NR 511 Differential Diagnosis and Primary Care- Final Exam Review
Study online at https://quizlet.com/_dytedt
1. Topics:
2. GI Disorders: ....
3. Ulcerative colitis:
4. A 38-year-old male patient has recently had an ileostomy for ulcerative colitis.
Which self-care measures should the clinician teach him about to relieve food
blockage?: massage the peristomal area
5. Diverticulitis:
6. Which of the following is true regarding diverticula: obesity is correlated
7. Left lower quadrant abdominal pain for 2 days, the pain started suddenly and
then fever, chills, anorexia, nausea and painless bloody stools.: Acute diverticulitis
8. An 82-year-old female has been diagnosed with irritable bowel, chronic con-
stipation, and diverticulosis following a colonoscopy. Which pharmacological
agent should the clinician recommend?: bulk laxative
9. Which of the following is part of the treatment plan for the
patient with irritable bowel syndrome?: High fiber diet
10. A 35-year-old female patent is seen in the clinic complaining of abdominal
pain. Which of the following should be included in the history and physical
exam?: digital rectal exam, Sexual history, Pelvic exam
, NR 511 Differential Diagnosis and Primary Care- Final Exam Review
Study online at https://quizlet.com/_dytedt
11. A 28-year-old patent is seen in the clinic with colicky abdominal pain, partic-
ularly with meals. She has
frequent constipation, flatulence, and abdominal distension. Which of the data
make a diagnosis of
diverticulitis unlikely?: Her age
12. C. diff Definition and Risk factors:
13. C. diff Symptoms:
14. C. diff Diagnosis:
15. C. diff Treatment:
16. GERD pathophysiology:
17. :
18. A 54-year-old female presents to your primary care office for routine reeval-
uation for gastroesophageal reflux disease (GERD). She has been treated with
diet modifications and 6 weeks of omeprazole without improvement of her
, NR 511 Differential Diagnosis and Primary Care- Final Exam Review
Study online at https://quizlet.com/_dytedt
symptoms. What is the next step in the management of this patient's GERD?: -
Order an endoscopy (This is the next step in treatment in order to evaluate the etiology of the patient's
GERD and consider biopsy if necessary)
19. A 67-year-old female on multiple medications for chronic conditions was
just diagnosed with gastroesophageal reflux disease (GERD). In teaching the
patient about the disease, what medication should the clinician recommend
that the patient refrain from using?: nonsteroidal anti-inflammatory drugs
20. The patient with gastro esophageal reflux disease (GERD)
should be instructed to eliminate which of these activities?: Weight lifting
21. A patient is seen with a sudden onset of flank pain
accompanied by nausea, vomiting, and diaphoresis, in addition to
nephrolithiasis, which of the following should be added to the list
of differential diagnoses?: Pancreatitis, peptic ulcer disease, diverticulitis, All of
the above
22. A patient is diagnosed with Giardia after a backpacking trip in
the mountains. Which of the following would be the appropriate
treatment?: Metrinidazole
23. A patient is seen in the clinic with right upper quadrant (RUQ)
pain that is radiating to the middle of the back. The clinician
suspects acute cholelithiasis. The clinician should expect which of
the following laboratory findings?: Elevated alkaline phosphatase
24. A patient is diagnosed with gastroesophageal reflux disease
(GERD), and his endoscopic report reveals the presence of
Barretts epithelium. Which of the following information should the
clinician include in the explanation of the pathology: This is a premalignant tissue, This tissue
is resistant to
gastric acid, This tissue supports healing of the esophagus:
All of the above
25. which of the following dietary information should be given to a
patient with gastroesophageal reflux disease (GERD): Eliminate coffee
, NR 511 Differential Diagnosis and Primary Care- Final Exam Review
Study online at https://quizlet.com/_dytedt
26. Mark has necrotizing fasciitis of his left lower extremity.
Pressure on the skin reveals crepitus due
to gas production by which anaerobic bacteria?: Clostridium perfringens
27. A patient is diagnosed with GERD, the clinician knows that she misunder-
stands the teaching when she says:: stop smoking
eat smaller meals
-have a snack before retiring for bed.
28. a patient presents to the clinic with a dry cough, non smoker, for 5 weeks. the
cough increases at night, he reports episodes of heartburn after meals. what
should the differential include?: GERD
29. 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
having "heartburn" at night when she lies down, especially if she has had a
heavy meal. Occasionally, she awakes at night coughing. She denies weight
gain and/or weight loss, vomiting, or change in bowel movements or color of
stools. She denies alcohol and tobacco use. There is no pertinent family history
or findings on review of systems (ROS). Physical examination is normal, with no
abdominal tenderness, and the stool is occult blood (OB) negative. What is the
most likely diagnosis?: GERD
30. Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He
reports that he has had intermittent heartburn for several months for which
he takes Tums with temporary relief. He has been waking during the night with
a burning sensation in his chest. Which additional information's would lead
you to believe that gastro esophageal reflux disease (GERD) is the cause of his
pain?: He awakens at night coughing with a bad taste in his mouth
31. Which of the following dietary information's should be given to a patent with
gastroesophageal
reflux disease (GERD): Stop coffee
32. PUD:
Study online at https://quizlet.com/_dytedt
1. Topics:
2. GI Disorders: ....
3. Ulcerative colitis:
4. A 38-year-old male patient has recently had an ileostomy for ulcerative colitis.
Which self-care measures should the clinician teach him about to relieve food
blockage?: massage the peristomal area
5. Diverticulitis:
6. Which of the following is true regarding diverticula: obesity is correlated
7. Left lower quadrant abdominal pain for 2 days, the pain started suddenly and
then fever, chills, anorexia, nausea and painless bloody stools.: Acute diverticulitis
8. An 82-year-old female has been diagnosed with irritable bowel, chronic con-
stipation, and diverticulosis following a colonoscopy. Which pharmacological
agent should the clinician recommend?: bulk laxative
9. Which of the following is part of the treatment plan for the
patient with irritable bowel syndrome?: High fiber diet
10. A 35-year-old female patent is seen in the clinic complaining of abdominal
pain. Which of the following should be included in the history and physical
exam?: digital rectal exam, Sexual history, Pelvic exam
, NR 511 Differential Diagnosis and Primary Care- Final Exam Review
Study online at https://quizlet.com/_dytedt
11. A 28-year-old patent is seen in the clinic with colicky abdominal pain, partic-
ularly with meals. She has
frequent constipation, flatulence, and abdominal distension. Which of the data
make a diagnosis of
diverticulitis unlikely?: Her age
12. C. diff Definition and Risk factors:
13. C. diff Symptoms:
14. C. diff Diagnosis:
15. C. diff Treatment:
16. GERD pathophysiology:
17. :
18. A 54-year-old female presents to your primary care office for routine reeval-
uation for gastroesophageal reflux disease (GERD). She has been treated with
diet modifications and 6 weeks of omeprazole without improvement of her
, NR 511 Differential Diagnosis and Primary Care- Final Exam Review
Study online at https://quizlet.com/_dytedt
symptoms. What is the next step in the management of this patient's GERD?: -
Order an endoscopy (This is the next step in treatment in order to evaluate the etiology of the patient's
GERD and consider biopsy if necessary)
19. A 67-year-old female on multiple medications for chronic conditions was
just diagnosed with gastroesophageal reflux disease (GERD). In teaching the
patient about the disease, what medication should the clinician recommend
that the patient refrain from using?: nonsteroidal anti-inflammatory drugs
20. The patient with gastro esophageal reflux disease (GERD)
should be instructed to eliminate which of these activities?: Weight lifting
21. A patient is seen with a sudden onset of flank pain
accompanied by nausea, vomiting, and diaphoresis, in addition to
nephrolithiasis, which of the following should be added to the list
of differential diagnoses?: Pancreatitis, peptic ulcer disease, diverticulitis, All of
the above
22. A patient is diagnosed with Giardia after a backpacking trip in
the mountains. Which of the following would be the appropriate
treatment?: Metrinidazole
23. A patient is seen in the clinic with right upper quadrant (RUQ)
pain that is radiating to the middle of the back. The clinician
suspects acute cholelithiasis. The clinician should expect which of
the following laboratory findings?: Elevated alkaline phosphatase
24. A patient is diagnosed with gastroesophageal reflux disease
(GERD), and his endoscopic report reveals the presence of
Barretts epithelium. Which of the following information should the
clinician include in the explanation of the pathology: This is a premalignant tissue, This tissue
is resistant to
gastric acid, This tissue supports healing of the esophagus:
All of the above
25. which of the following dietary information should be given to a
patient with gastroesophageal reflux disease (GERD): Eliminate coffee
, NR 511 Differential Diagnosis and Primary Care- Final Exam Review
Study online at https://quizlet.com/_dytedt
26. Mark has necrotizing fasciitis of his left lower extremity.
Pressure on the skin reveals crepitus due
to gas production by which anaerobic bacteria?: Clostridium perfringens
27. A patient is diagnosed with GERD, the clinician knows that she misunder-
stands the teaching when she says:: stop smoking
eat smaller meals
-have a snack before retiring for bed.
28. a patient presents to the clinic with a dry cough, non smoker, for 5 weeks. the
cough increases at night, he reports episodes of heartburn after meals. what
should the differential include?: GERD
29. 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
having "heartburn" at night when she lies down, especially if she has had a
heavy meal. Occasionally, she awakes at night coughing. She denies weight
gain and/or weight loss, vomiting, or change in bowel movements or color of
stools. She denies alcohol and tobacco use. There is no pertinent family history
or findings on review of systems (ROS). Physical examination is normal, with no
abdominal tenderness, and the stool is occult blood (OB) negative. What is the
most likely diagnosis?: GERD
30. Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He
reports that he has had intermittent heartburn for several months for which
he takes Tums with temporary relief. He has been waking during the night with
a burning sensation in his chest. Which additional information's would lead
you to believe that gastro esophageal reflux disease (GERD) is the cause of his
pain?: He awakens at night coughing with a bad taste in his mouth
31. Which of the following dietary information's should be given to a patent with
gastroesophageal
reflux disease (GERD): Stop coffee
32. PUD:
