CNM 586 CERTIFIED NURSE
MIDWIVES’ UNIT 5 (Abdominal Pain)
TEST QUESTIONS AND ACCURATE
SOLUTIONS RATED A.
, lOMoAR cPSD| 19857451
CMN 568 Unit 5- Acute Abdominal Pain
Study Guide with complete Solutions.
Which of the following is the treatment of choice with early diagnosis of
appendicitis, if an abscess develops, or in recurrent appendicitis?
a. Analgesics
b. IV fluids
c. Antibiotics
d. Appendectomy ⬛
✓ d. Appendectomy
Mengel 7
Which of the following is the MOST sensitive test for diagnosing acute
abdominal pain?
a. KUB
b. Abd U/S
c. CT
d. Upper endoscopy ⬛
✓ c. CT
- Useful for appendicitis, abscesses, AAA, diverticulitis, bowel obstruction,
tumors.
PPT18
Acute abdominal pain with LLQ tenderness and mass, fever, and leukocytosis
_`
are manifestations consistent with a diagnosis of:
a. Appendicitis
b. Diverticulitis
, lOMoAR cPSD| 19857451
c. Pancreatitis
d. Cholecystitis ✓
⬛ b.
Diverticulitis PPT 26
Which of the following diagnostic procedures would contraindicated during
the initial stages of an acute attack of diverticulitis?
a. CT scan with contrast
b. Barium enema
c. Flex sigmoidoscopy
d. All of the above
e. B and C ⬛
✓ e. B and
C PPT 28
The 50 year old patient c/o heartburn, typically 30 minutes after meals
when he reclines on his couch, in the absence of 'alarm' symptoms, what
should be the initial treatment?
a. PPI for 4-8 weeks
b. H2 antagonist for 4-8 weeks
c. Refer to GI for upper endoscopy
d. Antacids prn for heartburn ✓
⬛ a. PPI for 4-8
weeks Abd Pain PPT
Standard triple therapy of H. pylori-associated PUD includes all EXCEPT:
a. PPI po BID
b. Clarithromycin 500 mg po BID
, lOMoAR cPSD| 19857451
c. Amoxicillin 1 gm po BID
d. Bismuth subsalicylate 525 mg po BID ⬛
✓ d. Bismuth subsalicylate 525
mg po BID
Mengel 600
- Standard therapy lasts 14 days
Name the 2 main causes of PUD? ⬛
✓ NSAIDs and H. pylori
Name the 7 alarm symptoms of GERD.. ⬛
✓ 1. age > 55
2. anemia
3. melena
4. hematemesis
5. dysphagia
6. significant wt loss
7. difficult/painful swallowing
Smoking worsens symptoms in all of the following EXCEPT..
a. GERD
b. Ulcerative colitis
c. PUD
d. Crohn's ⬛
✓ b. Ulcerative
colitis PPT8
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