Exam (elaborations)
NUR 631 Exam 2 Questions And Answers
- Course
- Institution
NUR 631 Exam 2 Questions And Answers NUR 631 Exam 2 Questions And Answers NUR 631 Exam 2 Questions And Answers
[Show more]
Content preview
NUR 631 Exam 2What are examples of things that can cause visceral pain? - ANS Intestine, biliary tree, liver disease
What are examples of things that can cause parietal pain? - ANS Appendicitis, peritonitis
What are examples of things that can cause referred pain? - ANS Cholecystitis
What are examples of things that can cause colicky pain? - ANS Renal stones
What is the order in which you should perform an abdominal physical exam? - ANS 1. inspection
2. auscultation
3. percussion
4. palpation
What diagnosis would you consider for a 30 year old with heart burn, early satiety, burping and
generalized abdominal pain? - ANS Dyspepsia related to gastritis
What diagnosis would you consider for a 50 YEAR OLD SMOKER with heart burn and abdominal pain? -
ANS Colon cancer
How high is the bilirubin level when the patient is starting to develop physical jaundice? - ANS 2.5 or
higher
______________ bilirubin is unconjugated, which means that it has not been metabolized by the liver or
made into a water soluble form of bilirubin - ANS Indirect bilirubin
,________________ is processed bilirubin that is water soluble - ANS Direct bilirubin
What are some of the causes of elevated indirect bilirubin levels? - ANS - hemolysis
- heart failure
- Gilbert syndrome
- neonates
- hyperthyroidism
- chronic hepatitis & advanced liver cirrhosis
What are some of the causes of elevated direct bilirubin levels? - ANS - choledocholithiasis
- tumors
- AIDS
- acute/chronic pancreatitis
- viral hepatitis
- alcoholic hepaitits
- biliary tree cholangitis
- sepsis
- TPN
- postoperative cholestasis
- sickle cell disease
- pregnancy
- end stage liver disease
What does a history of fever, chills and RUQ pain indicate? - ANS Acute cholangitis
,What does RUQ pain with a history of anorexia, malaise and myalgias indicate? - ANS Viral hepatitis
What is the terminology for when the gallbladder is so distended that you can palpate it? - ANS
Courvoiser Sign
What is the terminology for inspiratory arrest that occurs when you are putting pressure on the RUQ
due to inflammed gallbladder? - ANS Murphey's Sign
Which liver enzyme is specific for hepatocytes? - ANS ALT
Which liver enzyme is more specific to alcohol, statins and tylenol use? - ANS AST
If the ratio of AST to ALT is 2 to 1, what does this indicate? - ANS Liver damage due to alcohol, statins or
tylenol
If the ratio of ALT is twice as high as AST, what does this indicate? - ANS Viral hepatitis
What is the normal range for ALT and AST? - ANS 30-40
What does an elevated ALT, AST and Alk Phos indicate? - ANS Gallbladder obstruction
What are the signs and symptoms in a patient that has MILD melena? - ANS Resting tachycardia
What are the signs and symptoms in a patient that has melena with a blood volume loss of at least 15%?
- ANS Orthostatic hypotension
, What are the signs and symptoms of a patient that has melena with a blood volume loss of at least 40%?
- ANS Supine hypotension + abdominal pain
What type of anemia would someone with melena have? - ANS Iron deficiency anemia
What is the gold standard diagnostic test for a patient with Melena? - ANS Endoscopy
What are the leading causes for dysphagia? - ANS Alzheimer disease + stroke
This type of dysphagia is due to a tumor that is obstructing the passage of food - ANS Mechanical
dysphagia
This type of dysphagia is due to a neurological deficit resulting in the inability to swallow - ANS
Functional dysphagia
What is the gold standard diagnostic test for dysphagia? - ANS Video fluoroscopic swallow study
IF a patient over the age of 50 comes in with dysphagia, what would you assume? - ANS Esophegeal
cancer
If a patient comes in with SUDDEN dysphagia, what would you assume? - ANS Patient had a stroke
What is the term used to describe the chronic immunological disease that manifests in intestinal
inflammation? - ANS Inflammatory Bowel Disease
What is the term used to describe a clinical syndrome of uncertain etiology characterized by lower
abdominal pain and alternating diarrhea and/or constipation - ANS Irritable Bowel Syndrome
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 lectjoseph. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62890 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now