NURS 660 PSYCHOPHARM EXAM 2 MARYVILLE
UNIVERSITY CURRENTLY TESTING COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
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What is the most common right shoulder
site for referred
gallbladder pain?
What radiological tests are Ultrasound, CT scan
preferred when working Abdominal x-ray not recommended
up abdominal pain?
The patient is screaming in VERY concerning
pain and saying their pain disproportionate to exam is an emergency,
abdominal pain is 10/10 hallmark finding of acute abdominal mesenteric
but their exam shows a ischemia
soft abdomen with no
guarding. Is this
concerning?
1. Increased intra-abdominal pressure
Describe the 3 anatomical 2. Decreased sphincter tone
causes of GERD 3. Inappropriate lower esophageal sphincter
relaxation
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, 3/27/25, 1:57 PM NURS 660 PSYCHOPHARM EXAM 2 MARYVILLE UNIVERSITY CURRENTLY TESTING COMPLETE QUESTIONS AND CORRE…
When normal squamous epithelium is replaced with
metaplastic columnar epithelium
What is Barrett's This is a mechanism of protection the body does
esophagus? when exposed to gastric acid for too long, but puts
patient at risk for cancer due to cellular changes (40x
risk)
Heartburn, regurgitation, reflex salivation, sour taste in
Describe some subjective the morning, belching, coughing, hoarseness
complaints a patient with
GERD may have. Could be silent reflux, for example may not have
heartburn but have unexplained hoarseness
What subjective complaint Dysphagia
is NOT a common finding
with GERD and is
concerning?
Reclining after eating, large meals, alcohol, chocolate,
Name some risk factors or caffeine, decaf coffee, fatty or spicy foods,
aggravating factors for constrictive clothing, heavy lifting/straining/working in
GERD. a bent over position, peppermint, tomato products
also pregnancy, obesity, hiatal hernia
Typically, history is sufficient but you could do
How is GERD diagnosed?
ambulatory pH monitoring (not routine)
those with red flags that you want to evaluate for
Which patients require an
Barrett's esophagus
EGD to further evaluate
Dysphagia, anemia, weight loss, bleeding, recurrent
their GERD?
vomiting, or non-responsive to treatment/meds
What life-threatening Angina/MI
condition must be ruled
out when you suspect
GERD?
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