic digestive
enzymes.
2)
Acute pancreatitis can also result from direct cellular injury from drugs or viral
infection.
3)
NR 605
, 2
NR
Acute pancreatitis is an autoimmune disease in which immunoglobulin G (IgG) coats
the pancreatic acinar cells; consequently, the pancreatic enzymes destroy the cells.
4)
Acute pancreatitis digests pancreatic tissue and is usually very painful. - ANS ✓3)
Acute pancreatitis is an autoimmune disease in which immunoglobulin G (IgG) coats
the pancreatic acinar cells; consequently, the pancreatic enzymes destroy the cells.
Prolonged diarrhea may cause - ANS ✓Dehydration and metabolic acidosis
Mr. Smith a 45 y. o. man report fatigue for about four weeks with worsening nausea
although he denies vomiting. He also had a cough, and a headache for the last 3 weks
and assumed he had a "cold." Today he presents with dark urine, clay colored stools
and "yellow eyes." You review his hepatitis seriology and find a surface antigen present.
You know this means - ANS ✓There is an acute infection
IBS is diagnosed by symptoms and exclusion of structural/biochemical causes. Which of
the following is an "alarm symptom" that would require more extensive diagnostic
testing? - ANS ✓Weight loss
T/F Signs and symptoms of chronic gastritis correlate with the severity of the disease. -
ANS ✓Gastric emptying is slowed, causing greater exposure of the mucosa to acid.
Irritable bowel syndrome is characterized by all except:
a. Pain
b. Diarrhea
c. Constipation
d. Bloody Stool - ANS ✓d. Bloody stool
Which statement is false concerning how abdominal pain is produced?
a.Chemical mediators, such as histamine, bradykinin, and serotonin, produce
abdominal pain.
b.Edema and vascular congestion produce abdominal pain by stretching.
c.Ischemia, caused by distention of bowel obstruction or mesenteric vessel thrombosis,
produces abdominal pain.
d.Low concentrations of anaerobes, such as Streptococci, Lactobacilli, Staphylococci,
Enterobacteria, and Bacteroides, produce abdominal pain - ANS ✓d.Low concentrations
of anaerobes, such as Streptococci, Lactobacilli, Staphylococci, Enterobacteria, and
Bacteroides, produce abdominal pain
How can abdominal pain that is visceral in nature best be described?
a.Abdominal pain that is visceral in nature is diffused, vague, poorly localized, and dull.
NR 605
