NS 832 Exam 4 Questions and Answers Latest Update 2025/2026
Approximately what % of the population will develop diverticulosis by the time they reach 50
years of age?` - Answers 33%
A 43 year old woman has a 12 hour hx of sudden onset of RUQ abdominal pain w/ radiation to
the shoulder, fever and chills. She has had similar, milder episodes in the past, especially after
eating fatty foods. Examination reveals marked tenderness to RUQ abdominal palpitation. Her
most likely dx is? - Answers Acute cholecystits
Which of the following is not usually seen in dx of acute cholecystitis?
elevated serum creatinine
inc. alkaline phosphate level
leukocytosis
elevated AST - Answers elevated serum creatinine
Murphy's sign can be best described as abdominal pain elicited by - Answers RUQ abdominal
palpitation
Most serious complication of cholecystitis - Answers pancreatitis
A 58 year old man reports intermittent RUQ abdominal pain. He has obesity and being actively
treated for hyperlipidemia. Imaging in a pt with suspected symptomatic cholelithiasis usually
includes obtaining an abdominal - Answers CT scan
Which of the following is most likely to be found with acute cholecystitis?
fever
vomiting
jaundice
palpable gallbladder - Answers vomiting
Risk factors for developing cholelithiasis include all of the following except?
rapid weight loss
,male gender
obesity
Native American Ancestry - Answers male gender
A gallstone that is not visualized on standard XR is said to be - Answers radiolucent
Colonic diverticulosis most commonly occurs in the walls of the - Answers sigmoid colon
Which of the following is most consistent with the presentation of a patient with acute colonic
diverticulitis? - Answers cramping, diarrhea, and leukocytosis
Major risk factors for diverticulosis include all of the following except?
low-fiber diet
older age
family hx of diverticulosis
select connective tissue disorders - Answers low-fiber diet
To avoid the development of acute diverticulitis, tx of diverticulosis can include - Answers the
use of fiber supplements
The location of discomfort w/ acute diverticulitis is usually in which of the following areas of the
abdomen? - Answers LLQ
Which of the following best describes colonic diverticulosis? - Answers bulging pockets in the
abdominal wall
You are seeing Mr. Lopez, a 68 y/o man with suspected acute colonic diverticulitis. In choosing
an appropriate imaging study to support this dx, what would be the most appropriate imaging? -
Answers CT w/ contrast
In the evaluation of acute diverticulitis the most appropriate diagnostic approach to rule out free
air in the abdomen includes - Answers plain abdominal film
A 56 y/o woman is dx with moderate diverticulitis. This is her second episode in the past 6
weeks. In addition to counseling her about inc. fluid intake and adequate rest, you recommend
antimicrobial tx with - Answers ciprofloxacin with metronidazole
A complication of colonic diverticulitis can include - Answers diverticular hemorrhage
Long term effects of PPI use includes all of the following except?
, inc. risk of hip fx
inc. risk of IBD
inc risk of C-Diff
dec. absorption of iron - Answers inc risk of ibd
Antiprostaglandin drugs such as systemic corticosteroids and NSAIDS can cause stomach
mucosal injuray primarily by - Answers altering the thickness of the mucosal layer
A 24 y/o man presents w/ 3 month hx of upper abd pain. He describes it as an intermittent,
centrally located burning feeling in hi supper abdomen, most often occurring 2-3 hours after
meals. He denies taking NSAIDS, aspirin or systemic corticosteroids and drinks approximately
one to two 12 oz beers per week. His presentation is most consistent with clinical presentation
of - Answers duodenal ulcer
When choosing pharmacological intervention to prevent recurrence of duodenal ulcer in a
middle aged man you prescribe - Answers tetracycline plus metronidazole
The H2RA most likely to cause drug interactions with phenytoin and theophylline is - Answers
cimetidine
Which of the following is least likely to be found in a patient with a gastric ulcer - Answers age
younger than 50 years
NSAID induced PUD can be best imited by the use of - Answers taking the medication with food
A 64 y/o woman presents with a 3 month hx of upper abd pain. She describes the discomfort as
intermittent, centrally located burning feeling in the upper abdomen, most often with meals and
often accompanied by mild nausea. Use of an OTC H2RA affords partial symptom relief. She
also uses diclofenac on a regular basis for the control of osteoarthritis pain. Her clinical
presentation is most consistent with - Answers gastric ulcer
To minimize the risk of adverse effects, PPI use should be limited to no longer than - Answers 2
months
PUD can occur in any of the following locations except - Answers lg intestine
An ulcer that is noted to be located in the region below
the lower esophageal sphincter and before the pylorus
is usually referred to as a(n) ________ ulcer.
A. duodenal
Approximately what % of the population will develop diverticulosis by the time they reach 50
years of age?` - Answers 33%
A 43 year old woman has a 12 hour hx of sudden onset of RUQ abdominal pain w/ radiation to
the shoulder, fever and chills. She has had similar, milder episodes in the past, especially after
eating fatty foods. Examination reveals marked tenderness to RUQ abdominal palpitation. Her
most likely dx is? - Answers Acute cholecystits
Which of the following is not usually seen in dx of acute cholecystitis?
elevated serum creatinine
inc. alkaline phosphate level
leukocytosis
elevated AST - Answers elevated serum creatinine
Murphy's sign can be best described as abdominal pain elicited by - Answers RUQ abdominal
palpitation
Most serious complication of cholecystitis - Answers pancreatitis
A 58 year old man reports intermittent RUQ abdominal pain. He has obesity and being actively
treated for hyperlipidemia. Imaging in a pt with suspected symptomatic cholelithiasis usually
includes obtaining an abdominal - Answers CT scan
Which of the following is most likely to be found with acute cholecystitis?
fever
vomiting
jaundice
palpable gallbladder - Answers vomiting
Risk factors for developing cholelithiasis include all of the following except?
rapid weight loss
,male gender
obesity
Native American Ancestry - Answers male gender
A gallstone that is not visualized on standard XR is said to be - Answers radiolucent
Colonic diverticulosis most commonly occurs in the walls of the - Answers sigmoid colon
Which of the following is most consistent with the presentation of a patient with acute colonic
diverticulitis? - Answers cramping, diarrhea, and leukocytosis
Major risk factors for diverticulosis include all of the following except?
low-fiber diet
older age
family hx of diverticulosis
select connective tissue disorders - Answers low-fiber diet
To avoid the development of acute diverticulitis, tx of diverticulosis can include - Answers the
use of fiber supplements
The location of discomfort w/ acute diverticulitis is usually in which of the following areas of the
abdomen? - Answers LLQ
Which of the following best describes colonic diverticulosis? - Answers bulging pockets in the
abdominal wall
You are seeing Mr. Lopez, a 68 y/o man with suspected acute colonic diverticulitis. In choosing
an appropriate imaging study to support this dx, what would be the most appropriate imaging? -
Answers CT w/ contrast
In the evaluation of acute diverticulitis the most appropriate diagnostic approach to rule out free
air in the abdomen includes - Answers plain abdominal film
A 56 y/o woman is dx with moderate diverticulitis. This is her second episode in the past 6
weeks. In addition to counseling her about inc. fluid intake and adequate rest, you recommend
antimicrobial tx with - Answers ciprofloxacin with metronidazole
A complication of colonic diverticulitis can include - Answers diverticular hemorrhage
Long term effects of PPI use includes all of the following except?
, inc. risk of hip fx
inc. risk of IBD
inc risk of C-Diff
dec. absorption of iron - Answers inc risk of ibd
Antiprostaglandin drugs such as systemic corticosteroids and NSAIDS can cause stomach
mucosal injuray primarily by - Answers altering the thickness of the mucosal layer
A 24 y/o man presents w/ 3 month hx of upper abd pain. He describes it as an intermittent,
centrally located burning feeling in hi supper abdomen, most often occurring 2-3 hours after
meals. He denies taking NSAIDS, aspirin or systemic corticosteroids and drinks approximately
one to two 12 oz beers per week. His presentation is most consistent with clinical presentation
of - Answers duodenal ulcer
When choosing pharmacological intervention to prevent recurrence of duodenal ulcer in a
middle aged man you prescribe - Answers tetracycline plus metronidazole
The H2RA most likely to cause drug interactions with phenytoin and theophylline is - Answers
cimetidine
Which of the following is least likely to be found in a patient with a gastric ulcer - Answers age
younger than 50 years
NSAID induced PUD can be best imited by the use of - Answers taking the medication with food
A 64 y/o woman presents with a 3 month hx of upper abd pain. She describes the discomfort as
intermittent, centrally located burning feeling in the upper abdomen, most often with meals and
often accompanied by mild nausea. Use of an OTC H2RA affords partial symptom relief. She
also uses diclofenac on a regular basis for the control of osteoarthritis pain. Her clinical
presentation is most consistent with - Answers gastric ulcer
To minimize the risk of adverse effects, PPI use should be limited to no longer than - Answers 2
months
PUD can occur in any of the following locations except - Answers lg intestine
An ulcer that is noted to be located in the region below
the lower esophageal sphincter and before the pylorus
is usually referred to as a(n) ________ ulcer.
A. duodenal
