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AG-ACNP – GI QUESTIONS & ANSWERS $13.99   Add to cart

Exam (elaborations)

AG-ACNP – GI QUESTIONS & ANSWERS

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AG-ACNP – GI QUESTIONS & ANSWERS

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  • November 11, 2024
  • 20
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ACNP
  • ACNP
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AG-ACNP – GI QUESTIONS & ANSWERS
What is the medical management of ulcerative colitis? Correct Ans-mesalamine (Canasa)
suppositories or enemas x 3-12 weeks

Hydrocortisone suppositories and enemas



Define mesenteric infarct. Correct Ans-Inadequate blood flow through the mesenteric
circulation leading to ischemia and gangrene of the bowel



What is the number one cause of mesenteric infarct? Correct Ans-Arterial or venous
thrombosis/emobolism.



What is the classic symptom of a mesenteric infarct? Correct Ans-Pain out of proportion to
physical exam findings

Sudden onset or cramping, colicky abdominal pain (usually after eating)



What is the diagnostic for mesenteric infarct? Correct Ans-Abdominal films

CT scan



What lab value is elevated in mesenteric infart? Correct Ans-Amylase




What is the medical management of mesenteric infarct? Correct Ans-Emergency surgical
intervention

,Define appendicitis. Correct Ans-Inflammation of the appendix caused by obstruction of the
appendiceal lumen. Surgical emergency - untreated, will develop gangrene within 36 hrs.



Pain associated with appendicitis is: Correct Ans-RLQ pain

Worse sitting still, and coughing



What is Psoas sign? Correct Ans-Pain with right thigh extention




What is Obturator's Sign? Correct Ans-Pain with internal rotation of flexed right thigh




What is a positive Rovsing's Sign? Correct Ans-RLQ pain when LLQ is pushed on




McBurney's Point is associated with what GI disorder? Correct Ans-Appendicitis. Pain
illicited with one finger on right lower quadrant



What is the standard diagnostic for appendicitis? Correct Ans-CT scan`




What is the medical management of appendicitis? Correct Ans-Stat surgical consult

IV broad spectrum abx

IVF

Pain management

, What is the most critical assessment finding in the differential diagnosis of the acute abdomen
with peritonitis, such as in a patient with a bowel perforation? Correct Ans-Rigidity



50 yo. M presents with complaints of decreased stool caliber, constipation, and black tarry stool.
You would:

a. consult general surgery for colon cancer resection

b. consult oncology

c. order more tests

d. 2 units PRBC stat Correct Ans-C. Order more tests




What is the classic xray finding associated with mesenteric infarct? Correct Ans-
thumbprinting on abdominal film



What two antibiotics are associated with C. difficile? Correct Ans-Clindamycin

Ampicillin



What is the drug of choice for treatment of C. diff? Correct Ans-metrondiazole (Flagyl)




Projectile vomiting is a hallmark symptoms of what GI disease? Correct Ans-Acute
pancreatitis

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