Case Study: Helicobacter Pylori
Case Study: Helicobacter Pylori
15. Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers. What teaching should the nurse
practitioner plan for a patient who has a positive Helicobacter pylori test? (Points : 2)
It is highly contagious and a mask should be worn at home.
Treatment regimen is multiple lifetime medications.
Treatment regimen is multiple medications taken daily for a few weeks.
Treatment regimen is complicated and is not indicated unless the patient is symptomatic.
Question 16.
16. The best evidence rating drugs to consider in a post myocardial infarction patient include: (Points : 2)
ASA, ACE/ARB, beta-blocker, aldosterone blockade
ACE, ARB, Calcium channel blocker, ASA
Long-acting nitrates, warfarin, ACE, and ARB
ASA, clopidogrel, nitrates
Question 17.
17. The most common cause of eye redness is: (Points : 2)
Conjunctivitis
Acute glaucoma
Head trauma
Corneal abrasion
Question 18.
18. A specific eam used to evaluate the gall bladder is: (Points : 2)
Psoas sign
Obturator sign
Cullens sign
Murphy’s sign
Question 19.
19. An 82-year-old female presents to the emergency department with epigastric pain and weakness. She admits to having dark, tarry
stools for the last few days. She reports a long history of pain due to osteoarthritis. She self-medicates daily with ibuprofen, naprosyn, and
aspirin for joint pain. On physical eamination, she has orthostatic hypotension and pallor. Fecal occult blood test is positive. A likely etiology
of the patient’s problem is: (Points : 2)
Mallory-Weiss tear
Esophageal varices
Gastric ulcer
Colon cancer
Question 20.
20. Which of the following is not a contributing factor to the development of esophagitis in older adults? (Points : 2)
Increased gastric emptying time
Regular ingestion of NSAIDs
Decreased salivation
Fungal infections such as Candida
Question 21.
21. Susan P., a 60-year-old woman with a 30 pack year history, presents to your primary care practice for evaluation of a persistent,
daily cough with increased sputum production, worse in the morning, occurring over the past three months. She tells you, “I have the
same thing, year after year.” Which of the following choices would you consider strongly in your critical thinking process? (Points : 2)
Seasonal allergies
Acute bronchitis
Bronchial asthma
Chronic bronchitis
Question 22.
22. A 59-year-old patient with history of alcohol abuse comes to your office because of ‘throwing up blood”. On physical eamination, you note
ascites and caput medusa. A likely cause for the hematemesis is: (Points : 2)
Peptic ulcer disease
Barrett’s esophagus
Esophageal varices
Pancreatitis
Question 23.
23. Which disease process typically causes episodic right upper quadrant pain, epigastric pain or chest pain that can last 4-6 hours or less,
often radiates to the back (classically under the right shoulder blade) and is often accompanied by nausea or vomiting and often follows a
heavy, fatty meal. (Points : 2)
Acute pancreatitis
Duodenal ulcer
Biliary colic
Cholecystitis
Question 24.
24. Mr. A presents to your office complaining of chest pain, mid-sternal and radiating to his back. He was mowing his lawn. He reports the pain
lasting for about 8 minutes and went away after sitting down. What is his most likely diagnosis based on his presenting symptoms? (Points : 2)
Acute MI
GERD
Pneumonia
Angina
Question 25.
25. In addition to the complete blood count (CBC) with differential, which of the following laboratory tests is considered to be most useful in
diagnosing ACD and IDA? (Points : 2)
Serum iron
Total iron binding capacity
Transferrin saturation
Serum ferritin
Question 26.
26. If it has been determined a patient has esophageal reflu, you should tell them: (Points : 2)
They probably have a hiatal hernia causing reflu
They probably need surgery
They should avoid all fruit juices
Smoking, alcohol, and caffeine can aggravate their problem