FNP Board Review Gastrointestinal
Disorders Exam with Questions and
Correct Answers 2025
What ,are ,acute ,issues ,of ,the ,abdomen? ,- ,CORRECT ,ANSWER-Appendicitis
Cholecystitis
Pancreatitis
Diverticulitis
A ,44-year ,old ,obese ,woman ,presents ,with ,abdominal ,pain. ,What ,is ,the ,most ,likely
,etiology ,if ,she ,is ,infertile? ,- ,CORRECT ,ANSWER-Cholecystitis
Which ,acute ,abdominal ,issue ,is ,least ,likely ,in ,an ,older ,adult? ,- ,CORRECT ,ANSWER-
Appendicitis
What ,is ,appendicitis ,indicative ,of ,in ,an ,older ,adult? ,- ,CORRECT ,ANSWER-Colorectal
,cancer
What ,is ,the ,classic ,pain ,location ,and ,preferred ,imaging ,study ,in ,appendicitis? ,-
,CORRECT ,ANSWER-RLQ: ,but ,periumbilical ,early
CT ,scan: ,abdominal ,ultrasound ,in ,peds
What ,is ,the ,classic ,pain ,location ,and ,preferred ,imaging ,study ,in ,cholecystitis? ,-
,CORRECT ,ANSWER-RUQ ,(Murphy's ,sign)
Ultrasound; ,HIDA ,if ,ultrasound ,is ,inconclusive`
What ,is ,the ,classic ,pain ,location ,and ,preferred ,imaging ,study ,in ,diverticulitis? ,-
,CORRECT ,ANSWER-LLQ
CT ,scan
What ,is ,the ,classic ,pain ,location ,and ,preferred ,imaging ,study ,in ,pancreatitis? ,-
,CORRECT ,ANSWER-Sudden, ,severe, ,RUQ, ,LUQ
CT ,scan, ,abdominal ,ultrasound
,A ,36-year ,old ,obese ,woman ,presents ,with ,abdominal ,pain. ,If ,the ,most ,likely
,differential ,diagnosis ,is ,cholecystitis, ,what ,is ,the ,diagnostic ,test ,of ,choice? ,-
,CORRECT ,ANSWER-Abdominal ,ultrasound
A ,46-year-old ,woman ,with ,LLQ ,abdominal ,pain ,has ,suspected ,diverticulitis. ,What
,should ,be ,part ,of ,the ,initial ,workup? ,- ,CORRECT ,ANSWER-CBC
Electrolytes
Pregnancy ,test
Urinalysis
CT ,scan ,with ,and ,without ,contrast
What ,are ,features ,of ,physiologic ,reflux? ,- ,CORRECT ,ANSWER-Occurs ,after ,eating
Is ,short ,lived
Rarely ,occurs ,during ,sleep
What ,are ,features ,of ,Pathologic ,reflux? ,- ,CORRECT ,ANSWER-Associated ,with
,symptoms
Associated ,with ,mucosal ,injury
Nocturnal ,symptoms
What ,are ,the ,3 ,mechanisms ,of ,GERD? ,- ,CORRECT ,ANSWER-Reduction ,in ,LES
,tone
Irritation ,of ,esophageal ,mucosa
Increased ,gastric ,acid ,secretion
The ,sensitivity ,of ,a ,test ,indicates ,what? ,- ,CORRECT ,ANSWER-True ,positive
The ,specificity ,of ,a ,tests ,indicates ,what? ,- ,CORRECT ,ANSWER-True ,negative
What ,medication ,classes ,are ,used ,to ,treat ,GERD? ,- ,CORRECT ,ANSWER-Antacids
,(prn)
H2 ,receptor ,antagonists ,(prn)
Proton ,pump ,inhibitors
What ,are ,examples ,of ,antacids ,and ,their ,mechanism ,of ,action? ,- ,CORRECT
,ANSWER-Maalox, ,Mylanta, ,Rolaids, ,Tums
MOA: ,increases ,PH ,for ,about ,20-30 ,minutes; ,fastest ,relief
What ,are ,examples ,of ,H2 ,receptor ,antagonists ,and ,their ,mechanism ,of ,action? ,-
,CORRECT ,ANSWER-Cimetidine ,(Tagamet), ,Ranitidine ,(Zantac), ,Famotidine
,(Pepcid), ,Nizatidine ,(Axid)
MOA: ,Decreases ,acid ,production ,for ,6-12 ,hours; ,provides ,relief ,in ,about ,60 ,minutes
, What ,are ,examples ,of ,proton ,pump ,inhibitors ,and ,their ,mechanism ,of ,action? ,-
,CORRECT ,ANSWER-Omeprazole ,(Prilosec)
Lansoprazole ,(Prevacid)
Raberprazole ,(Aciphex)
Esomeprazole ,(Nexium)
Pantoprazole ,(Protonix)
MOA: ,Reduces ,gastric ,acid ,secretion; ,provides ,relief ,in ,1-3 ,days; ,RX ,4-8 ,weeks
What ,is ,the ,gold ,standard ,for ,treatment ,of ,patients ,who ,have ,GERD? ,- ,CORRECT
,ANSWER-Proton ,pump ,inhibitors ,(PPI)
What ,are ,symptoms ,of ,GERD? ,- ,CORRECT ,ANSWER-Heartburn, ,dyspepsia,
,regurgitation
How ,many ,weeks ,should ,a ,patient ,be ,treated ,with ,a ,PPI? ,- ,CORRECT ,ANSWER-8
,weeks
A ,56-year-old ,man ,has ,relocated ,to ,your ,area ,from ,another ,state. ,You ,will ,be ,his
,primary ,care ,provider. ,He ,is ,a ,past ,smoker, ,has ,elevated ,BMI ,and ,history ,of ,Barrett's
,esophagus. ,He ,takes ,OTC ,PPIs ,and ,is ,asymptomatic. ,What ,should ,be ,part ,of ,his
,plan ,of ,care? ,- ,CORRECT ,ANSWER-Referral ,to ,GI ,MD ,for ,barrett's ,history
What ,classes ,of ,meds ,are ,used ,to ,treat ,constipation ,and ,what ,is ,their ,Mechanism ,of
,action? ,- ,CORRECT ,ANSWER-Bulk ,laxatives ,(absorb ,water ,and ,increase ,fecal
,mass)
Osmotic ,laxatives ,(increases ,stool ,water ,content)
Stimulant ,laxatives ,(affect ,electrolyte ,transport ,in ,mucosa ,so ,it ,enhances ,colonic
,transport ,and ,motility)
Stool ,softeners ,(facilitate ,mixture ,of ,stool ,fat ,and ,water)
What ,are ,examples ,of ,bulk ,laxatives? ,- ,CORRECT ,ANSWER-Psyllium ,(Metamucil),
,methylcellulose ,(Citrucel), ,polycarbophil ,(Fibercon)
What ,are ,examples ,of ,osmotic ,laxatives? ,- ,CORRECT ,ANSWER-Polyethylene ,glycol
,(Miralax), ,Glycerin ,supp, ,magnesium
What ,are ,examples ,of ,stimulant ,laxatives? ,- ,CORRECT ,ANSWER-Bisacodyl
,(Dulcolax, ,Fleet), ,sennosides ,(ExLax)
What ,are ,examples ,of ,stool ,softeners? ,- ,CORRECT ,ANSWER-Docusate ,(Colace)
What ,conditions ,are ,associated ,with ,constipation? ,- ,CORRECT ,ANSWER-
Hemorrhoids
Disorders Exam with Questions and
Correct Answers 2025
What ,are ,acute ,issues ,of ,the ,abdomen? ,- ,CORRECT ,ANSWER-Appendicitis
Cholecystitis
Pancreatitis
Diverticulitis
A ,44-year ,old ,obese ,woman ,presents ,with ,abdominal ,pain. ,What ,is ,the ,most ,likely
,etiology ,if ,she ,is ,infertile? ,- ,CORRECT ,ANSWER-Cholecystitis
Which ,acute ,abdominal ,issue ,is ,least ,likely ,in ,an ,older ,adult? ,- ,CORRECT ,ANSWER-
Appendicitis
What ,is ,appendicitis ,indicative ,of ,in ,an ,older ,adult? ,- ,CORRECT ,ANSWER-Colorectal
,cancer
What ,is ,the ,classic ,pain ,location ,and ,preferred ,imaging ,study ,in ,appendicitis? ,-
,CORRECT ,ANSWER-RLQ: ,but ,periumbilical ,early
CT ,scan: ,abdominal ,ultrasound ,in ,peds
What ,is ,the ,classic ,pain ,location ,and ,preferred ,imaging ,study ,in ,cholecystitis? ,-
,CORRECT ,ANSWER-RUQ ,(Murphy's ,sign)
Ultrasound; ,HIDA ,if ,ultrasound ,is ,inconclusive`
What ,is ,the ,classic ,pain ,location ,and ,preferred ,imaging ,study ,in ,diverticulitis? ,-
,CORRECT ,ANSWER-LLQ
CT ,scan
What ,is ,the ,classic ,pain ,location ,and ,preferred ,imaging ,study ,in ,pancreatitis? ,-
,CORRECT ,ANSWER-Sudden, ,severe, ,RUQ, ,LUQ
CT ,scan, ,abdominal ,ultrasound
,A ,36-year ,old ,obese ,woman ,presents ,with ,abdominal ,pain. ,If ,the ,most ,likely
,differential ,diagnosis ,is ,cholecystitis, ,what ,is ,the ,diagnostic ,test ,of ,choice? ,-
,CORRECT ,ANSWER-Abdominal ,ultrasound
A ,46-year-old ,woman ,with ,LLQ ,abdominal ,pain ,has ,suspected ,diverticulitis. ,What
,should ,be ,part ,of ,the ,initial ,workup? ,- ,CORRECT ,ANSWER-CBC
Electrolytes
Pregnancy ,test
Urinalysis
CT ,scan ,with ,and ,without ,contrast
What ,are ,features ,of ,physiologic ,reflux? ,- ,CORRECT ,ANSWER-Occurs ,after ,eating
Is ,short ,lived
Rarely ,occurs ,during ,sleep
What ,are ,features ,of ,Pathologic ,reflux? ,- ,CORRECT ,ANSWER-Associated ,with
,symptoms
Associated ,with ,mucosal ,injury
Nocturnal ,symptoms
What ,are ,the ,3 ,mechanisms ,of ,GERD? ,- ,CORRECT ,ANSWER-Reduction ,in ,LES
,tone
Irritation ,of ,esophageal ,mucosa
Increased ,gastric ,acid ,secretion
The ,sensitivity ,of ,a ,test ,indicates ,what? ,- ,CORRECT ,ANSWER-True ,positive
The ,specificity ,of ,a ,tests ,indicates ,what? ,- ,CORRECT ,ANSWER-True ,negative
What ,medication ,classes ,are ,used ,to ,treat ,GERD? ,- ,CORRECT ,ANSWER-Antacids
,(prn)
H2 ,receptor ,antagonists ,(prn)
Proton ,pump ,inhibitors
What ,are ,examples ,of ,antacids ,and ,their ,mechanism ,of ,action? ,- ,CORRECT
,ANSWER-Maalox, ,Mylanta, ,Rolaids, ,Tums
MOA: ,increases ,PH ,for ,about ,20-30 ,minutes; ,fastest ,relief
What ,are ,examples ,of ,H2 ,receptor ,antagonists ,and ,their ,mechanism ,of ,action? ,-
,CORRECT ,ANSWER-Cimetidine ,(Tagamet), ,Ranitidine ,(Zantac), ,Famotidine
,(Pepcid), ,Nizatidine ,(Axid)
MOA: ,Decreases ,acid ,production ,for ,6-12 ,hours; ,provides ,relief ,in ,about ,60 ,minutes
, What ,are ,examples ,of ,proton ,pump ,inhibitors ,and ,their ,mechanism ,of ,action? ,-
,CORRECT ,ANSWER-Omeprazole ,(Prilosec)
Lansoprazole ,(Prevacid)
Raberprazole ,(Aciphex)
Esomeprazole ,(Nexium)
Pantoprazole ,(Protonix)
MOA: ,Reduces ,gastric ,acid ,secretion; ,provides ,relief ,in ,1-3 ,days; ,RX ,4-8 ,weeks
What ,is ,the ,gold ,standard ,for ,treatment ,of ,patients ,who ,have ,GERD? ,- ,CORRECT
,ANSWER-Proton ,pump ,inhibitors ,(PPI)
What ,are ,symptoms ,of ,GERD? ,- ,CORRECT ,ANSWER-Heartburn, ,dyspepsia,
,regurgitation
How ,many ,weeks ,should ,a ,patient ,be ,treated ,with ,a ,PPI? ,- ,CORRECT ,ANSWER-8
,weeks
A ,56-year-old ,man ,has ,relocated ,to ,your ,area ,from ,another ,state. ,You ,will ,be ,his
,primary ,care ,provider. ,He ,is ,a ,past ,smoker, ,has ,elevated ,BMI ,and ,history ,of ,Barrett's
,esophagus. ,He ,takes ,OTC ,PPIs ,and ,is ,asymptomatic. ,What ,should ,be ,part ,of ,his
,plan ,of ,care? ,- ,CORRECT ,ANSWER-Referral ,to ,GI ,MD ,for ,barrett's ,history
What ,classes ,of ,meds ,are ,used ,to ,treat ,constipation ,and ,what ,is ,their ,Mechanism ,of
,action? ,- ,CORRECT ,ANSWER-Bulk ,laxatives ,(absorb ,water ,and ,increase ,fecal
,mass)
Osmotic ,laxatives ,(increases ,stool ,water ,content)
Stimulant ,laxatives ,(affect ,electrolyte ,transport ,in ,mucosa ,so ,it ,enhances ,colonic
,transport ,and ,motility)
Stool ,softeners ,(facilitate ,mixture ,of ,stool ,fat ,and ,water)
What ,are ,examples ,of ,bulk ,laxatives? ,- ,CORRECT ,ANSWER-Psyllium ,(Metamucil),
,methylcellulose ,(Citrucel), ,polycarbophil ,(Fibercon)
What ,are ,examples ,of ,osmotic ,laxatives? ,- ,CORRECT ,ANSWER-Polyethylene ,glycol
,(Miralax), ,Glycerin ,supp, ,magnesium
What ,are ,examples ,of ,stimulant ,laxatives? ,- ,CORRECT ,ANSWER-Bisacodyl
,(Dulcolax, ,Fleet), ,sennosides ,(ExLax)
What ,are ,examples ,of ,stool ,softeners? ,- ,CORRECT ,ANSWER-Docusate ,(Colace)
What ,conditions ,are ,associated ,with ,constipation? ,- ,CORRECT ,ANSWER-
Hemorrhoids
