Dunphy Primary Care Midterm Review Test Questions and
Answers Rated A+
Nausea is difficult to discern in a young child.
What question might you ask to determine if a
child has nausea? Matt, age 26, recently returned from a camping
1. "Are you sick to your tummy?" trip and has gastroenteritis. He says that he has
2. "Are you hungry?" been eating only canned food. Which of the
3. "Are you eating the way you normally eat?" following pathogens do you suspect?
4. "Are you nauseous?" - ANSWER -"Are 1.
you hungry?" Campylobacter jejuni.
2.
Clostridium botulinum.
Zena just had a hemorrhoidectomy. You know 3.
she has not understood your teaching when she Clostridium perfringens.
tells you she will: 4.
1. Take a sitz bath after each bowel movement Staphylococcus. - ANSWER -Clostridium
for 1 to 2 weeks after surgery. botulinum.
2. Drink at least 2000 mL of fluids per day.
3. Decrease her dietary fiber for 1 month.
4. Take stool softeners as prescribed. - Timothy, age 68, complains of an abrupt change
ANSWER -Decrease her dietary fiber for 1 in his defecation pattern. You evaluate him for:
month. 1.
Constipation.
2.
Susan, age 59, has no specific complaints when Colorectal cancer.
she comes in for her annual examination. She 3.
does, however, have type 2 diabetes mellitus Irritable bowel syndrome.
(DM), slight hypertension, dyslipidemia, and 4.
central obesity. How would you diagnose her? Acute appendicitis. - ANSWER -Colorectal
1. As a healthy adult with several problems. cancer.
2. As having a glycemic event.
3. As having metabolic syndrome.
4. As having multiple organ dysfunction. - Martina, age 34, has AIDS and currently suffers
ANSWER -As having metabolic syndrome. from diarrhea. You suspect she has which
protozoal infection of the bowel?
1.
Simon, age 72, states that he is worried because Giardiasis.
he has a bowel movement only every third day. 2.
You respond: Amebiasis.
1. "You should have two to three stools per day." 3.
2. "You should defecate once a day." Cryptosporidiosis.
3. "You should have at least three stools per 4.
week." Escherichia coli. - ANSWER -
4. "There is no such thing as a 'normal' pattern of Cryptosporidiosis
defecation." - ANSWER -"There is no such
thing as a 'normal' pattern of defecation."
Anson tells you he thinks his antacids are
,Dunphy Primary Care Midterm Review Test Questions and
Answers Rated A+
causing his diarrhea. You respond: 3.
1. Quinolone antibiotics.
"Antacids contain fructose, which may not be 4.
totally absorbed, resulting in fluid being drawn Gastric lavage. - ANSWER -Supportive
into the bowel." care.
2.
"Antacids contain sorbitol or mannitol, which are
sugars that aren't absorbed and can cause fluid Rose, a client with gastroesophageal reflux
to be drawn into the bowel." disease (GERD), has many other concurrent
3. conditions. In teaching Rose about medications
"Antacids contain caffeine, which decreases to avoid, what do you recommend she refrain
bowel transit time." from using?
4. 1.
"Antacids may contain magnesium, which Antibiotics.
decreases bowel transit time and may contain 2.
poorly absorbed salts that draw fluid into the Nonsteroidal anti-inflammatory drugs (NSAIDs).
bowel." - ANSWER -"Antacids may contain 3.
magnesium, which decreases bowel transit time Oral contraceptives.
and may contain poorly absorbed salts that draw 4.
fluid into the bowel." Antifungals. - ANSWER -Nonsteroidal anti-
inflammatory drugs (NSAIDs).
Tina has a chronic hepatitis C infection. She asks
you how to prevent its transmission. You Lucy, age 49, has pain in both the left and right
respond: lower quadrants. What might you suspect?
1. 1.
"Do not donate blood until one year after A gastric ulcer.
diagnosis." 2.
2. Gastritis.
"Abstain from sex altogether." 3.
3. Pelvic inflammatory disease.
"There is no possibility of transmission through 4.
razors or toothbrushes." Pancreatitis. - ANSWER -Pelvic
4. inflammatory disease.
"Abstain from sex during your period." -
ANSWER -"Abstain from sex during your
period." Rose has gastroesophageal reflux disease
(GERD). You know she misunderstands your
teaching when she tells you she will:
Marcie just returned from Central America with 1.
traveler's diarrhea. Which is the best treatment? Avoid coffee, alcohol, chocolate, peppermint, and
1. spicy foods.
Metronidazole (Flagyl). 2.
2. Eat smaller meals.
Supportive care. 3.
, Dunphy Primary Care Midterm Review Test Questions and
Answers Rated A+
Have a snack before retiring so that the 2.
esophagus and stomach are not empty at "There is an interruption of the normal clotting
bedtime. mechanism."
4. 3.
Stop smoking. - ANSWER -Have a snack "Long-term alcohol abuse has made his vessels
before retiring so that the esophagus and very friable."
stomach are not empty at bedtime. 4.
"His bone marrow has been affected." -
ANSWER -"There is an interruption of the
Marty, age 52, notices a bulge in his midline normal clotting mechanism."
every time he rises from bed in the morning. You
tell him that it is a ventral hernia, also known as
an: Shelby has recently been diagnosed with
1. pancreatitis. Of the following objective findings
Inguinal hernia. that can result from the pancreatic inflammatory
2. process, which is known as Grey Turner sign?
Epigastric hernia. 1.
3. Left-sided pleural effusion.
Umbilical hernia. 2.
4. Bluish discoloration over the flanks.
Incisional hernia. - ANSWER -Epigastric 3.
hernia. Bluish discoloration around the umbilicus.
4.
Jaundice. - ANSWER -Bluish discoloration
You elicit costovertebral angle tenderness in over the flanks.
Gordon, age 29. Which condition do you
suspect?
1. Bobby, age 6, has constant periumbilical pain
Cirrhosis. shifting to the right lower quadrant, vomiting, a
2. small volume of diarrhea, absence of headache,
Inflammation of the kidney. a mild elevation of the white blood cell count with
3. an early left shift, and white blood cells in the
Inflammation of the spleen. urine. You suspect:
4. 1.
Peritonitis. - ANSWER -Inflammation of the Appendicitis.
kidney. 2.
Gastroenteritis.
3.
Marvin, a known alcoholic with cirrhosis, is Acute pancreatitis.
frequently admitted for coagulopathies and 4.
occasionally receives blood transfusions. His Rocky Mountain spotted fever. - ANSWER -
wife asks you why he has bleeding problems. Appendicitis.
How do you respond?
1.
"Occasionally he accumulates blood in the gut." Melva, age 63, presents with an acute
Answers Rated A+
Nausea is difficult to discern in a young child.
What question might you ask to determine if a
child has nausea? Matt, age 26, recently returned from a camping
1. "Are you sick to your tummy?" trip and has gastroenteritis. He says that he has
2. "Are you hungry?" been eating only canned food. Which of the
3. "Are you eating the way you normally eat?" following pathogens do you suspect?
4. "Are you nauseous?" - ANSWER -"Are 1.
you hungry?" Campylobacter jejuni.
2.
Clostridium botulinum.
Zena just had a hemorrhoidectomy. You know 3.
she has not understood your teaching when she Clostridium perfringens.
tells you she will: 4.
1. Take a sitz bath after each bowel movement Staphylococcus. - ANSWER -Clostridium
for 1 to 2 weeks after surgery. botulinum.
2. Drink at least 2000 mL of fluids per day.
3. Decrease her dietary fiber for 1 month.
4. Take stool softeners as prescribed. - Timothy, age 68, complains of an abrupt change
ANSWER -Decrease her dietary fiber for 1 in his defecation pattern. You evaluate him for:
month. 1.
Constipation.
2.
Susan, age 59, has no specific complaints when Colorectal cancer.
she comes in for her annual examination. She 3.
does, however, have type 2 diabetes mellitus Irritable bowel syndrome.
(DM), slight hypertension, dyslipidemia, and 4.
central obesity. How would you diagnose her? Acute appendicitis. - ANSWER -Colorectal
1. As a healthy adult with several problems. cancer.
2. As having a glycemic event.
3. As having metabolic syndrome.
4. As having multiple organ dysfunction. - Martina, age 34, has AIDS and currently suffers
ANSWER -As having metabolic syndrome. from diarrhea. You suspect she has which
protozoal infection of the bowel?
1.
Simon, age 72, states that he is worried because Giardiasis.
he has a bowel movement only every third day. 2.
You respond: Amebiasis.
1. "You should have two to three stools per day." 3.
2. "You should defecate once a day." Cryptosporidiosis.
3. "You should have at least three stools per 4.
week." Escherichia coli. - ANSWER -
4. "There is no such thing as a 'normal' pattern of Cryptosporidiosis
defecation." - ANSWER -"There is no such
thing as a 'normal' pattern of defecation."
Anson tells you he thinks his antacids are
,Dunphy Primary Care Midterm Review Test Questions and
Answers Rated A+
causing his diarrhea. You respond: 3.
1. Quinolone antibiotics.
"Antacids contain fructose, which may not be 4.
totally absorbed, resulting in fluid being drawn Gastric lavage. - ANSWER -Supportive
into the bowel." care.
2.
"Antacids contain sorbitol or mannitol, which are
sugars that aren't absorbed and can cause fluid Rose, a client with gastroesophageal reflux
to be drawn into the bowel." disease (GERD), has many other concurrent
3. conditions. In teaching Rose about medications
"Antacids contain caffeine, which decreases to avoid, what do you recommend she refrain
bowel transit time." from using?
4. 1.
"Antacids may contain magnesium, which Antibiotics.
decreases bowel transit time and may contain 2.
poorly absorbed salts that draw fluid into the Nonsteroidal anti-inflammatory drugs (NSAIDs).
bowel." - ANSWER -"Antacids may contain 3.
magnesium, which decreases bowel transit time Oral contraceptives.
and may contain poorly absorbed salts that draw 4.
fluid into the bowel." Antifungals. - ANSWER -Nonsteroidal anti-
inflammatory drugs (NSAIDs).
Tina has a chronic hepatitis C infection. She asks
you how to prevent its transmission. You Lucy, age 49, has pain in both the left and right
respond: lower quadrants. What might you suspect?
1. 1.
"Do not donate blood until one year after A gastric ulcer.
diagnosis." 2.
2. Gastritis.
"Abstain from sex altogether." 3.
3. Pelvic inflammatory disease.
"There is no possibility of transmission through 4.
razors or toothbrushes." Pancreatitis. - ANSWER -Pelvic
4. inflammatory disease.
"Abstain from sex during your period." -
ANSWER -"Abstain from sex during your
period." Rose has gastroesophageal reflux disease
(GERD). You know she misunderstands your
teaching when she tells you she will:
Marcie just returned from Central America with 1.
traveler's diarrhea. Which is the best treatment? Avoid coffee, alcohol, chocolate, peppermint, and
1. spicy foods.
Metronidazole (Flagyl). 2.
2. Eat smaller meals.
Supportive care. 3.
, Dunphy Primary Care Midterm Review Test Questions and
Answers Rated A+
Have a snack before retiring so that the 2.
esophagus and stomach are not empty at "There is an interruption of the normal clotting
bedtime. mechanism."
4. 3.
Stop smoking. - ANSWER -Have a snack "Long-term alcohol abuse has made his vessels
before retiring so that the esophagus and very friable."
stomach are not empty at bedtime. 4.
"His bone marrow has been affected." -
ANSWER -"There is an interruption of the
Marty, age 52, notices a bulge in his midline normal clotting mechanism."
every time he rises from bed in the morning. You
tell him that it is a ventral hernia, also known as
an: Shelby has recently been diagnosed with
1. pancreatitis. Of the following objective findings
Inguinal hernia. that can result from the pancreatic inflammatory
2. process, which is known as Grey Turner sign?
Epigastric hernia. 1.
3. Left-sided pleural effusion.
Umbilical hernia. 2.
4. Bluish discoloration over the flanks.
Incisional hernia. - ANSWER -Epigastric 3.
hernia. Bluish discoloration around the umbilicus.
4.
Jaundice. - ANSWER -Bluish discoloration
You elicit costovertebral angle tenderness in over the flanks.
Gordon, age 29. Which condition do you
suspect?
1. Bobby, age 6, has constant periumbilical pain
Cirrhosis. shifting to the right lower quadrant, vomiting, a
2. small volume of diarrhea, absence of headache,
Inflammation of the kidney. a mild elevation of the white blood cell count with
3. an early left shift, and white blood cells in the
Inflammation of the spleen. urine. You suspect:
4. 1.
Peritonitis. - ANSWER -Inflammation of the Appendicitis.
kidney. 2.
Gastroenteritis.
3.
Marvin, a known alcoholic with cirrhosis, is Acute pancreatitis.
frequently admitted for coagulopathies and 4.
occasionally receives blood transfusions. His Rocky Mountain spotted fever. - ANSWER -
wife asks you why he has bleeding problems. Appendicitis.
How do you respond?
1.
"Occasionally he accumulates blood in the gut." Melva, age 63, presents with an acute
