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QUIZ 4 NURS 5432 UTA Pyloric Stenosis - CORRECT ANSWER -Progressive narrowing of the pyloric canal occurring during infancy Risk factors: first degree relative affected, strong familial aggregation, multiple gestation, c section, preterm infant, firstborn child, formula feeding. Signs and Symptoms: projectile postprandial non-bilious vomiting that is progressive in severity and frequency beginning after 2-3 weeks of age. OLIVE SHAPED MASS PALPABLE IN RUQ. Peristaltic waves visible across abdomen after feeding. Insatiable hunger with weightloss and dehydration. Pinworm - CORRECT ANSWER -caused by Enterobius vermicularis. Signs/Symptoms: asymptomatic, severe perianal/intravaginal itching typically at night, vulvovaginitis in girls, enuresis. Treatment: Pyrantel pamoate 1mg/kg max 1 g two doses given 2 weeks apart for whole family. OR a
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Pyloric Stenosis - CORRECT ANSWER - Progressive narrowing of the pyloric canal occurring during infancy Risk factors: first degree relative affected, strong familial aggregation, multiple gestation, c- section, preterm infant, firstborn child, formula feeding. Signs and Symptoms: projectile postprandial non-bilious vomiting that is progressive in severity and frequency beginning after 2-3 weeks of age. OLIVE SHAPED MASS PALPABLE IN RUQ. Peristaltic waves visible across abdomen after feeding. Insatiable hunger with weightloss and dehydration. Pinworm - CORRECT ANSWER - caused by Enterobius vermicularis. Signs/Symptoms: asymptomatic, severe perianal/intravaginal itching typically at night, vulvovaginitis in girls, enuresis. Treatment: Pyrantel pamoate 1mg/kg max 1 g two doses given 2 weeks apart for whole family. OR albendazole 400mg PO 1 dose and another in 2 weeks for whole family. H. pylori treatment - CORRECT ANSWER - 14 days of Quadruple therapy: PPI, amoxicillin BID, metronidazole BID, and clarithromycin BID (PAMC) OR PPI, bismuth, metronidazole, and tetracycline for 14 days (PTMB)
Celiac Disease Vitamins - CORRECT ANSWER - b12, folate, B6, D, iron, folic acid, zinc HBsAg negative Anti-HBc negative Anti-HBs negative - CORRECT ANSWER - susceptible no infection HBeAg positive Anti-HBc positive IgM anti-HBc positive HBsAg positive Anti-HBs negative - CORRECT ANSWER - Active Hep B HBeAg positive HBsAg positive Anti-HBc positive IgM anti-HBc negative AntiHBs negative - CORRECT ANSWER - chronic hep B active viral replication HBeAg negative HBs Ag positive Anti-HBc positive IgM anti-HBc negative AntiHBs negatibe - CORRECT ANSWER - chronic hep B without active viral replication HBsAg negative Anti-HBc positive Anti-HBs positive - CORRECT ANSWER - recovered Hep B
Oral 5-ASA without sulfapyridine is first line to achieve and maintain remission during exacerbation (mesalamine) S. aureus gastroenteritis treatment - CORRECT ANSWER - antibiotics not recommended salmonella treatment - CORRECT ANSWER - antibiotics not recommended bc they slow excretion or organisms. However, for patients with valvular heart disease or immunocompromised, recommend bactrim or cipro Shigella treatment - CORRECT ANSWER - Bactrim BID for 3-5 days if acquired outside US, cipro for 10 days E. coli treatment - CORRECT ANSWER - Bactrim BID for 3 days campylobacter jejuni treatment - CORRECT ANSWER - erythromycin QID for 5 days or Cipro BID for 7 days giardia treatment - CORRECT ANSWER - metronidazole 250mg TID for 5-7 days C. Diff treatment - CORRECT ANSWER - Treatment for 10-14 days: Metronidazole 500mg TID or Vancomycin 125mg QID IBS Rome IV Criteria for Diagnosis - CORRECT ANSWER - Recurrent abdominal pain associated with two or more of the following for more than 1 day per week on average in the past 3 months with onset greater than 6 months prior to diagnosis Related to defecation Associated with change in frequency of stools Associated with change in form of stool
Colic - CORRECT ANSWER - High pitch cry that lasts for 3 hours a day more than three days per week lasting at least 3 weeks onset at 2-3 weeks of age. McBurney's point - CORRECT ANSWER - A point on the right side of the abdomen, about two-thirds of the distance between the umbilicus and the anterior bony prominence of the hip. Will have voluntary or involuntary guarding. Rovsing's sign - CORRECT ANSWER - Pain in RLQ with palpation of LLQ indicative of appendicitis Psoas sign (appendicitis) - CORRECT ANSWER - Pain on R hip extension with pt lying on left side Obturator sign (appendicitis) - CORRECT ANSWER - Pain with internal rotation of flexed right thigh Murphy's sign - CORRECT ANSWER - pain with palpation of the RUQ during inspiration, indicative of cholecystitis