NRNP-6540 week 7 KNOWLEDGE CHECK: ABDOMINAL, UROLOGICAL, AND GYNECOLOGICAL DISORDERS
Question 1
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A 74-year-old patient presents with cramping abdominal pain, nausea, and vomiting for 4 days. All of the following are potential differential diagnosis EXCEPT
Cholecystitis
Diverticulitis
Correct!
Pancreatitis
Appendicitis
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Question 2
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Sally is a 65-year-old patient who had a mammogram and biopsy positive for breast cancer. Her breast cancer is staged at T1N1M0. Sarah asks you what this means.
Correct!
T – tumor is 20 mm or smaller N – spread to 1 -3 axillary lymph nodes M – Not spread to distant body parts
T – tumor is 20 mm or bigger N – spread to 5 or more axillary lymph nodes M – Not spread to distant body parts
T – tumor is 40 mm or smaller N – spread to 1 -3 axillary lymph nodes M – Not spread to distant body parts
T – tumor is 40 mm or bigger N – spread to 5 or more axillary lymph nodes M – Not spread to distant body parts
Question 3
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An ultrasound of the gallbladder confirms gall stones and biliary stone obstruction in your 72-year-old patient complaining of right-sided abdominal pain, nausea, and vomiting that began after eating 3 days ago. What non invasive procedure can be performed to treat this condition?
magnetic resonance cholangiopancreatography (MRCP)
Correct!
endoscopic retrograde cholangiopancreatography (ERCP)
hepatobiliary iminodiacetic acid scan (HIDA)
cholecystectomy
Question 4
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The NP is seeing an 80 year old male patient complaining of cramping abdominal pain, nausea, vomiting, and obstipation for the past 4 days. PMH includes hernia repair, HTN, and atrial fibrillation. Physical exam reveals a distended abdoment, hyperactive bowel sounds, and no rebound tenderness. What is the initial diagnostic test you should order?
ultrasound
Correct!
Abdominal flat plate and upright
CT scan of the abdomen
MRI of the abdomen
Question 5
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Salma is a 70-year-old female who has always had normal mammograms. She recently found a lump in her right breast upon self-examination in the shower. She is very concerned it could be breast cancer. The NP explains to Salma that a breast lump is not always cancerous. What are other potential causes of a breast lump?
Correct!
Mastitis
Correct!
Fibroadenoma
Embolism
Correct!
Fibrosis
NRNP-6540 week 7 KNOWLEDGE CHECK: ABDOMINAL, UROLOGICAL, AND GYNECOLOGICAL DISORDERS Question 6
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Alex is a 72-year-old patient who complains of worsening symptoms of BPH, his nocturia has increased significantly over the past year. He has not tried any medication previsouly. What first line medication would be appropriate to consider at this time?
oxybutynin
dutasteride
finasteride
Correct!
tamsulosin
Question 7
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The NP suspects cholecystitis and biliary tree obstruction in your 72-year-old patient complaining of right-sided abdominal pain, nausea, and vomiting that began after eating 3 days ago. Beside ultrasound, what other diagnostic tests could you order?
Correct!
magnetic resonance cholangiopancreatography (MRCP)
endoscopic retrograde cholangiopancreatography (ERCP)
hepatobiliary iminodiacetic acid scan (HIDA)
MRI of the abdomen
Question 8
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Armando
is a 71-year-old patient the NP is seeing for his annual exam. What ROS questions would you ask him about his genitourinary status?
Correct!
difficulty urinating
Correct!
urinary hesitancy
Correct!
decreased force of stream
Correct!
penile drainage
Question 9
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The NP suspects cholecystitis and cystic duct obstruction in your 72-year-old patient complaining of right-sided abdominal pain, nausea, and vomiting that began after eating 3 days ago. Beside ultrasound, what other diagnostic tests could you order?
magnetic resonance cholangiopancreatography (MRCP)
endoscopic retrograde cholangiopancreatography (ERCP)
Correct!
hepatobiliary iminodiacetic acid scan (HIDA)
MRI of the abdomen
Question 10
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The NP is seeing an 80 year old male patient complaining of cramping abdominal pain, nausea, vomiting, and obstipation for the past 4 days. PMH includes hernia repair, HTN, and atrial fibrillation. Physical exam reveals a distended abdoment, hyperactive bowel sounds, and no rebound tenderness. What is your working diagnosis?
appendicitis
gastroparesis
Correct!
bowel obstruction
irritable bowel syndrome
NRNP-
6540 week 7
KNOWLEDGE CHECK: ABDOMINAL, UROLOGICAL, AND GYNECOLOGICAL DISORDERS
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