TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS
RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
MSN 620 module 5 GI Practice
Questions and Answers | 100% Pass
A 45-year-old female presents with vague abdominal pain. She has been having this
pain intermittently for the last five years but did not seek medical attention earlier. The
pain is the strongest in the right hypochondrium. Physical examination reveals mild
tenderness to deep palpation in the right hypochondrium. An ultrasound exam reveals
the presence of gallstones. The patient refuses all surgical options and asks for strictly
nonsurgical treatment. Which of the following treatments is the most likely to provide the
highest benefit to this patient? - Correct Answer✔️✔️-Ursodeoxycholic acid
A 44-year-old man presents with progressing right upper quadrant abdominal pain with
bloating, food intolerances, especially to greasy and spicy foods, increased gas,
nausea, and vomiting. He complains of intermittent pain in the mid back and right
shoulder. His history is significant for alcohol use disorder averaging 9 drinks a day.
What is the preferred next step in his management? - Correct Answer✔️✔️-Check
complete blood count, and alkaline phosphatase, aspartate aminotransferase, bilirubin
total, and direct levels
A 52-year-old woman presents with an 8-hour history of nausea and right upper
quadrant pain. She has no significant past medical history. Her temperature is 100.5 °F
(38 °C). Physical examination reveals rebound tenderness in the right upper quadrant.
1/18
,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS
RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
Laboratory testing shows a WBC count of 11,000/mm3, normal transaminase levels,
and a negative urine dipstick test. She asks about her management. What is the
preferred response to her inquiry? - Correct Answer✔️✔️-She will be scheduled for a
laparoscopic cholecystectomy.
A 57-year-old man presents with heartburn following meals, burning chest pain at night,
and a continuous dry cough. Vital signs are heart rate 78 bpm, blood pressure 120/70
mm Hg, and respiratory rate 14 breaths/min. The physical examination, including chest
auscultation, is normal. His hemoglobin level is 14 g/dL, mean corpuscular volume of 95
fL, white blood cell count of 4600/mm3, and platelet count of 340,000/mm3. Initially, the
clinician advises certain lifestyle modifications. Which of the following behavioral
changes would help provide appropriate symptomatic relief? - Correct Answer✔️✔️-
Sleeping on the left side.
A 55-year-old man presents with retrosternal burning off and on for the last few months.
The burning is worse after heavy meals and relieved after taking over-the-counter
antacids. Vital signs are normal. On physical examination, he appears well, and his
systemic examination is unremarkable. Which of the following, if present, will prompt
further investigation? - Correct Answer✔️✔️-Dysphagia.
A 55-year-old woman presents with progressive difficulty swallowing solid foods and
epigastric discomfort. Symptoms persist despite the use of proton pump inhibitors. Vital
signs are temperature 98.6 °F (37 °C), heart rate 73 bpm, blood pressure 130/80 mm
2/18
, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS
RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
Hg, respiratory rate 18 breaths/min, and BMI 32 kg/m2. The physical examination is
normal. The electrocardiogram and chest X-ray do not reveal any pathology. Laboratory
results are a Hb level of 12 g/dL, a WBC of 4800/mm3, and a platelet count of
270,000/mm3. The serum amylase level is 50 U/L (normal: 30 to 125 U/L). Which of the
following is the most appropriate next step in management? - Correct Answer✔️✔️-
Endoscopic evaluation with a biopsy
A 45-year-old woman presents with a retrosternal burning sensation. Her symptoms
worsen after eating heavy meals. Associated symptoms include hoarseness and
persistent dry cough. Vital signs are temperature 98.6° F (37° C), heart rate 70 bpm,
blood pressure 130/70 mm Hg, and respiratory rate 18 breaths/min. Her body mass
index is 32 kg/m2. The physical examination does not reveal any abnormal findings.
Laboratory tests reveal a hemoglobin of 12 g/dL, a WBC of 4100/mm3, and a platelet
count of 250,000/mm3. The electrocardiogram shows a normal sinus rhythm. Which of
the following is the most appropriate management? - Correct Answer✔️✔️-Proton-pump-
inhibitor; twice daily for 8 to 12 weeks
A 45-year-old man presents with hoarseness. He initially presented with a 2-month
history of a troublesome nocturnal cough that woke him up at night. He denies any
allergies, tobacco use, or alcohol use. He underwent pulmonary function tests, with
normal findings. Vital signs are normal. Physical examination reveals normal findings.
He was assessed with flexible laryngoscopy that shows edema of the arytenoids and
the posterior larynx. Laboratory tests and a chest X-ray demonstrated normal results.
3/18
