Failed Test Review!

Your patient is a 22 year old female in mild distress that is complaining of left lower quadrant abdominal pain and nausea. Which of the following questions is the LEAST helpful when determining the etiology of her abdominal pain?

"Have you ever had a sexually transmitted disease?"

A 73-year-old male with a history of colo-rectal cancer is conscious and experiencing uncontrollable rectal bleeding. Your assessment reveals bright red hematemesis, abdominal distention, and signs of shock. Your treatment should include:

Fluid resuscitation if hemodynamically unstable

Bloody vomit is called:

Hematesis

Blood in the urine is called:

Hematuria

Pancreatitis is commonly defined as a(n):

Inflammation of the pancreas

Pain that originates in a region other than where it is felt is known as:

Referred Pain

The mortality rate of upper GI bleeds in the US is:

10%

What is the fluid rate for a hypotensive patient with a GI Bleed?

500 ml fluid bolus

Unequal bilateral blood pressures in the arms may indicate:

A high thoracic aneurysm

A sudden onset of inflammation of the stomach and intestines is known as:

Acute Gastroenteritis

Your patient has diffuse abdominal pain. You would suspect all of the following except:

Acute cholecystitis

An inflammation of the structure at the junction of the large and small intestines is called:

Appendicitis

Abnormal accumulation of fluid in the peritoneal cavity is called:

Ascites

Which of the following is the most indicative sign to assess for occult bleeding in a patient with abdominal pain?

Blood pressure

A blockage of the hollow space within the intestines is:

Bowel Obstruction

Your 44 year old patient has a history of hiatal hernia. Chief complaint is abdominal pain with all four quadrants tender to palpation and slightly distended. The patient has vomited bile. Bowel sounds are absent. You suspect:

Bowel obstruction

Your patient is a 68 year old female complaining of diffuse abdominal pain. She has a history of intestinal hernias and adhesions from previous abdominal surgery. Your suspicion should be highest for:

Bowel obstruction

An inflammation of the gall bladder is known as:

Cholecystitis

A patient presents with heartburn, abdominal pain and has a history of gastric ulcers. You suspect:

Chronic Gastroenteritis

An inflammation of the colon is known as:

Colitis

Ecchymosis in the periumbilical area is called:

Cullens

All of the following contribute to the pathology of Diverticulosis EXCEPT:

Decreased Colon Motility

Which three mechanisms can produce visceral pain?

Distention, Ischemia, and inflammation

Inflammation of the diverticula secondary to infection is:

Diverticulitis

In any woman of potentially child bearing age with right lower quadrant pain you would suspect:

Ectopic pregnancy

Your 46 year old patient with a history of alcoholism is hypotensive, in severe distress and vomiting bright red blood. Of the following, which is the most likely cause of the condition?

Esophageal Varices

Swollen veins of the esophagus are known as:

Esophageal Varicies

In cholecystitis, an acute onset of pain in the right upper quadrant typically occurs after eating:

Fatty foods

You are assessing the abdomen of a 23 year old male with abdominal pain. When you begin to palpate the abdomen tightens and the patient pulls away from you. This is called:

Guarding

A small mass of swollen veins in the anus or rectum is:

Hemorrhoids

An inflammation or infection of the liver is known as

Hepatitis

General management for a patient with abdominal pain, cramping, heartburn, and diarrhea includes all of the following EXCEPT:

IV of D5W

A patient is experiencing upper right quadrant abdominal tenderness, loss of appetite, nausea, vomiting, and photophobia. You would also expect to see:

Jaundice

Your patient is complaining of abdominal cramping and a history of diverticulosis. Your assessment reveals abdominal distention, warm skin, and normal vitals. Which of the following should you also inquire about?

Melena

Point tenderness under the right costal margin with cholecystitis is known as?

Murpheys sign

An 83-year-old female patient is bedridden in a local nursing home. Nursing staff indicate that she is very lethargic, has no appetite, & has been vomiting fecal matter. Your treatment should include:

Oxygen via NRB

All of the following are leading causes of upper GI hemorrhage EXCEPT:

Pancreatitis

Erosion of the gastrointestinal tract caused by gastric acid is termed

Peptic Ulcer

Increased hepatic resistance to blood flow as happens in cirrhosis results in:

Portal Vein hypertension and esophageal varices

Your patient, who has a history of cholecystitis, is experiencing pain in the right shoulder. She is most likely experiencing _______ pain.

Referred

A 52-year-old male is vomiting coffee-ground textured emesis. He is pale, diaphoretic, and tachycardic. His apartment has a foul stench smell and there is evidence of prior vomiting that is deep red coffee ground consistency. There are several empty bottles of vodka. This patient has MOST likely suffered:

Ruptured Esophageal Varicies

Which of the following is the most common chief complaint related to acute pancreatitis?

Severe pain

A sharp, localized pain that originates in walls of the body such as skeletal muscles is called:

Somatic Pain

A patient is experiencing colicky cramping in the lower quadrants with ecchymosis & guarding in the region. Vital signs are BP, 100/72; P, 112: & R, 28. The patient is very restless and has noted some bloody stools in the past two days. Management should include:

Supportive management of signs and symptoms

Which of the following properly accounts for the differences between visceral and somatic pain?

The nerves that carry visceral pain impulses enter the spinal colum at various levels, while the nerves that carry somtic impulses enter the spinal column via specific nerve routes.

The ideal BP for a ruptured AAA is:

Titrate to 80 Systolic

An aneurysm occurs when blood passes through the vascular layer called the __________.

Tunica Intima

Bleeding in the gastrointestinal tract proximal to the ligament of Treitz is considered to be in the:

Upper GI Tract

A patient is in abdominal distress and describes the abdominal pain as crampy with nausea and diaphoresis. This is most likely ___________ pain.

Visceral

Your 43 year old patient is alert and oriented and complaining of abdominal pain. He states that he is experienceing nausea and has vomited twice. Which of the following is the most appropriate follow up questions?

What did the material look like?