NR 511 Midterm Exam (Latest Update
) Differential Diagnosis and
Primary Care Practicum Questions with
100% Correct Answers [Grade A] –
Chamberlain
What is the theory behind the etiology of IBD? -correct answer An initiating factor such
as a virus, allergic, or bacterial process occurs and inflames the intestine.
Subsequently, those with a certain genetic predisposition may produce antibodies that
chronically attack the intestine (autoimmune). Sometimes other relatives are found to
also have IBD demonstrating a genetic component.
Describe IBS as it pertains to its effect on the bowels... -correct answer Disordered
sensation or abnormal function of the small or large intestine.
What is the most consistent characteristics of IBS? -correct answer Alteration in
bowel habits alternating. Abdominal pain is also common. Painless diarrhea may
occur.
What are the three most common areas of abdominal tenderness for patients with
suspected IBS? -correct answer LLQ, umbilicus, or epigastrium.
T or F: The physical exam for patients with suspected IBS is usually abnormal -correct
answer False: It's usually normal because there is no anatomical abnormality behind
this condition.
T or F: Digital rectal exams are usually normal in patients with suspected IBS but may
exacerbate symptoms. -correct answer True
T or F: Extensive testing such as thyroid testing, abdominal imaging, and stool studies
are indicated in patients with suspected IBS -correct answer False: Start with basic
labs such as CBC and ESR, although elevated ESR and leukocytosis is typically seen
with IBD, not IBS.
T or F: Colonoscopy and barium enema are abnormal in a patient with suspected IBS -
correct answer False: Those tests would be normal because there is no anatomical
abnormality behind this condition.
, NR 511 Midterm Exam (Latest Update
) Differential Diagnosis and
Primary Care Practicum Questions with
100% Correct Answers [Grade A] –
Chamberlain
What are 4 main points of diagnosis for patients with suspected IBS? -correct answer
1. Reveal an increase in bowel symptoms with the onset of pain.
2. Relief of pain with defecation
3. Heightened sensation in bowel activity
4. Sense of incomplete defecation
T or F: Symptoms of IBS are accompanied by fever and/or bleeding. -correct answer
False
What is the first step to treating a newly diagnosed IBS patient? -correct answer
Determine whether they are IBS-D, IBS-C, or IBS-M
What are the 4 main points of IBS treatment? -correct answer 1. Diet
2. Education
3. Pharmacological therapy
4. Supportive interventions: i.e.reduce stress
T of F: There is proven treatment for IBS -correct answer False
At what severity are pharmacological measures taken in patients with IBS? Mild,
moderate, or severe? -correct answer Moderate to severe
What is the first-line treatment for IBS-D? -correct answer 1. High fiber diet and
hydration
2. Exercise
3. Bulking agents
T of F: Stimulant laxatives can be used as long as is needed to treat IBS-D when first-
line treatment fails. -correct answer False. Not for long-term use.
What stimulant laxatives can be used for IBD-D on a short-term basis? And if these
fail? -correct answer 1. Lactulose, magnesium hydroxide.
2. Linzess (linaclotide), Trulance (plecanatide), or Amitiza (lubiprostone)
, NR 511 Midterm Exam (Latest Update
) Differential Diagnosis and
Primary Care Practicum Questions with
100% Correct Answers [Grade A] –
Chamberlain
What medication can be used to help with abdominal pain/spasms due to IBS? -correct
answer Antispasmodics: Bentyl (dicyclomine) or Levisn (hyoscyamine)
T of F: Patients with IBS and comorbid BPH or glaucoma, especially in the elderly,
should avoid anticholinergics to treat abdominal pain. -correct answer True
T or F: Tricyclics antidepressants and SSRIs have shown to have favorable outcomes in
patients with IBS -correct answer True
T or F: APRNs should not be managing patients with IBS and should immediately refer
to a gastroenterologist -correct answer False. APRNs can manage IBS with the
conservative treatment. If these fail, they should then be referred.
What symptoms are shared by ulcerative colitis (UC) and Crohn's under the
Inflammatory Bowel Disease umbrella? -correct answer 1. Fever
2. Rectal bleeding
3. Leukocytosis
4. Cramping abdominal pain/diarrhea
T or F: Cross-sectional imaging and/or colonoscopy can usually detect signs of IBD. -
correct answer True
Crohn's Disease represents an abnormality in intestinal immune response. What is the
result of this abnormality with regard to the bowel tissue and subsequent
complications? -correct answer 1. Causes fibrosis which thickens the bowel wall
2. Narrows the lumen of the bowel leading to obstructions, fistulas, and ulcerations.
T or F: Patients with Crohn's are at higher risk than the general population for
developing colon cancer. -correct answer True
, NR 511 Midterm Exam (Latest Update
) Differential Diagnosis and
Primary Care Practicum Questions with
100% Correct Answers [Grade A] –
Chamberlain
What is the supposed etiology of ulcerative colitis (UC) and what tissue does it affect? -
correct answer An inflammatory response of unknown origin that occurs in the thinner
mucosa of the rectum and sigmoid colon resulting in tissue damage.
What type of tissue damage occurs ulcerative colitis (UC)? -correct answer 1. Ulcers
form in the eroded tissue.
2. Abscesses form in the crypts which become necrotic and ulcerated.
What happens to the mucosa in ulcerative colitis (UC)? -correct answer It becomes
edematous and thickened, narrowing the lumen of the colon.
T of F: There is a higher risk of perforation of the colon in patients with UC -correct
answer True
What are the most common presenting symptoms of Crohn's Disease? -correct
answer 1. Abdominal cramping
2. Fever
3. Anorexia and weight loss
4. Flatulence
5. RLQ pain or mass
What are the possible components of the stool that show up in patients with Crohn's? -
correct answer 1. Blood
2. Mucus
3. Pus
T of F: Periods of stress can exacerbate Crohn's symptoms -correct answer True
T or F: Fatty, spicy, and dairy foods are well tolerated in patients with Crohn's Disease
-correct answer False, they are usually poorly tolerated.
T of R: Crohn's is characterized by periods of acute exacerbation alternating with
complete remission. -correct answer True
) Differential Diagnosis and
Primary Care Practicum Questions with
100% Correct Answers [Grade A] –
Chamberlain
What is the theory behind the etiology of IBD? -correct answer An initiating factor such
as a virus, allergic, or bacterial process occurs and inflames the intestine.
Subsequently, those with a certain genetic predisposition may produce antibodies that
chronically attack the intestine (autoimmune). Sometimes other relatives are found to
also have IBD demonstrating a genetic component.
Describe IBS as it pertains to its effect on the bowels... -correct answer Disordered
sensation or abnormal function of the small or large intestine.
What is the most consistent characteristics of IBS? -correct answer Alteration in
bowel habits alternating. Abdominal pain is also common. Painless diarrhea may
occur.
What are the three most common areas of abdominal tenderness for patients with
suspected IBS? -correct answer LLQ, umbilicus, or epigastrium.
T or F: The physical exam for patients with suspected IBS is usually abnormal -correct
answer False: It's usually normal because there is no anatomical abnormality behind
this condition.
T or F: Digital rectal exams are usually normal in patients with suspected IBS but may
exacerbate symptoms. -correct answer True
T or F: Extensive testing such as thyroid testing, abdominal imaging, and stool studies
are indicated in patients with suspected IBS -correct answer False: Start with basic
labs such as CBC and ESR, although elevated ESR and leukocytosis is typically seen
with IBD, not IBS.
T or F: Colonoscopy and barium enema are abnormal in a patient with suspected IBS -
correct answer False: Those tests would be normal because there is no anatomical
abnormality behind this condition.
, NR 511 Midterm Exam (Latest Update
) Differential Diagnosis and
Primary Care Practicum Questions with
100% Correct Answers [Grade A] –
Chamberlain
What are 4 main points of diagnosis for patients with suspected IBS? -correct answer
1. Reveal an increase in bowel symptoms with the onset of pain.
2. Relief of pain with defecation
3. Heightened sensation in bowel activity
4. Sense of incomplete defecation
T or F: Symptoms of IBS are accompanied by fever and/or bleeding. -correct answer
False
What is the first step to treating a newly diagnosed IBS patient? -correct answer
Determine whether they are IBS-D, IBS-C, or IBS-M
What are the 4 main points of IBS treatment? -correct answer 1. Diet
2. Education
3. Pharmacological therapy
4. Supportive interventions: i.e.reduce stress
T of F: There is proven treatment for IBS -correct answer False
At what severity are pharmacological measures taken in patients with IBS? Mild,
moderate, or severe? -correct answer Moderate to severe
What is the first-line treatment for IBS-D? -correct answer 1. High fiber diet and
hydration
2. Exercise
3. Bulking agents
T of F: Stimulant laxatives can be used as long as is needed to treat IBS-D when first-
line treatment fails. -correct answer False. Not for long-term use.
What stimulant laxatives can be used for IBD-D on a short-term basis? And if these
fail? -correct answer 1. Lactulose, magnesium hydroxide.
2. Linzess (linaclotide), Trulance (plecanatide), or Amitiza (lubiprostone)
, NR 511 Midterm Exam (Latest Update
) Differential Diagnosis and
Primary Care Practicum Questions with
100% Correct Answers [Grade A] –
Chamberlain
What medication can be used to help with abdominal pain/spasms due to IBS? -correct
answer Antispasmodics: Bentyl (dicyclomine) or Levisn (hyoscyamine)
T of F: Patients with IBS and comorbid BPH or glaucoma, especially in the elderly,
should avoid anticholinergics to treat abdominal pain. -correct answer True
T or F: Tricyclics antidepressants and SSRIs have shown to have favorable outcomes in
patients with IBS -correct answer True
T or F: APRNs should not be managing patients with IBS and should immediately refer
to a gastroenterologist -correct answer False. APRNs can manage IBS with the
conservative treatment. If these fail, they should then be referred.
What symptoms are shared by ulcerative colitis (UC) and Crohn's under the
Inflammatory Bowel Disease umbrella? -correct answer 1. Fever
2. Rectal bleeding
3. Leukocytosis
4. Cramping abdominal pain/diarrhea
T or F: Cross-sectional imaging and/or colonoscopy can usually detect signs of IBD. -
correct answer True
Crohn's Disease represents an abnormality in intestinal immune response. What is the
result of this abnormality with regard to the bowel tissue and subsequent
complications? -correct answer 1. Causes fibrosis which thickens the bowel wall
2. Narrows the lumen of the bowel leading to obstructions, fistulas, and ulcerations.
T or F: Patients with Crohn's are at higher risk than the general population for
developing colon cancer. -correct answer True
, NR 511 Midterm Exam (Latest Update
) Differential Diagnosis and
Primary Care Practicum Questions with
100% Correct Answers [Grade A] –
Chamberlain
What is the supposed etiology of ulcerative colitis (UC) and what tissue does it affect? -
correct answer An inflammatory response of unknown origin that occurs in the thinner
mucosa of the rectum and sigmoid colon resulting in tissue damage.
What type of tissue damage occurs ulcerative colitis (UC)? -correct answer 1. Ulcers
form in the eroded tissue.
2. Abscesses form in the crypts which become necrotic and ulcerated.
What happens to the mucosa in ulcerative colitis (UC)? -correct answer It becomes
edematous and thickened, narrowing the lumen of the colon.
T of F: There is a higher risk of perforation of the colon in patients with UC -correct
answer True
What are the most common presenting symptoms of Crohn's Disease? -correct
answer 1. Abdominal cramping
2. Fever
3. Anorexia and weight loss
4. Flatulence
5. RLQ pain or mass
What are the possible components of the stool that show up in patients with Crohn's? -
correct answer 1. Blood
2. Mucus
3. Pus
T of F: Periods of stress can exacerbate Crohn's symptoms -correct answer True
T or F: Fatty, spicy, and dairy foods are well tolerated in patients with Crohn's Disease
-correct answer False, they are usually poorly tolerated.
T of R: Crohn's is characterized by periods of acute exacerbation alternating with
complete remission. -correct answer True
