NURS 623 FinalQ-The proper order of assessing the abdomen is - correct answer
inspection, auscultation, percussion, palpation.
When percussing the abdomen, hyperresonance is present: - correct answer When
there is gaseous distention
A 35-year-old female patient is seen in the clinic complai...
NURS 623 FinalQ-The proper order of assessing the abdomen is - correct answer ✔
inspection, auscultation, percussion, palpation.
When percussing the abdomen, hyperresonance is present: - correct answer ✔ When
there is gaseous distention
A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which
of the following should be included in the history and physical exam?
A. Digital Rectal Exam
B. Pelvic Exam
C. Sexual History
D. All of the above - correct answer ✔ D. All of the above
A 28-year-old patient is seen in the clinic with colicky abdominal pain, particularly with
meals. She has frequent constipation, flatulence, and abdominal distension. Which of
the data make a diagnosis of diverticulitis unlikely?
A. Her age
B. Flatulence
C. Frequent constipation
D. Colicky abdominal pain - correct answer ✔ A. Her Age
A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain
after meals. She is often constipated and takes laxatives. Following this, she has
diarrhea for a couple of days. She temporarily feels better after a bowel movement. She
states she is embarrassed by flatulence and has abdominal distension. She has had no
weight loss or blood in her stool. This problem has gone on for about 6 months. What
should the next step be?
A. Obtain a complete history
B. Order a barium enema.
C. Schedule a Bernstein's test.
D. Prescribe a trial of antispasmodics. - correct answer ✔ A. Obtain a complete history
A 46-year-old female patient is seen in the clinic with abdominal pain. Which of the
following tests is essential for this patient?
A. CBC
B. Urine HCG
C. Barium enema
D. CT - correct answer ✔ B. Urine HCG
A patient is seen in the clinic with right upper quadrant (RUQ) pain that is radiating to
the middle of the back. The clinician suspects acute cholelithiasis. The clinician should
expect which of the following laboratory findings?
A. Decreased ALT and AST
B. Elevated alkaline phosphatase
C. Elevated indirect bili
D. Decreased WBC - correct answer ✔ B. Elevated alkaline phosphatase
, NURS 623 Final Study Guide Graded A
A 45-year-old patient presents with a chief complaint of generalized abdominal pain.
Her physical exam is remarkable for left lower quadrant (LLQ) tenderness. Which of the
following should be considered in the differential diagnosis at this time?
A. Endometriosis
B. Colon Ca
C. Diverticulitis
D. All of the above - correct answer ✔ D. All of the above
You assess for Cullen's sign in Dan, age 62, after surgery. Cullen's sign may indicate: -
correct answer ✔ Intra-abdominal bleeding
Marian, age 52, is obese. She complains of a rapid onset of severe right upper quadrant
abdominal cramping pain, nausea, and vomiting. Your differential diagnosis might be -
correct answer ✔ cholecystitis.
Most common cause of constipation - correct answer ✔ lack of dietary fiber (RDA=30g)
A patient is seen in the office and is complaining of constipation. The patient lists all of
the following medications. Which drug could be responsible for the constipation? -
correct answer ✔ Pepto-bismol
Which of the following pharmacological agents used to treat constipation may cause
flatulence and bloating and requires adequate fluid intake? - correct answer ✔ Bulking
agents
Which laxative is safe for long-term use? - correct answer ✔ Methylcellulose ( Citrucel)
Simon states that he is worried because he has a bowel movement only every third day.
You respond, - correct answer ✔ There is no such thing as a " normal pattern of
defecation"
Sigrid, age 82, has irritable bowel, chronic constipation, and diverticulitis. Which
pharmacological agent do you recommend? - correct answer ✔ Bulking agents
which hepatic enzyme is increased with viral hepatitis, drug or chemical associated
hepatitis or non alcoholic fatty liver disease - correct answer ✔ Alanine
aminotransferase (ALT).
ALT usually increases higher than AST >10times ULN in what conditions - correct
answer ✔ viral, drug or chemical associated hepatitis
ALT usually increases higher than ALT at 3 times ULN in what conditions - correct
answer ✔ Non Alcoholic Fatty Liver Disease
Hepatic enzyme is elevated with alcoholic hepatic injury and acetaminophen overdose -
correct answer ✔ Asparate aminotransferase (AST)
AST & ALT are markedly elevated over 20times normal in what condition - correct
answer ✔ Acetaminophen overdose
AST is usually higher or lower than ALT in alcoholic hepatic injury - correct answer ✔
AST higher than ALT
Which of the following statements is true regarding the treatment of carpal tunnel
syndrome?
A. Corticosteroid injections are discourage in the treatment of carpal tunnel syndrome
because of the risks for median nerve damage, scarring, & infection.
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