NR 511 Differential Diagnosis and
Primary Care- Final Exam Review
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 constipation, 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
11. A 28-year-old patent is seen in the clinic with colicky abdominal pain, particularly 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:
, NR 511 Differential Diagnosis and
Primary Care- Final Exam Review
17. :
18. A 54-year-old female presents to your primary care
office for routine reevaluation for gastroesophageal reflux
disease (GERD). She has been treated with diet
modifications and 6 weeks of omeprazole without
improvement of her
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 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 misunderstands 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
Primary Care- Final Exam Review
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 constipation, 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
11. A 28-year-old patent is seen in the clinic with colicky abdominal pain, particularly 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:
, NR 511 Differential Diagnosis and
Primary Care- Final Exam Review
17. :
18. A 54-year-old female presents to your primary care
office for routine reevaluation for gastroesophageal reflux
disease (GERD). She has been treated with diet
modifications and 6 weeks of omeprazole without
improvement of her
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 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 misunderstands 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
