CMSRN Exam |Questions with 100%
Correct Answers
which type of bowel obstruction is characterized by gradual onset, pain is low grade, absence
of stool, distention, high bitches bowel sounds - ✔ ✔ large bowel obstruction
which type of bowel obstruction is characterized by rapid onset, crampy colicky pain,
emesis, distention, high pitched bowel sounds - ✔ ✔ small bowel obstruction
which type of bowel obstruction is more likely to need surgical intervention? - ✔ ✔ large
bowel obstruction
sac like herniation of large bowel that can get food or fecal matter trapped and lead to
inflammation/infection? - ✔ ✔ diverticulitis
complications of diverticulitis - ✔ ✔ perforation, peritonitis, bleeding
Causes of cholecystitis - ✔ ✔ gall stones, bile stasis
,what type of infection manifests with RUQ pain, N/V, biliary colic, fever, and murphys sign? -
✔ ✔ cholecystitis
Palpation under rib causes cessation of inspiration; sign + indication? - ✔ ✔ murphys
sign, indicates cholecystitis
what kind of diet should a patient with cholecystitis eat? - ✔ ✔ low fat
what type of infection manifests with belly button and RLQ pain (acute), rebound tenderness,
fever, N/V, elevated WBC, decreased appetite, gas/bloating? - ✔ ✔ appendicitis
what sign is indicative of pancreatitis and shows as a gray color on the flank (looks like
old bruise)? - ✔ ✔ grey turner sign
Diet for pancreatitis (after NPO status) - ✔ ✔ High carb and protein, low fat.
which organ in the GI tract produces antibodies, prothrombin, fibrinogen, albumin, metabolizes
glucose (stores and releases), bile salt formation, detox of noxious agents - ✔ ✔ liver
Tylenol (acetaminophen) is toxic to which organ and can cause hemorrhage/damage? - ✔ ✔ liver
which hepatitis must you report to health dept? - ✔ ✔ hepatitis A
hepatitis: stage that is 7-10 days and manifests with malaise, fever, anorexia, no jaundice
- ✔ ✔ prodromal
hepatitis: stage that is 4-6 weeks, liver is unable to convert bili to bile - ✔ ✔ icteric
, hepatitis: stage that is 2-4 months, "convalescent phase" - ✔ ✔ post icteric
hepatitis: stage that is 4-6 months - ✔ ✔ recovery
which type of liver failure is associated with rapid onset hepatic encephalopathy and a 50%
mortality rate? - ✔ ✔ acute liver failure
causes of acute liver failure? - ✔ ✔ drug toxicity, viral hepatitis, B or C
what is the most common cause of liver failure? - ✔ ✔ acetaminophen
signs and symptoms of acute liver failure - ✔ ✔ AMS, bleeding, jaundice, elevated bleeding times
causes of chronic liver failure - ✔ ✔ ETOH abuse, cirrhosis, biliary and cardiac disease, cancer
What is Laennec's Cirrhosis caused by? - ✔ ✔ alcohol abuse
signs and symptoms of chronic liver failure - ✔ ✔ ascites, portal hypertension,
encephalopathy, GI sx
diet for patients with liver failure? - ✔ ✔ high calorie, low protein, low fat, low sodium
medications for liver failure? - ✔ ✔ lactulose and rifaximin
diet for patients with bariatric surgery - ✔ ✔ high protein and nutrients, small frequent fluids