Answers Verified 100% Correct
Which of the following would NOT be included in the differential diagnoses
of diverticulitis?
a. Perforated colonic carcinoma
b. Crohn's disease
c. Appendicitis
d. Ischemic colitis
e. Ectopic pregnancy
f. PUD - ANSWER f. PUD
PPT 27
In order to rule out abscess formation in a patient with
diverticulitis, which diagnostic test should be ordered? a. KUB
b. Barium enema
c. Flex sigmoidoscopy
d. CT abd - ANSWER d. CT abd
PPT 28
The FNP observes a patient with mild diverticulitis symptoms and no
peritoneal signs. Which action is appropriate? a. Refer for surgical
consultation.
b. Admit to hospital NPO with IVF.
c. Manage with clear liquid diet and antibiotics.
d. Obtain CT of the abdomen for baseline assessment. - ANSWER c.
Manage with clear liquid diet and antibiotics.
Papa 652
- Antibiotics include Augmentin 875 BID or Flagyl 500 TID + Cipro 500 BID
for 7-10 days.
A patient presents with fatigue, bloating borborygmi, abd pain, flatulence
and diarrhea. These manifestations are consistent with diagnosis of what?
a. Pancreatitis
,b. Celiac disease
c. Hirschsprung Disease
d. Crohns - ANSWER b. Celiac disease
H/O
In all patients with suspected Celiac disease, which serologic test
has the highest diagnostic accuracy?
a. IgA
b. IgA endomysial antibody
c. IgA tTG
d. B and C - ANSWER c. IgA tTG
Per Celiac Dx. H/O
Which of the following would be considered the 'gold standard'
for diagnosing celiac disease?
a. IgA tTG antibody
b. Gliadin IgG
c. Biopsy
d. IgA fecal antigen - ANSWER c. Biopsy
Per Celiac Dx. H/O
Use of this type class of medication is associated with peptic ulcers.
a. Antibiotics
b. NSAIDs
c. Opioids
d. Corticosteroids - ANSWER b. NSAIDs
GI puzzle
A mother brings in her screaming 8 month old, stating his bowel
movements look different. She describes them as looking like currant jelly.
These manifestations are consistent with a diagnosis of:
a. Incarcerated Hernia
b. Intestinal Malrotation
c. Hirschsprung disease
d. Intussusception - ANSWER d. Intussusception
, GI puzzle
The most common cause of intestinal obstruction in the first two years of
life is caused by: a. Incarcerated Hernia
b. Intestinal Malrotation
c. Hirschsprung disease
d. Intussusception - ANSWER d. Intussusception
PPT 37
A sign of peritoneal irritation is: a.
Vomiting
b. Flatus
c. Guarding
d. Distention - ANSWER c. Guarding
GI puzzle
The FNP observes a pt presenting with signs of intussusception.
Which diagnostic test is most appropriate to be ordered? a. CT of
abd w/ contrast
b. Barium/Air enema
c. KUB
d. UGI - ANSWER b. Barium/Air enema - Which is diagnostic and
therapeutic.
PPT 37
When a healthy infant suddenly refuses to eat, vomits bile, and becomes
inconsolable, and develops abdominal distention, which diagnosis should
be considered? a. Incarcerated Hernia
b. Intestinal Malrotation
c. Hirschsprung disease
d. Intussusception - ANSWER b. Intestinal Malrotation
PPT 40
When a healthy infant suddenly refuses to eat, vomits bile, and
becomes inconsolable, and develops abdominal distention, the FNP