Finall Exam:l NRl 511l NR511l Latestl

Finall Exam:l NRl 511/l NR511l (Latestl

2026/l 2027l Update)l Differentiall Diagnosisl andl Primaryl Carel Practicuml Guide|l Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l -Chamberlain

Q:l Pathol ofl GERD

Answer:

•Lowerl esophageall sphincterl (LES)l dysfunction:l reducedl pressurel orl improperl relaxationl allowsl gastricl acidl tol flowl backl intol thel esophagus •l Hiatall hernia:l contributesl tol GERDl byl disruptingl thel normall barrierl betweenl thel esophagusl andl stomach •Esophageall motilityl disorders:l impairedl esophageall peristalsisl andl reducesl esophageall clearancel canl leadl tol poolingl ofl gastricl acidl inl thel esophagus •Acidicl acidl contents

Q:l GERDl symptoms

Answer:

Symptomsl occurl atl nightl withl regurgitation;l heartburnl +l Dysphagia.l Itl isl usuallyl associatedl withl otherl symptoms,l includingl regurgitation,l waterl brashl (reflexl salivation),l sourl tastel inl thel mouthl inl thel morning,l odynophagia,l belching,l coughing,l hoarseness,l orl wheezing

Q:l GERD:l Ifl patientl hasl beenl treatedl withl dietl modificationsl andl 6l weeksl ofl omeprazolel withoutl improvementl ofl symptoms?

Answer:

endoscopy

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Q:l Patientl educationl GERD

Answer:

avoidl coffee,l alcohol,l chocolate,l peppermint,l andl spicyl foods;l eatl smallerl meals;l stopl smoking;l remainl uprightl forl 2l hoursl afterl meals;l elevatel thel headl ofl thel bedl onl 6-l tol 8-inl blocks;l andl refrainl froml eatingl forl 3l hoursl beforel retiring.

Q:l causesl ofl PUD

Answer:

-H.l pylori -Gastricl acidl hypersecretion

-NSAIDS

-Lifestylel factors

Q:l protectivel mechanismsl GIl mucosa

Answer:

-Mucusl andl bicarbonatel secretion -Prostaglandins -Mucosall bloodl flow -Epitheliall celll renewal

Q:l hallmarkl PUD

Answer:

complaintl ofl burningl orl gnawingl (hunger)l sensationl orl painl (dyspepsia)l inl thel epigastrium,l whichl isl oftenl relievedl byl foodsl orl antacids.

Q:l Treatmentl PUD

Answer:

Amoxicillin,l clarithromycin,l andl omeprazolel forl 2l weeks 2 / 3

Q:l Physicall examl findingsl PUD

Answer:

Abdominall tenderness Abdominall distension Guardingl orl rigidity Occultl bloodl inl stool Signsl ofl anemia

Q:l Physicall examl findingsl GERD

Answer:

Heartburn Regurgitation Odynophagia Hoarseness Dentall erosion Cough

Q:l Rotavirus

Answer:

Commonl inl childrenl <3:l low-gradel fever,l lossl ofl appetite,l copiousl wateryl diarrhea,l flatulence,l vomiting,l stomachl cramps

Q:l Treatmentl rotavirus

Answer:

-Fluids -Supportivel care -Antiemetics

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