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What does visceral pain feel like? - CORRECT ANSWER Difficult to
localize Gnawing, cramping, aching
Associated symptoms: sweating, pallor, N/V, restless
What causes somatic pain? What does it feel like? - CORRECT ANSWER Pain
caused by inflammation of the parietal peritoneum
localized or
diffuse steady
aching
more severe than
visceral aggravated by
movement
What does GERD feel like? - CORRECT ANSWER rising
retrosternal burning pain may occur with coughing
What makes GERD worse? - CORRECT
ANSWER alcohol chocolate
citrus
peppermi
nt coffee
bending over or lying after eating
,NR 509 FINAL EXAM 2025 QUESTIONS AND ANSWERS
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What are 2 common causes of peptic ulcer disease? - CORRECT
ANSWER H. Pylori NSAIDs
,NR 509 FINAL EXAM 2025 QUESTIONS AND ANSWERS
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Gastric vs duodenal ulcers - CORRECT ANSWER gastric ulcer pain right after
eating
duodenal ulcer pain occurs hours after eating
Both:
GERD
hematemesis
melena
Treatment for PUD - CORRECT ANSWER Stop irritating factors (Alcohol,
NSAIDs, smoking) PPIs, H2RA, antacids
Abx for treatment of H.pylori
6 maneuvers for appendicitis - CORRECT ANSWER McBurney Point
tenderness on direct palpation - slowly apply pressure and quickly release
to see if rebound tenderness
Rovsing - RLQ rebound tenderness when LLQ palpated
Psoas - Raise thigh (flexion) to contract psoas muscle (pain = positive sign)
Obturator - Flex right thigh at hip, bend knee and internally rotate to
contract obturator muscle Rectal exam - right-sided rental tenderness
Pelvic exam - palpable inflamed appendix
Symptoms associated with appendicitis (besides pain) - CORRECT
ANSWER fever increased WBC
, NR 509 FINAL EXAM 2025 QUESTIONS AND ANSWERS
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N/V
bowel changes