CEN - Gastrointestinal Emergencies Review Exam Test Bank
with Actual Q & A 2023/2024 VERIFIED
Peritonitis Symptoms correct answers Diffuse abd pain with rebound tenderness (Blumberg's sign),
Abdominal rigidity, Paralytic illeus, Fever (w/infection), N/V, Sinus tachycardia
Appendicitis Symptoms correct answers Acute epigastric, periumbilical, RLQ, Right flank pain, Anorexia,
N/V, Positive psoas & obturator
Esophageal varices correct answers torturous dilated veins in the submucosa of the esophagus r/t liver
cirrhosis & obstruction of the portal vein
Cholecystitis correct answers dx of the biliary tract may cause radiation of pain to the back and N/V, 2 to
6 hours per episode, may have jaundice and AMS
Hepatic cirrhosis correct answers occurs when the live can no longer synthesize proteins, clotting factors
causing portal HTN
Diverticular disease correct answers steady pain in LLQ, change in bowel habits, tenesmus, dysuria from
irritation, fever, leukocytosis
GERD correct answers involuntary regurgitation of stomach contents into the esophagus S/S: Dysphagia,
Epigastric pain, chronic cough, earache, hoarseness, sinusitis
Salmonella correct answers spread by the fecal-oral route through contamined food or water
Salmonella treatment correct answers S/S: appear 12-72 hors after infection, bloody diarrhea e/abd
pain, fever, vomiting Resolves: 7-10 days ABX: Amoxicillin
Escherichia coli correct answers part of the normal flora of the intestines, inhibits other bacteria.
5 serotypes can cause intestinal disease and severe diarrhea, more common in developing countries
Escherichia coli S/S & TX correct answers watery diarrhea that becomes bloody, usually clears w/o treat
after 10 days. Antibiotics & antidiarrheals are contraindicted
Giardia lambia correct answers a protozoan infects water supplies, spread via fecal/oral route.
multiplies in small intestines where cysts develop,
Giardia lambia S/S & TX correct answers symptoms 7-14 days after ingestion. Diarrhea, greasy floating
stools, stomach cramps, nausea, flatulence, lasts 2 to 6 weeks. Nitazoxanide or Metronidazole (Flagyl)
Hernia correct answers protrusions into or through the abdominal wall, may contain: fat, tissue, bowel.
Severe pain,N/V, Tachycardia, Fever, soft mass at site
Ulcerative colitis correct answers superficial inflammation of mucosa of colon and rectum. S/S: bloody
diarrhea, anemia, fluid and electrolye depletion. Fecal urgency and Tenesmus.
