Acute Care PNP CN
Comprehensive Questions
(Frequently Tested) with
Verified Answers Graded A+
Postpericardiotomy Syndrome Symptoms - Answer: fever, pericardial effusion, fatigue, chest
pain, irritability, poor PO intake. May lead to cardiac tamponade.
postpericardiotomy syndrome treatment - Answer: NSAIDS (5-7 days) or systemic steroids
Hirschsprung disease - Answer: - aganglionic megacolon
-rectal biopsy
- palpable fecal mass in LLQ, but no stool in rectal vault
-surgery: bowel resection
intussusception - Answer: -telescoping of bowel
-Intermittent colicky abdominal pain, vomiting, currant jelly stools, sausage ‐shaped mass in
RUQ
-Diagnosis: US
-surgical consult: barium air enema
pyloric stenosis - Answer: - narrowing of the pylorus
, - hunger after vomiting
- metabolic alkalosis
- 2 cm olive‐shaped mass in mid‐epigastriarea beneath liver edge; + gastric peristaltic waves
- Diagnosis: Ultrasound
- surgical intervention after stabilization of electrolytes
appendicitis - Answer: - acute inflammation of the appendix, potential for rupture
- abdominal CT
- Focal right lower quadrant pain, to periumbilical pain, fever, testicular pain, flank and back
pain, nausea, vomiting and anorexia.
- Mcburney point tenderness, rebound tenderness, + psoas sign, obturator sign
bowel obstruction - Answer: -bile colored emesis
-crampy pain in the abdomen, usually diffuse
often has abdominal distention
anorexia, nausea and or vomiting
fever
- Gold standard: CT
- Surgery: Lad procedure
Meckel's diverticulum - Answer: - Painless rectal bleeding in pediatrics. Slight bulge in small
intestine most commonly at distal ileum.
- Ages 2-4
- Meckel's nuclear medicine scan
volvulus - Answer: - Bilious emesis, abdominal pain
- CT, CBC, electrolytes
Comprehensive Questions
(Frequently Tested) with
Verified Answers Graded A+
Postpericardiotomy Syndrome Symptoms - Answer: fever, pericardial effusion, fatigue, chest
pain, irritability, poor PO intake. May lead to cardiac tamponade.
postpericardiotomy syndrome treatment - Answer: NSAIDS (5-7 days) or systemic steroids
Hirschsprung disease - Answer: - aganglionic megacolon
-rectal biopsy
- palpable fecal mass in LLQ, but no stool in rectal vault
-surgery: bowel resection
intussusception - Answer: -telescoping of bowel
-Intermittent colicky abdominal pain, vomiting, currant jelly stools, sausage ‐shaped mass in
RUQ
-Diagnosis: US
-surgical consult: barium air enema
pyloric stenosis - Answer: - narrowing of the pylorus
, - hunger after vomiting
- metabolic alkalosis
- 2 cm olive‐shaped mass in mid‐epigastriarea beneath liver edge; + gastric peristaltic waves
- Diagnosis: Ultrasound
- surgical intervention after stabilization of electrolytes
appendicitis - Answer: - acute inflammation of the appendix, potential for rupture
- abdominal CT
- Focal right lower quadrant pain, to periumbilical pain, fever, testicular pain, flank and back
pain, nausea, vomiting and anorexia.
- Mcburney point tenderness, rebound tenderness, + psoas sign, obturator sign
bowel obstruction - Answer: -bile colored emesis
-crampy pain in the abdomen, usually diffuse
often has abdominal distention
anorexia, nausea and or vomiting
fever
- Gold standard: CT
- Surgery: Lad procedure
Meckel's diverticulum - Answer: - Painless rectal bleeding in pediatrics. Slight bulge in small
intestine most commonly at distal ileum.
- Ages 2-4
- Meckel's nuclear medicine scan
volvulus - Answer: - Bilious emesis, abdominal pain
- CT, CBC, electrolytes
