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NUR 631 EXAM 2|| ALL QUESTIONS AND
m m m m m m
CORRECT ANSWERS ALREADY GRADED A+||
m m m m m
LATEST AND COMPLETE UPDATE 2024-
m m m m
2025 WITH VERIFIED SOLUTIONS|| ASSURED
m m m m m
PASS!!!
What are examples of things that can cause visceral pain? I
m m m m m m m m m m
ntestine, biliary tree, liver disease
m m m m
What are examples of things that can cause parietal pain? A
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ppendicitis, peritonitis
m
What are examples of things that can cause referred pain?
m m m m m m m m m m
Cholecystitis
What are examples of things that can cause colicky pain? R
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enal stones
m
What is the order in which you should perform an abdominal physical exam?
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1. inspection
2. auscultation
3. percussion
,2m|mPmamgm e
4. palpation
What diagnosis would you consider for a 30 year old with heart burn, early satiety, bu
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rping and generalized abdominal pain?
m m m m
Dyspepsia related to gastritis
m m m
What diagnosis would you consider for a 50 YEAR OLD SMOKER with heart bu
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rn and abdominal pain?
m m m
Colon cancer m
How high is the bilirubin level when the patient is starting to develop physical jaundic
m m m m m m m m m m m m m m
e?
2.5 or higher
m m
bilirubin is unconjugated, which means that it has not bee
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n metabolized by the liver or made into a water soluble form of bilirubin
m m m m m m m m m m m m m
Indirect bilirubin m
is processed bilirubin that is water solubl
m m m m m m
e Direct bilirubin
m m
,3m|mPmamgm e
What are some of the causes of elevated indirect bilirubin levels?
m m m m m m m m m m
- hemolysis
- heart failure
m
- Gilbert syndromem
- neonates
- hyperthyroidism
- chronic hepatitis & advanced liver cirrhosis
m m m m m
What are some of the causes of elevated direct bilirubin levels?
m m m m m m m m m m
- choledocholithiasis
- tumors
- AIDS
- acute/chronic pancreatitis m
- viral hepatitis
m
- alcoholic hepaitits m
- biliary tree cholangitis
m m
- sepsis
- TPN
- postoperative cholestasis m
- sickle cell disease
m m
- pregnancy
- end stage liver disease
m m m
, 4m|mPmamgm e
What does a history of fever, chills and RUQ pain indicate?
m m m m m m m m m m
Acute cholangitis
m m
What does RUQ pain with a history of anorexia, malaise and myalgias indicate?
m m m m m m m m m m m m m
Viral hepatitis
m
What is the terminology for when the gallbladder is so distended that you can pal
m m m m m m m m m m m m m m
pate it?m
Courvoiser Sign m
What is the terminology for inspiratory arrest that occurs when you are putting p
m m m m m m m m m m m m m
ressure on the RUQ due to inflammed gallbladder?
m m m m m m m
Murphey's Sign m
Which liver enzyme is specific for hepatocytes? A
m m m m m m m
LT
Which liver enzyme is more specific to alcohol, statins and tylenol use
m m m m m m m m m m m
? AST
m
NUR 631 EXAM 2|| ALL QUESTIONS AND
m m m m m m
CORRECT ANSWERS ALREADY GRADED A+||
m m m m m
LATEST AND COMPLETE UPDATE 2024-
m m m m
2025 WITH VERIFIED SOLUTIONS|| ASSURED
m m m m m
PASS!!!
What are examples of things that can cause visceral pain? I
m m m m m m m m m m
ntestine, biliary tree, liver disease
m m m m
What are examples of things that can cause parietal pain? A
m m m m m m m m m m
ppendicitis, peritonitis
m
What are examples of things that can cause referred pain?
m m m m m m m m m m
Cholecystitis
What are examples of things that can cause colicky pain? R
m m m m m m m m m m
enal stones
m
What is the order in which you should perform an abdominal physical exam?
m m m m m m m m m m m m
1. inspection
2. auscultation
3. percussion
,2m|mPmamgm e
4. palpation
What diagnosis would you consider for a 30 year old with heart burn, early satiety, bu
m m m m m m m m m m m m m m m
rping and generalized abdominal pain?
m m m m
Dyspepsia related to gastritis
m m m
What diagnosis would you consider for a 50 YEAR OLD SMOKER with heart bu
m m m m m m m m m m m m m
rn and abdominal pain?
m m m
Colon cancer m
How high is the bilirubin level when the patient is starting to develop physical jaundic
m m m m m m m m m m m m m m
e?
2.5 or higher
m m
bilirubin is unconjugated, which means that it has not bee
m m m m m m m m m
n metabolized by the liver or made into a water soluble form of bilirubin
m m m m m m m m m m m m m
Indirect bilirubin m
is processed bilirubin that is water solubl
m m m m m m
e Direct bilirubin
m m
,3m|mPmamgm e
What are some of the causes of elevated indirect bilirubin levels?
m m m m m m m m m m
- hemolysis
- heart failure
m
- Gilbert syndromem
- neonates
- hyperthyroidism
- chronic hepatitis & advanced liver cirrhosis
m m m m m
What are some of the causes of elevated direct bilirubin levels?
m m m m m m m m m m
- choledocholithiasis
- tumors
- AIDS
- acute/chronic pancreatitis m
- viral hepatitis
m
- alcoholic hepaitits m
- biliary tree cholangitis
m m
- sepsis
- TPN
- postoperative cholestasis m
- sickle cell disease
m m
- pregnancy
- end stage liver disease
m m m
, 4m|mPmamgm e
What does a history of fever, chills and RUQ pain indicate?
m m m m m m m m m m
Acute cholangitis
m m
What does RUQ pain with a history of anorexia, malaise and myalgias indicate?
m m m m m m m m m m m m m
Viral hepatitis
m
What is the terminology for when the gallbladder is so distended that you can pal
m m m m m m m m m m m m m m
pate it?m
Courvoiser Sign m
What is the terminology for inspiratory arrest that occurs when you are putting p
m m m m m m m m m m m m m
ressure on the RUQ due to inflammed gallbladder?
m m m m m m m
Murphey's Sign m
Which liver enzyme is specific for hepatocytes? A
m m m m m m m
LT
Which liver enzyme is more specific to alcohol, statins and tylenol use
m m m m m m m m m m m
? AST
m