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QUESTION 1 1.Which of the following medications is most commonly associated with esophageal irritation? Acetaminophen Potassium chloride Cephalexin Rolaids 1 points QUESTION 2 1. A nurse practitioner is evaluating a patient with abdominal pain. With the patient on her left side, the NP hyperextends the patient’s right thigh and elicits pain. Which of the following diagnoses is suggested by this sign? Pyelonephritis Appendicitis Cholecystitis Herniated lumbar disc 1 points QUESTION 3 1.An 87-year-old male presents with hematochezia. He becomes hemodynamically unstable and requires mechanical ventilation and pressor support. An immediate EGD does not reveal a source of hemorrhage or blood clots. Colonoscopy is attempted but aborted due to impaired visualization in the sigmoid colon from hemorrhaging clots. When considering the risk and benefits of CT angiography for evaluation and management of his lower GI bleed, which statement is accurate? Ischemic bowel is the most frequent complication following CT angiography with coil embolization for a lower GI bleed. CT angiogram allows localization of the bleed, and 39% of the patients passing dark blood per rectum. Patients undergoing embolization for bleeding source in the left colon were more susceptible to bowel ischemia after embolization. Patients requiring at least five units of packed red blood cell transfusions were more likely to have a diagnostic CT angiogram. 1 points QUESTION 4 1.In the duodenum, which tumor is most prevalent? Adenocarcino ma Lymphoma Carcinoid Sarcoma 1 points QUESTION 5 1. A 65-year-old woman presents to the office with a complaint of gnawing epigastric pain. She denies any overt bleeding and has a hemoglobin of 10.9. Which one of the following is the most common cause of peptic ulcer disease? Use of NSAIDs Advanced age Presence of Helicobacter pylori infection Use of a cyclooxygenase (COX)-2 inhibitor 1 points QUESTION 6 1.Which of the following identifies a group of patients at substantial risk of dying from alcoholic hepatitis? Child-Pugh score Discriminant function Model for end-stage liver disease score ALBI score is > -2.125
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