1
NR511 Midterm 2026 Questions and
Answers (100% Correct Answers)
Already Graded A+
Appendicitis Ans: -Risk: 10-30yo, men, low fiber, high
fat/sugar/carb diet
-S: Mild to severe colicky epigastric or periumbilical pain, but
© 2026 Assignment
in 24 hours, moves to RLQ and exacerbated by walking or
coughing.May radiate to testicles. maybe vomiting, sensation
of constipation, but diarrhea present. low grade temp. chills &
Guru01 - Stuvia
sudden cessation of pain=perforation
Expert
-O: HTN/Tachy, flex R knee up to relieve pain when recumbent,
guarding, rebound tenderness.
-Dx: + Rovsing, Psoas, Obturator, McBurney's sign
-Tx: Appendectomy
-Edu: avoid lifting for 2 weeks.
Celiac Disease Ans: -Risk:family hx, downs syndrome, HLA-
DQ2(or 8), turners syndrome, type 2 DM or thyroiditis
-S:asymptomatic OR diarrhea, wt loss, dyspepsia, flatulence,
fatigue, joint pain, depressed mood, amenorrhea, difficulty
getting pregnant, early menopause
-O: may be normal, OR muscle wasting, pallow, reduced sub q
fat, ataxia, peripheral neuropathy
, 2
-Dx: Serologic testing for anti-tTG IgA antibodies, Total IgA,
Upper GI scope (look at damage). or no Dx- just try diet
changes
-Tx: gluten free diet
cholelithiasis (gallstones) Ans: -Risk: Female, obese, pregnant,
incr age, drug induced, rapid wt loss, spinal cord injury, DM,
Sickle cell anemia. Pigmented stones: hemolytic disease, icr
age, hyperalimentation, cirrhosis, biliary stasis
© 2026 Assignment
-S:indigestion, n/v, colicky-type pain, RUQ or epigastric pain,
referred pain to middle back, r shoulder, or infrascapular area,
Guru01 - Stuvia
pain incr by movement (breathing)
Expert
-O: + murphy's sign (hold deep breath, palpate R subcostal
area), low fever, mild jaundice, edema, dim BS
-Dx: ABD ultrasound
-Tx: low fat diet, cholecystectomy, lithotripsy
-Edu:wt loss, avoid fatty food, avoid OCs and estrogen
Crohn's disease Ans: -Risk: family hx, smoking, genetics, early
adulthood
-S:Abd cramping, tenderness, fever, anorexia, wt loss,
flatulence, RLQ pain or mass. Semi liquid stools (may have
blood), steatorrhea, gradual onset
-O: LLQ or entire abd tenderness, duarding, distentionanal
gissures, skin tags
, 3
-Dx:stool analysis & culture (to r/o other cause), barium upper
GI series (aphthous and linear ulcers. Late- "string sign"),
Colonoscopy, Ct scan
-Tx: sulfasalazine (but not beneficial). glucocorticoids
(prednisone), metronidazole, immunosuppressants
-Edu: low-residue diet when obstructive symptoms present,
avoid all fiber. eat what they want when no attack
© 2026 Assignment
Diverticulitis Ans: -risk: >40yo, low fiber diet, chronic
constipation, straining, irregular BMs, diverticula in the colon
Guru01 - Stuvia
-S: Fever, chills, tachycardia, LLQ pain,n/v,anorexia, pain is
Expert
relieved with BM, constipation & diarrhea, abd tenderness &
distention. *may present with bleeding not associated with
pain*
-O: LLQ pain, firm, fixed mass in the area of the diverticula.
rebound tenderness, guarding, tender rectum, + blood in BM
-dx:mild leukocytosis, low H&H, ABD X-ray if perforation or
peritonitis suspected. CT scan most accurate
-tx: no routine ATB (but augmentin or metronidazole when
needed),
-edu: high fiber diet
Peptic Ulcer Disease Ans: -risk: H.pylori, NSAIDs, ASA, stress,
55-70yo, blood type, genetics, smoking, COPD, cirrhosis, renal
failure & transplant, caffeine, ETOH, spicy foods
-S: epigastric burning or gnawing pain relieved by food or
antacids. nocturnal pain,
NR511 Midterm 2026 Questions and
Answers (100% Correct Answers)
Already Graded A+
Appendicitis Ans: -Risk: 10-30yo, men, low fiber, high
fat/sugar/carb diet
-S: Mild to severe colicky epigastric or periumbilical pain, but
© 2026 Assignment
in 24 hours, moves to RLQ and exacerbated by walking or
coughing.May radiate to testicles. maybe vomiting, sensation
of constipation, but diarrhea present. low grade temp. chills &
Guru01 - Stuvia
sudden cessation of pain=perforation
Expert
-O: HTN/Tachy, flex R knee up to relieve pain when recumbent,
guarding, rebound tenderness.
-Dx: + Rovsing, Psoas, Obturator, McBurney's sign
-Tx: Appendectomy
-Edu: avoid lifting for 2 weeks.
Celiac Disease Ans: -Risk:family hx, downs syndrome, HLA-
DQ2(or 8), turners syndrome, type 2 DM or thyroiditis
-S:asymptomatic OR diarrhea, wt loss, dyspepsia, flatulence,
fatigue, joint pain, depressed mood, amenorrhea, difficulty
getting pregnant, early menopause
-O: may be normal, OR muscle wasting, pallow, reduced sub q
fat, ataxia, peripheral neuropathy
, 2
-Dx: Serologic testing for anti-tTG IgA antibodies, Total IgA,
Upper GI scope (look at damage). or no Dx- just try diet
changes
-Tx: gluten free diet
cholelithiasis (gallstones) Ans: -Risk: Female, obese, pregnant,
incr age, drug induced, rapid wt loss, spinal cord injury, DM,
Sickle cell anemia. Pigmented stones: hemolytic disease, icr
age, hyperalimentation, cirrhosis, biliary stasis
© 2026 Assignment
-S:indigestion, n/v, colicky-type pain, RUQ or epigastric pain,
referred pain to middle back, r shoulder, or infrascapular area,
Guru01 - Stuvia
pain incr by movement (breathing)
Expert
-O: + murphy's sign (hold deep breath, palpate R subcostal
area), low fever, mild jaundice, edema, dim BS
-Dx: ABD ultrasound
-Tx: low fat diet, cholecystectomy, lithotripsy
-Edu:wt loss, avoid fatty food, avoid OCs and estrogen
Crohn's disease Ans: -Risk: family hx, smoking, genetics, early
adulthood
-S:Abd cramping, tenderness, fever, anorexia, wt loss,
flatulence, RLQ pain or mass. Semi liquid stools (may have
blood), steatorrhea, gradual onset
-O: LLQ or entire abd tenderness, duarding, distentionanal
gissures, skin tags
, 3
-Dx:stool analysis & culture (to r/o other cause), barium upper
GI series (aphthous and linear ulcers. Late- "string sign"),
Colonoscopy, Ct scan
-Tx: sulfasalazine (but not beneficial). glucocorticoids
(prednisone), metronidazole, immunosuppressants
-Edu: low-residue diet when obstructive symptoms present,
avoid all fiber. eat what they want when no attack
© 2026 Assignment
Diverticulitis Ans: -risk: >40yo, low fiber diet, chronic
constipation, straining, irregular BMs, diverticula in the colon
Guru01 - Stuvia
-S: Fever, chills, tachycardia, LLQ pain,n/v,anorexia, pain is
Expert
relieved with BM, constipation & diarrhea, abd tenderness &
distention. *may present with bleeding not associated with
pain*
-O: LLQ pain, firm, fixed mass in the area of the diverticula.
rebound tenderness, guarding, tender rectum, + blood in BM
-dx:mild leukocytosis, low H&H, ABD X-ray if perforation or
peritonitis suspected. CT scan most accurate
-tx: no routine ATB (but augmentin or metronidazole when
needed),
-edu: high fiber diet
Peptic Ulcer Disease Ans: -risk: H.pylori, NSAIDs, ASA, stress,
55-70yo, blood type, genetics, smoking, COPD, cirrhosis, renal
failure & transplant, caffeine, ETOH, spicy foods
-S: epigastric burning or gnawing pain relieved by food or
antacids. nocturnal pain,
