NURS 660 GI/GU

Which of the following is likely to be reported in a patient with persistent GERD?

• hematemesis

• chronic sore throat

• diarrhea

• melena

A 38 year old nonsmoking man presents with signs and symptoms consistent with GERD. He has self treated with over the counter antacids and acid suppression therapy with effect. His weight is stable, and he denies nausea, vomiting, diarrhea, or melena. Which of the following represents the most appropriate diagnostic plan for this patient?

• fecal testing for H. pylori antigen

• upper GI endoscopy

• barium swallow

• no specific diagnostic testing is needed

Wich of the following medications is a proton pump inhibitor (PPI)?

• loperamide

• metoclopramide

• nizatidine

• lansoprazole

Which of the following is most consistent with the presentation of a patient with colonic diverticulosis?

• diarrhea and leukocytosis

• constipation and fever

• few or no symptoms

• frank blood in the stool with reduced stool caliber

A 58-year-old man reports intermittent right upper quadrant abdominal pain. He is obese and being actively treated for hyperlipidemia. Imaging in a patient with suspected symptomatic cholelithiasis usually includes obtaining an abdominal:

• MRI

• CT scan

• ultrasound of the right upper quadrant

• flat plate

In a 28-year-old man who presents with a 6 month history of involuntary weight loss, recurrent abdominal cramping, loose stools, and anterior and posterior anal fissure, which of the following diagnoses should be considered?

• ulcerative colitis

• Crohn's disease

• C.difficile colitis

• condyloma acuminata

Diagnostic criteria for irritable bowel syndrome include abdominal pain that is associated with all of the following except:

• improvement with defecation

• a change in the frequency of stool

• a change of stool form

• unexplained weight loss

Elevated lipase levels can be a result of all of the following conditions except:

• hepatic failure

• renal failure

• perforated duodenal ulcer

• bowel obstruction or infarction

When assessing a 78-year-old man with suspected BPH the NP considers that:

• prostate size does not correlate well with severity of symptoms.

• BPH affects less than 50% of men of this age.

• he is at increased risk for prostate cancer.

• limiting fluids is a helpful method of relieving severe symptoms

Symptoms in chronic bacterial prostatitis often include:

• fever.

• gastrointestinal upset

• low back pain

• penile discharge