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Topics
GI Disorders ....
Ulcerative colitis
A 38-year-old male patient has recent-
ly had an ileostomy for ulcerative coli-
tis. Which self-care measures should the massage the peristomal area
clinician teach him about to relieve food
blockage?
Diverticulitis
Which of the following is true regarding
obesity is correlated
diverticula
Left lower quadrant abdominal pain for
2 days, the pain started suddenly and
Acute diverticulitis
then fever, chills, anorexia, nausea and
painless bloody stools.
An 82-year-old female has been di-
agnosed with irritable bowel, chronic
constipation, and diverticulosis following bulk laxative
a colonoscopy. Which pharmacological
agent should the clinician recommend?
Which of the following is part of the treat-
ment plan for the High fiber diet
patient with irritable bowel syndrome?
, NR 511 Differential Diagnosis and Primary Care- Final Exam Review
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A 35-year-old female patent is seen in
the clinic complaining of abdominal pain. digital rectal exam, Sexual history, Pelvic
Which of the following should be includ- exam
ed in the history and physical exam?
A 28-year-old patent is seen in the clinic
with colicky abdominal pain, particularly
with meals. She has
frequent constipation, flatulence, and ab- Her age
dominal distension. Which of the data
make a diagnosis of
diverticulitis unlikely?
C. diff Definition and Risk factors
C. diff Symptoms
C. diff Diagnosis
C. diff Treatment
GERD pathophysiology
, NR 511 Differential Diagnosis and Primary Care- Final Exam Review
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A 54-year-old female presents to your
primary care office for routine reevalua-
tion for gastroesophageal reflux disease Order an endoscopy (This is the next
(GERD). She has been treated with diet step in treatment in order to evaluate the
modifications and 6 weeks of omepra- etiology of the patient's
zole without improvement of her symp- GERD and consider biopsy if necessary)
toms. What is the next step in the man-
agement of this patient's GERD?
A 67-year-old female on multiple med-
ications for chronic conditions was just
diagnosed with gastroesophageal reflux
disease (GERD). In teaching the pa- nonsteroidal anti-inflammatory drugs
tient about the disease, what medication
should the clinician recommend that the
patient refrain from using?
The patient with gastro esophageal re-
flux disease (GERD)
Weight lifting
should be instructed to eliminate which
of these activities?
A patient is seen with a sudden onset of
flank pain
accompanied by nausea, vomiting, and Pancreatitis, peptic ulcer disease, diver-
diaphoresis, in addition to ticulitis, All of
nephrolithiasis, which of the following the above
should be added to the list
of differential diagnoses?
A patient is diagnosed with Giardia after
a backpacking trip in
the mountains. Which of the following Metrinidazole
would be the appropriate
treatment?
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A patient is seen in the clinic with right
upper quadrant (RUQ)
pain that is radiating to the middle of the
back. The clinician Elevated alkaline phosphatase
suspects acute cholelithiasis. The clini-
cian should expect which of
the following laboratory findings?
A patient is diagnosed with gastroe-
sophageal reflux disease
This is a premalignant tissue, This tissue
(GERD), and his endoscopic report re-
is resistant to
veals the presence of
gastric acid, This tissue supports healing
Barretts epithelium. Which of the follow-
of the esophagus:
ing information should the
All of the above
clinician include in the explanation of the
pathology
which of the following dietary information
should be given to a
Eliminate coffee
patient with gastroesophageal reflux dis-
ease (GERD)
Mark has necrotizing fasciitis of his left
lower extremity.
Pressure on the skin reveals crepitus
Clostridium perfringens
due
to gas production by which anaerobic
bacteria?
A patient is diagnosed with GERD, the stop smoking
clinician knows that she misunderstands eat smaller meals
the teaching when she says: -have a snack before retiring for bed.
a patient presents to the clinic with a
dry cough, non smoker, for 5 weeks.
the cough increases at night, he reports GERD
episodes of heartburn after meals. what
should the differential include?
A 64-year-old obese woman comes in
complaining of difficulty swallowing for
the past 3 weeks. She states that "some
foods get stuck" and she has been hav-