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FNP practice 2021-2022 > GI SM > Flashcards

GI SM Flashcards

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Family Nurse Practitioner (FNP) flashcards
1
Q

What is Rovsing?

A

appendicitis

palpate LLQ and hurts on RLQ - Reverse side

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2
Q

What is Markle?

A

appendicitis

pain RLQ when hoping on one foot

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3
Q

What is Blumberg?

A

appendicitis

rebound tenderness

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4
Q

What is Mcburney’s point?

A

appendicitis

2/3rd distance of belly button and anterior iliac crest

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5
Q

What is Obturator?

A

appendicitis

internal rotation of Right hip at 90 degrees causes pain if positive

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6
Q

What is Psoas?

A

appendicitis

raising leg against resistance

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7
Q

What diagnostic tool is BEST for appendicitis?

A

CT scan is better option

ultrasound is ok

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8
Q

What is a Murphy’s sign? Diagnostic tool?

A

cholecystitis
pain with inspiration when palpating RUQ

ultrasound - gallstones?

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9
Q

When is a HIDA scan ordered?

A

cholecystitis WITH NO gallstones on ultrasound

DO NOT perform with gallstones = dislodgement, pancreatic duct

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10
Q

What is Cullen’s sign?

A

internal bleed, Cullen, Center = belly button
necrotizing pancreatitis, pregnancy
REFER!

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11
Q

What is Turner’s sign?

A

internal bleed, Turner, Turn the patient over = flank
necrotizing pancreatitis, pregnancy
REFER!

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12
Q

What two labs are specific to pancreas?

A

amylase and lipase

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13
Q

What is Chvostek’s sign?

A

parathyroid - hypocalcemia = seizure

tapping on the face = twitching/scrunch

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14
Q

What is Trousseau’s sign?

A

parathyroid - hypocalcemia = seizure

inflate BP cuff and hand draws up/fists

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15
Q

A patient with elevated calcium, but asymptomatic indicates?

A

redraw labs

may indicate possible malignancy

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16
Q

What PPIs are appropriate for GERD treatment?

A

Omeprazole

Pantoprazole

17
Q

What is first line for GERD?

A

H2 or PPI - depends on patient and symptoms/causes

18
Q

What are 3 complications of PPIs?

A

Osteoporosis
B12 deficiency anemia
C.diff

19
Q

What is associated with barrett’s esophagus?

A

esophageal cancer

20
Q

what blood pressure medication should be avoided with GERD?

A

calcium channel blockers

21
Q

A patient taking tums now presents with tarry stools.

A

GI bleed

22
Q

A patient not improving on PPIs or H2 blockers with GERD, what should be done?

A

H. pylori testing

EGD

23
Q

What is triple therapy for H. Pylori?

A

CAP - more resistance
Clarithryomycin
Amoxicillin
PPI

24
Q

What is quadruple therapy for H. pylori?

A

Tetracycline + Flagyl + PPI + bismuth salt

25
Q

When is an ultrasound utlized?

A

kidney stones
cholecystitis
AAA

26
Q

How will an AAA present?

A

a pulsating mass in the abdomin

27
Q

When should patients start getting a colonoscopy?

A

age 50 for CDC and ACA is 45
every 10 years with annual occult blood testing
earlier if family hx, inflammatory bowel disease, personal history of colorectal cancer, abdominal radiation

28
Q

What are signs and symptoms of colorectal cancer?

A

thin pencil stools

29
Q

Where are the most polyps?

A

descending colon

30
Q

Distinguish IBS vs IBD

A

irritable is not inflammatory, no elevation of inflammation markers

31
Q

RLQ

A

appendicitis

32
Q

Ulcerative colitis

A

colon specifically

bloody stools with mucus

33
Q

Crohn’s disease

A

mouth to anus

can’t empty bowels, urgency for BM, d/c

34
Q

LLQ

A

diverticulitis

35
Q

What is the current recommended antibiotic for C. diff?

A

Vancomycin

36
Q

Celiac disease

A

gluten - wheat, rye, barley

treat: remove from diet

FNP practice 2021-2022 (19 decks)

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