CMN568/ CMN 568 (Latest 2023/ 2024) Intro to Family NP Unit 4 Exam Questions and Verified Answers| 100% Correct| Grade A Acute onset of severe pain and vomiting suggests what? - ANSWER
- Peritoneal irritation
- Acute gastric or intestinal obstruction
- Pancreaticobiliary disease
- Gastric outlet obstruction
- Gastroparesis
- Intestinal dysmotility
- Psychogenic disorders
- CNS or systemic disorders
(McPhee p 588) Persistent vomiting suggests what? - ANSWER + Pregnancy
(McPhee p 589) 1 / 4
Vomiting in the morning suggests what? - ANSWER + Pregnancy
- Uremia
- ETOH intake
+ ↑ ICP
Vomiting after meals suggests what? - ANSWER + Bulimia
- Peptic ulcer disease
- Other psychogenic causes
- Gastroparesis
- Small bowel obstruction
- Gastric outlet obstruction
(McPhee p 589, Shimp p 373) Vomiting of undigested food 1-2 hours after a meal suggests what? - ANSWER
NOTE: Sucussion splash often heard on auscultation
(McPhee p 589, Shimp p 373) 2 / 4
- causes of nausea and vomiting - ANSWER 1) Visceral
afferent stimulation (seratonin receptors) 2) Vestibular disorders (fibers ↑ in histamine and muscarinic receptors) 3) CNS disorders 4) Irritation of chemoreceptor trigger zone (McPhee Table 15.1) Ways to stimulate the chemoreceptor trigger zone and cause vomiting - ANSWER 1) Chemo 2) Medications and drugs 3) Radiation therapy 4) Systemic disorders CNS disorders that can cause vomiting - ANSWER 1) Migraine
2) ↑ ICP
3) Infections (e.g. meningitis, encephalitis) 3 / 4
4) Psychogenic Vestibular disorders that can cause vomiting - ANSWER Labyrinthitis, Meniere syndrome, motion sickness Define RETCHING - ANSWER Strong, spasmodic, involuntary effort to vomit without bringing up emesis.(McPhee and Shimp) Define REGURGITATION - ANSWER Effortless return of gas or small amounts of food from stomach (McPhee and Shimp) Common causes of vomiting in infants - ANSWER 1) Any acute illness (esp gastroenteritis) 2) Hypertrophic pyloric stenosis (2 - 8 weeks of life, may feel an "olive" in epigastric area after feeding)
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