Med Surg GI

Question 1

Chrons

Answer 1

Steatorrhea
Hypokalemia
Weight loss
Abdominal pain lower R quadrant

Question 2

Carcinoembryonic antigen (CEA) level

Answer 2

Colorectal cancer

Determine efficacy of chemo

Question 3

Acute gastric dilation

Answer 3

Hiccups
Hypotension
Epigastric pain
Tachycardia

Question 4

Peritonitis

Answer 4

Diminished bowel sounds

Board-like abdomen

Question 5

Hep B

Answer 5

Joint pain

Question 6

Appendicitis

Answer 6

Low grade fever
High WBC count
N/V
Right L quadrant pain

Question 7

Cirrhosis

Answer 7

Bloody stools is priority

Jaundice
Peripheral Edna
Spider angiomas

Question 8

Cirrhosis and ascites interventions

Answer 8

Measure abdominal girth daily 
Assess breath sounds 4-8 hr
Sodium restriction (1-2g)

Question 9

Duodenal ulcer

Answer 9

Pain upper epigastrium to left of midline

Pain when stomach is emptied (1.5-3 hr ) after meals

Question 10

Colorectal cancer

Answer 10

Decreased hemoglobin

Decreased Hct

Elevated CEA

Positive fecal occult

Question 11

Hep C avoid

Answer 11

Acetaminophen

Question 12

Metoclopramide adverse effects

Answer 12

Ataxia

Extrapyrmidial symptoms

Xerostomia (dry mouth)

Question 13

Acute pancreatitis labs

Answer 13

Increased serum amylase
Elevated WBC
Elevated BG
Increased bilirubin

Question 14

Famotidine teaching

Answer 14

Filtered water

Question 15

Chronic cholecytitis foods

Answer 15

Low fat

Question 16

Upper GI bleed

Answer 16

Hypotension