med surg s/s

Question 1

pain, visible peristaltic waves, n/v, fecal vomit, obstipation, f&e imbalances, metabolic alkalosis

Answer 1

small bowel obustruction

Question 2

intermittent lower abdominal cramping & distention, minimal vomiting, obstipation or ribbon-like stool, metabolic acidosis

Answer 2

large bowel obstruction

Question 3

changes in bowel or bladder habits, bloody & narrowed stools, constipation or diarrhea, excessive gas, abd distention or pain, anemia, fatigue, weight loss

Answer 3

colorectal cancer

Question 4

sharp constant pain on left side of abd, fever, bloating, n/v, maybe blood in stools, symptoms only when inflamed

Answer 4

diverticulitis

Question 5

n/v, fever, chills, tachy, jaundice, sever pain in upper abd radiating to back or chest, inc amylase, lipase, & WBCs

Answer 5

acute pancreatitis

Question 6

pain, tenderness, positive murphys sign, rigidity of RUQ that radiates to midsternal point or right shoulder, n/v, fever, jaundice, distention

Answer 6

cholecystitis

Question 7

frequent BM, weight loss, low RBC (anemia), abd cramps, f&e imbalance, fever, rectal bleeding, severe diarrhea, steatorrhea

Answer 7

ulcerative colitis

Question 8

steatorrhea, weight loss, autoimmune, diarrhea, n/v, abd pain & distention (RLQ), fatigue, fever, f&e imbalances, mouth ulcers, anal fissures, malnourished

Answer 8

crohns disease

Question 9

dysphagia, regurgitation, and pyrosis

Answer 9

achalasia

Question 10

chest pain, subcutaneous emphysema, nodules on chest, hamman’s sign

Answer 10

boerhaave’s syndrome

Question 11

hematemesis

Answer 11

bloody vomit – malloery-weiss syndrome

Question 12

lack of appetite, n/v, weight loss, fatigue h/a, chills (what type of jaundice)

Answer 12

hepatocellular jaundice

Question 13

dark orange-brown urine, steatorrhea, pruritus, dyspepsia, intolerance of fats

Answer 13

obstructive jaundice

Question 14

elevated ammonia and other toxins that can progress to seizures or coma

Answer 14

hepatic encephalopathy

Question 15

anorexia, n/n, jaundice, hepatomegaly

Answer 15

toxic hepatitis

Question 16

liver enlargement, portal obstruction, ascites, infection, peritonitis, GI varices, edema, AMS, rigid board like RUQ

Answer 16

liver cirrhosis

Question 17

what diagnostic test do you do for cholesystiis

Answer 17

HIDA scan

Question 18

severe midepigastric pain unrelieved by antacids, palpable abd mass, dec peristalsis, ecchymosis around umbilicus, signs of shock, vomiting that doesn’t relieve nausea

Answer 18

acute pancreatitis

Question 19

painful attacks w no opioid relief, anorexia, weight loss, steatorrhea

Answer 19

chronic pancreatitis

Question 20

radiating mouth/ tooth pain and swollen lymph nodes (lymphadenopathy)

Answer 20

periapical abscess

Question 21

dry mucous membranes, pain, swelling of jaw, fever, purulent drainage from duct

Answer 21

sialadenitis

Question 22

odynophagia & halitosis

Answer 22

esophageal tumor

Question 23

intermittent tightening of esophagus that feels like pyrosis but it’s caused by what pt ate

Answer 23

esophageal spams

Question 24

dysphagia, reflux, nocturnal cough, halitosis

Answer 24

esophageal diverticula

Question 25

irritating, inflammation, chest pain, pyrosis, pain w eating or bending, gas, regurgitation, odynophagia

Answer 25

GERD

Question 26

asymptomatic, anorexia, stomach pain, n/v, bloating, melena

Answer 26

acute gatritis

Question 27

melena, pain relief with food intake then gets bad later, from h. pylori

Answer 27

duodenal PUD

Question 28

from meds, pain with eating and not relieved, anorexia

Answer 28

gastric PUD

Question 29

rigid abd, pain, fever, fetal position

Answer 29

perforation, peritonitis

Question 30

n/v, dec or no gas, feeling full, distention, caused by scar tissue

Answer 30

pyloric obstruction/stenosis

Question 31

n/v, pain, fever, tachy, no bowel sounds, distention (type of hernia)

Answer 31

strangulation hernia

Question 32

altered bowel patterns, pain, bloating, distention, chronic diarrhea, constipation

Answer 32

IBS

Question 33

diarrhea, steatorrhea, abd pain, distention, flatulence, weight loss, autoimmune response to gluten

Answer 33

celiac disease

Question 34

Early s/s: vertigo, tachy, syncope, diaphoresis, desire to lie down Late (1.5-3hrs after eating) s/s: dizziness, palpations, confusion

Answer 34

dumping syndrome

Question 35

malaise, n/v/d, rectal bleeding, fever, anorexia, abd cramps

Answer 35

gasteroenteritis

Question 36

dull, stabing pain progressing to localized RLQ pain, fever, nausea, anorexia, sudden pain relief is bad

Answer 36

apendicitis

Question 37

abd pain, tenderness, distention, rigid board-like, fever, dec urine, n/v, inc pulse & BP, dec bowel sounds

Answer 37

peritonitis

Question 38

mycomyst (Acetylcysteine) (2)

Answer 38

used for tylenol OD smells bad

Question 39

metamucil (psyllium)

Answer 39

antidiarrheal & laxative

Question 40

hydromorphone

Answer 40

pain reliever in cirrhotic patients

Question 41

kayexalate (2)

Answer 41

used to treat hyperkalemia passes through intestines w/o being absorbed into bloodstream

Question 42

imodium

Answer 42

antidiarrheal

Question 43

carafate (2)

Answer 43

coats stomach lining take on empty stomach

Question 44

aldomet

Answer 44

causes liver problems

Question 45

nydrazid (isoniazid) (2)

Answer 45

treats TB take on empty stomach

Question 46

lactulose (2)

Answer 46

laxative-- ammonia into feces sweet taste

Question 47

4 main cholelithiasis meds

Answer 47

urso chenodiol MTBE meperidine (demerol)

Question 48

urso (2)

Answer 48

dissolves and prevents gallstones causes back pain

Question 49

chenodiol (3)

Answer 49

dec biliary cholestrol Don’t take w any other cholesterol meds for @ least 4 hours caution diarrhea

Question 50

MTBE

Answer 50

dissolves gallstones used to make gasoline

Question 51

pain med for cholelithiasis

Answer 51

meperidine (demerol)

Question 52

nystatin

Answer 52

antifungal mouth wash for stomatitis like thrush

Question 53

Proctitis vs pruritis

Answer 53

Proctitis- inflamed rectum pruritis - itching under skin

Question 54

what foods should a GERD pt avoid

Answer 54

chocolate, alcohol, fatty foods, caffeine, soda, peppermints, spicy and acidic foods.

Question 55

ideal body weight

Answer 55

100 x 5 per inch after 5 feet 106 x6 per inch after 5 feet

Question 56

body mass index (BMI)

Answer 56

weight in lb /(height in inchec)^2 x703

Question 57

bmi ranges

Answer 57

under= <18 normal= 18-25 overweight= 25-30 class 1 obese= 30-35 class 2= 35-40 class 3 morbid = >40

Question 58

sandostatin (otreotide)

Answer 58

gi bleeding med esophageal varices vasoconstricts to stop bleed

Question 59

vasopressin (pitressin)

Answer 59

gi bleeding med causes hyponatremia & fluid retention constricts

Question 60

isosorbide (isordil)

Answer 60

gi bleeding med lowers portal pressure

Question 61

vit K

Answer 61

promotes clotting factors from liver

Question 62

light/clay colored stool, puritis, orange, foamy urine, caused by inherited disorders like Gilbert syndrome

Answer 62

hereditary hyperbilirubinemia

Question 63

percutaneous cholecystostomy

Answer 63

drains fluids from gallbladder