CMN 568 Unit 4 Study Exam Questions With Answers
A child who present to the ED with testicular pain requires what? - Answer-u/a and u/s
.A colonic transit time of what is considered significantly abnormal? - Answer-72 hours
.A lower tract source of gross hematuria in the absence of infecti...
A child who present to the ED with testicular pain requires what? - Answer-u/a and u/s
.A colonic transit time of what is considered significantly abnormal? - Answer-72 hours
.A lower tract source of gross hematuria in the absence of infection is most commonly
from what? - Answer-urothelial cell carcinoma of the bladder
.A person who tests neg. for serology and biopsy, but responds clinically to a gluten free
diet may have what? - Answer-gluten sensitivity
.After completion of H. pylori eradication therapy, what tx. should be continued if ulcer is
large or complicated? - Answer-PPI once daily for 4-6 weeks
.Antidiarrheal agents should not be used in who? - Answer-patients with bloody
diarrhea, high fever, or systemic toxicity
.Any male child that presents with abdominal pain - Answer-
.At what age does gastric ulcers most commonly occur? - Answer-55-70
.At what agesdoes duodenal ulcers most commonly occur? - Answer-30-55
.Diagnostic evaluation is limited to patients with acute noninflammatory diarrhea that
what? - Answer-is severe or persists beyond 7 days
.Diarrhea of less than 2 weeks duration is most commonly caused by what? - Answer-
invasive or noninvasive pathogens and their enterotoxins
.Difference between cystitis and pyelo? - Answer-fever
.Epigastric pain or burning, early satiety, or post-prandial fullness are s/s of what? -
Answer-dyspepsia
.Give an example of a noninflammatory cause of diarrhea? - Answer-norovirus and
rotavirus
.Give an example of an inflammatory cause of diarrhea? - Answer-CMV
.How are gallstones detected? - Answer-u/s
.How are NSAID induced ulcers prevented in at risk patients? - Answer-PPI QD
, Cox-2 selective NSAID (Celecoxib-don't given if cv disease)
Misoprostol
.How are urinary stone dx? - Answer-CT or u/s
.How can pain in the RLQ be illicited in a child that has suspected appendicitis? -
Answer-Hitting the soles of the feet and jumping up and down
.How is a malrotation diagnosed? - Answer-upper GI study
.How is celiac disease diagnosed through serology? What is the gold standard for dx? -
Answer-IgA tissue transglutiminase antibody testing (tTG); Small intestinal mucosal
biopsy
.How is confirmation of H.Pylori eradication done and when? - Answer-urea breath test,
fecal antigen, or biopsy at least 4 weeks after completion of abx and 1-2 weeks after
PPI tx.
.How is diagnosis confirmed for lactase deficiency? - Answer-hydrogen breath test
.How is dx of esophageal varices established? - Answer-by upper endoscopy
.How is traveler's diarrhea treated? - Answer-pepto and flagyl
.How is tx of constipation with laxatives usually initiated? - Answer-with osmotic
laxatives
.How is ulcerative colitis managed? - Answer-regular diet, limited caffeine and gas
producing vegetables and antidiarrheal agents as needed
.How long is pharmacotherapy for H.Pylori recommended? - Answer-14 days
.How long should diarrhea persist to be considered as chronic diarrhea? - Answer-
longer than 4 weeks
.How long should patients with GERD be instructed to avoid lying down after eating? -
Answer-3 hours
.How long should uncomplicated duodenal ulcers be tx with PPIs for? - Answer-4 weeks
.How long should uncomplicated gastric ulcers be tx with PPIs for? - Answer-8 weeks
.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
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