Abdominal Problems Flashcards Preview

NUR 726 Problems Of The Eye, Ear, Nose & Throat > Abdominal Problems > Flashcards

Flashcards in Abdominal Problems Deck (105)
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1

Lipids are broken down where in the GI tract?

A. Esophagus
B. Stomach
C. Small intestine
D. Large intestine

B. Stomach

2

Marvin, a known alcoholic with cirrhosis, is frequently admitted for coagulopathies and occasionally receives blood transfusions. His wife asks why he has a bleeding problem. You respond:
A. Occasionally he accumulates blood in the gut.
B. There is an interruption of normal clotting mechanisms.
C. Long term alcohol abuse has made his vessels very friable.
D. His bone marrow has been affected

B. There is an interruption of normal clotting mechanisms.

3

Jonas, age 34, had a Billroth II (hemigastrectomy and gastrojejunostomy) performed 1 week ago and just started eating a bland diet. What do you suspect when he complains of epigastric fullness, distention, discomfort, abdominal cramping, nausea, and flatus after eating?

A. Obstruction
B. Dumping syndrome
C. Metabolic acidosis
D. Infectious colitis

B. Dumping syndrome

4

A common complication of viral gastroenteritis in children is:

A. Dehydration
B. GI bleeding
C. Peritonitis
D Bacterial sepsis

A. Dehydration

5

The most important diagnostic test for celiac disease is:

A. Confirming malabsorption by lab tests
B. Barium enema
C. A peroral biopsy of the duodenum
D. A gluten free diet trial with an accompanying improvement in mucosal histological response

D. A gluten free diet trial with an accompanying improvement in mucosal histological response

6

What is the most common cause of melena?

A. Colon cancer
B. Upper GI bleeding
C. Drug abuse
D. Smoking

B. Upper GI bleeding

7

Which maneuver for diagnosing appendicitis is done by deep palpation over the LLQ with resultant pain in the RLQ?

A. Rovsing's sign
B. Psoas sign
C. Obturator sign
D. McBurney's sign

A. Rovsing's sign

8

Sam has UC and is on a low residue diet. Which foods do you recommend Sam avoid?

A. Potato skins, potato chips, and brown rice
B. Vegetable juices and cooked and canned vegetables
C. Ground beef, veal, pork, and lamb
D. White rice and pasta

A. Potato skins, potato chips, and brown rice

9

Which of the following treatments for UC is contraindicated?

A. A high calorie, nonspicy, caffeine free diet that is low in high residue foods and milk products
B. Corticosteroids in the acute phase
C. Antidiarrheal agents
D. Colectomy with permanent ileostomy in severe cases

C. Antidiarrheal agents

10

Olive has an acute exacerbation of Crohn's disease. Which lab test values would you expect to be decreased?

A. ESR
B. LFT
C. Vitamin A, B complex, and C levels
D. Bilirubin

C. Vitamin A, B complex, and C levels

11

You suspect Harry has a peptic ulcer and tell him that it has been found to be strongly associated with:

A. anxiety and panic attacks
B. long term NSAID use
C. infection with H. pylori
D. a family history of peptic ulcer

C. infection with H. pylori

12

You are doing routine teaching with a patient who has a family history of colorectal cancer. You know she misunderstands the teaching when she tells you:

A. decrease her fat intake
B. increase her fiber intake
C. continue her daily ASA use
D. increase her fluid intake

D. increase her fluid intake

13

The proper order of assessment of the abdomen is:

A. palpation, percussion, auscultation, inspection
B. inspection, palpation, auscultation, percussion
C. inspection, auscultation, percussion, palpation
D. percussion, auscultation, inspection, palpation

C. inspection, auscultation, percussion, palpation

14

Which of the following antibiotics causes more episodes of nausea and/or vomiting than the others?

A. Azithromycin
B. Erythromycin
C. Penicillin
D. Tetracycline

B. Erythromycin

15

Melva presents with an exacerbation of acute pancreatitis and you are going to admit her to the hospital. Which is the most important factor in determining a negative long term outcome for her?

A. age
B. infection
C. pain
D. length of time between exacerbations

B. infection

16

One of the alarm signs and symptoms of IBS that requires prompt investigation is:

A. blood or pus in the stool
B. weight gain
C. hyperkalemia
D. first onset in the teen years

A. blood or pus in the stool

17

In a 2 month old infant with vomiting an diarrhea, the most effective way to determine a fluid deficit is to check for:

A. decreased peripheral perfusion
B. hyperventilation
C. irritability
D. hyperthermia

A. decreased peripheral perfusion

18

The most common anal fissure location is:

posterior midline of anus

19

Rectal bleeding associated with anal fissure is usually described by the patient as:

drops of blood noticed when wiping

20

A 62 yo woman who reports frequent constipation is diagnosed with an anal fissure. First line therapy includes all of the following except:
A. stool bulking supplements
B. high fiber diet
C. intraanal corticosteroids
D. periodic use of mineral oil

C. intraanal corticosteroids

21

A 54 yo man with an anal fissure responds inadequately to dietary intervention and standard therapy during the past 2 weeks. Additional treatment options include all of the following except:

A. intraanal nitro ointment
B. botox to internal anal sphincter
C. surgical sphincterotomy
D. rubber band ligation of the lesion

D. rubber band ligation of the lesion

22

In a patient who presents with a history consistent with anal fissure but with notation of an atypical anal lesion, alternative diagnoses to consider include all of the following except:

A. condylomata acuminate
B. Crohn's disease
C. anal squamous cell carcinoma
D. C. difficile colitis

D. C. difficile colitis

23

Which of the following is the most likely patient report with anal fissure?

A. I have anal pain that is relieved with having a BM
B. Even after a BM, I feel like I still need to go more
C. I have anal pain for up to 1-2 hours after a BM
D. I itch down there almost all the time

C. I have anal pain for up to 1-2 hours after a BM

24

Long term, recurrent high dose oral use of mineral oil can lead to deficiency in:

vitamin A

25

Rectal bleeding associated with hemorrhoids is usually described as:

streaks of bright red blood on stool

26

Therapy for hemorrhoids includes all of the following except:

A. weight control
B. low fat diet
C. topical corticosteroids
D. stool softener

B. low fat diet

27

The NP is advising a 58 yo woman about the benefits of a high fiber diet. Which of the following foods provides the highest fiber content?

A. 1 small banana
B. 1 cup of cooked oatmeal
C. 1/2 cup of brown rice
D. medium sized blueberry muffin

D. medium sized blueberry muffin

28

A 62 yo man presents with a 2 month history of noting a bit of dark blood mixed in with my stool most days", PE reveals external hemorrhoids, no rectal mass, and a small amount of dark brown sool on the examining digit. In office occult test is positive, and a hemogram reveals a microcytic hypochromic anemia. The next best step is:

Refer to GI for colonoscopy

29

Risk factors for the development of hemorrhoidal symptoms include all of the following except:

A. prolonged sitting
B. insertive partner in anal intercourse
C. chronic diarrhea
D. excessive alcohol use

B. insertive partner in anal intercourse

30

Which of the following patients should be evaluated for possible surgical intervention for hemorrhoids?


A. a 28-year-old woman with symptomatic external hemorrhoids who gave birth 6 days ago


B. a 48-year-old man with Grade II internal hemorrhoids and improvement with standard medical therapy


C. a 44-year-old woman who has internal and external hemorrhoids with recurrent prolapse


D. a 58-year-old man who has Grade I internal hemorrhoids and improvement with psyllium supplements

C. a 44-year-old woman who has internal and external hemorrhoids with recurrent prolapse