NSG 6320 AGNP Board Exam – Gastroenterology Assessment Exam When percussing a protuberant abdomen, tympany is audible. This is consistent with
all of
... [Show More] the following conditions except:
intestinal obstruction.
increased intestinal gas production.
a large solid tumor. Correct
a paralytic ileus.
Explanation:
A protuberant abdomen that is tympanic throughout when percussed can suggest
intestinal obstruction, increased gas production, or a paralytic ileus. A solid mass gives
a dull sound on percussion.
2. Question:
Stool that appears bloody, mucoid, or with pus, may indicate:
constipation.
a lesion in the sigmoid colon.
hemorrhoids.
Crohn's disease. Correct
Explanation:
Crohn's disease usually presents with blood, mucus, or pus in the stool. Thin, pencillike
stool occurs in an obstructing “apple-core” lesion of the sigmoid colon.
Constipation produces hard, dry stool. In the presence of hemorrhoids, the stool may
appear blood streaked.
3. Question:
A patient was recently diagnosed with gluten intolerance and needs instructions on
what foods to eat. The patient should be told that a gluten restricted diet includes:
corn. Correct
wheat.
barley.
rye.
Explanation:
A gluten-free diet is a diet that excludes the protein gluten. Gluten is found in grains
such as wheat, barley, rye and triticale (a cross between wheat and rye). Corn and rice,
and soybean products are allowed but processed foods are not.
4. Question:
A patient presents with symptoms of bloody stools, new onset constipation, and weight
loss. These symptoms could be associated with:
hemorrhoids.
colon cancer. Correct
ischemic colitis.
adenomatous polyps.
Explanation:
Colon cancer can cause bloody stools but usually presents with changes in bowel habits
and weight loss. Lower abdominal pain accompanied by fever or shock in older adults
could be consistent with ischemic colitis. Generally, the abdomen is soft on palpation.
Hemorrhoids typically present with noticeable blood on the tissue paper, surface of
stool, or dripping in the toilet. Blood in the stool is usually the only symptom seen with
adenomatous polyps [Show Less]