Unit 4: CMN568/ CMN 568 (New 2023/ 2024)
Intro to Family NP Exam Questions and Verified
Answers| 100% Correct| Grade A
QUESTION
In patients with severe protein deficiency, what is necessary to test
for celiac disease?
Answer:
biopsy
QUESTION
What should a patient with positive serology and normal biopsies
have done if celiac disease is suspected?
Answer:
be put on a gluten free diet trial
QUESTION
A person who tests neg. for serology and biopsy, but responds
clinically to a gluten free diet may have what?
Answer:
gluten sensitivity
QUESTION
Epigastric pain or burning, early satiety, or post-prandial fullness are
s/s of what?
Answer:
dyspepsia
,QUESTION
What diagnostic procedure is warranted in patients with alarm
features or in those older than 55?
Answer:
endoscopy
QUESTION
In patients without alarm features,<55 y/o, and s/s of dyspepsia,
what should first be done?
Answer:
Testing for H. Pylori and a 4 week trial of PPI
QUESTION
What is the most common cause of chronic dyspepsia?
Answer:
functional dyspepsia
QUESTION
What is the typical profile of functional dyspepsia?
Answer:
younger, report a variety of abdominal and extraGI
complaints, show signs of anxiety or depression, or has a hx.
of psychotropic medication use
QUESTION
In patients older than 55 with c/o symptoms associated with
dyspepsia, what lab tests should initially be done?
Answer:
,CBC, electrolytes, liver enzymes, calcium, and thyroid tests,
urea breath test (or other noninvasive tests for H. Pylori)
QUESTION
In most clinical settings, a test for what should initially be done in
patients with c/o of dyspepsia?
Answer:
H. Pylori
QUESTION
What are 3 noninvasive tests for H. Pylori?
Answer:
urea breath test, fecal antigen, and IgG serology
QUESTION
What are "alarm features"?
Answer:
weight loss, dysphagia, recurrent vomiting, evidence of bleeding, or
anemia
QUESTION
What is the study of choice to diagnose gastroduodenal ulcers,
erosive esophagitis, or upper GI malignancies?
Answer:
upper endoscopy
QUESTION
, what is warranted when symptoms of dyspepsia fail to respond to
initial empiric management strategies within 4-8 weeks or when
frequent symptoms relapse occurs after d/c of antisecretory
therapy?
Answer:
endoscopy
QUESTION
If a patient has symptom relapse after discontinuation of a 4
week empiric trial of PPIs, what should be done next?
Answer:
test for H. Pylori and tx if positive
QUESTION
What patient education should be included in the treatment and
management of patients with functional dyspepsia?
Answer:
Avoid alchohol and caffeine. Consume small, low-fat meals
QUESTION
What pharmacologic agents are used to tx. functional dyspepsia?
Answer:
4-8 weeks of PPIs, low doses of antidepressants
QUESTION
What black box warning is associated with metoclopramide when
used for more than 3 months? who is at the most risk?
Answer:
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller PROCTORIO. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.00. You're not tied to anything after your purchase.