NRNP-6540 Week 7 Knowledge Check: Abdominal, Urological, and Gynecological Disorders

NRNP-6540 Week 7 Knowledge Check: Abdominal, Urological, and Gynecological Disorders

Question 1

1 / 1 pts
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

1 / 1 pts

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

1 / 1 pts
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

1 / 1 pts
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 abdomen, hyperactive bowel sounds, and no rebound tenderness. What is the initial diagnostic test you should order?

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ultrasound

Correct!

Abdominal flat plate and upright

 

 

CT scan of the abdomen

 

MRI of the abdomen

 

Question 5

1 / 1 pts
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
1 / 1 pts

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 previously. What first-line medication would be appropriate to consider at this time?

 

oxybutynin

 

dutasteride

 

finasteride

Correct!

tamsulosin

 

Question 7

1 / 1 pts
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. Besides 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

1 / 1 pts
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

1 / 1 pts
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. Besides 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

1 / 1 pts
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 abdomen, 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