NU621 Advanced Pathophysiology Unit 4 Quiz 41A patient has chronic gastritis. What treatment does the healthcare professional educate the patient on? Antibiotic therapy Vitamin B12 injections Corticosteroids Vitamin B12 injections Pancreatic enzyme replacement2 Which are the early (prodromal) clinical manifestations of hepatitis? Fatigue Jaundice Vomiting Jaundice Itching3 You are caring for a 45-year-old woman from a developing country. She reports that she has had “yellow jaundice” as a young child. Her PE is unremarkable. Her labs are as follows: AST, 22 U/L (normal, 0 to 31 U/L); alanine aminotransferase (ALT), 25 U/L (normal, 0 to 40 U/L); Hepatitis A virus immunoglobulin G (HAV IgG) positive. Lab testing reveals: Chronic Hep. ANo evidence of prior or current Hep. A infection. Resolved Hep. A infection Prodromal Hep. A4A 64-year-old woman presents with a 3-month history of upper abdominal pain. She describes the discomfort as an intermittent, centrally located “burning” feeling in the upper abdomen, most often with meals and often accompanied by mild nausea. Use of an over-the-counter H2RA affords partial symptom relief. She also uses naproxen sodium on a regular basis for the control of osteoarthritis pain. Her clinical presentation is most consistent with: Acute gastroenteritis Gastric Ulcer Duodenal ulcer Chronic cholecystitis5Which of the following is found early in the development of chronic renal failure? Persistent proteinuria Elevated creatinine level Acute uremiaHyperkalemia6A 68-year-old woman with heart failure presents with tachycardia, S3 heart sound and basilar crackles bilaterally. BP is 90/68 mmHg; BUN is 58 mg/dL (20.7 mmol/L); creatinine level is 2.4 mg/dL. This clinical presentation is most consistent with: Prerenal azotemia Acute glomerulonephritis Tubular necrosis Postrenal azotemia7The most sensitive and specific test for H. pylori infection from the following list is: Stool Gram stain, looking for the offending organism Serological testing for antigen related to the infection Organism-specific stool antigen testing Serological testing for antigen related to the infection Fecal DNA testing8A 78-year-old man presents with fatigue and difficulty with bladder emptying. Examination reveals a distended bladder, but otherwise unremarkable. The BUN level is 88 mg/dL (31.4 mmol/L); the creatinine level is 2.8 mg/dL (247.5 mic.mol/L). This clinical assessment is most consistent with: Prerenal azotemia Acute glomerulonephritis Acute tubular necrosis Postrenal azotemia 9The most common source of Hep A infection is: Sharing IV drug equipment Cooked sea food Contaminated water supplies Sexual contact10Which of the following is least likely to be found in a patient with gastric ulcer? History of long-term naproxen useAge younger than 50Previous use of H2RA or antacids Previous use of H2RA or antacids Cigarette smoking Purchase this Tutorial.