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NURS 5432 UTA Quiz 4 exam verified solutions 2024-2025
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Pyloric Stenosis - ANS Progressive narrowing of the pyloric canal occurring during infancy Risk factors: first degree relative affected, strong familial aggregation, multiple gestation, c-section, preterm infant, firstborn child, formula feeding. Signs and Symptoms: projectile postprandial non-bilious vomiting that is progressive in severity and frequency beginning after 2-3 weeks of age. OLIVE SHAPED MASS PALPABLE IN RUQ. Peristaltic waves visible across abdomen after feeding. Insatiable hunger with weightloss and dehydration. Pinworm - ANS caused by Enterobius vermicularis. Signs/Symptoms: asymptomatic, severe perianal/intravaginal itching typically at night, vulvovaginitis in girls, enuresis. Treatment: Pyrantel pamoate 1mg/kg max 1 g two doses given 2 weeks apart for whole family. OR albendazole 400mg PO 1 dose and another in 2 weeks for whole family. H. pylori treatment - ANS 14 days of Quadruple therapy: PPI, amoxicillin BID, metronidazole BID, and clarithromycin BID (PAMC) OR PPI, bismuth, metronidazole, and tetracycline for 14 days (PTMB) Celiac Disease Vitamins - ANS b12, folate, B6, D, iron, folic acid, zinc HBsAg negative Anti-HBc negative Anti-HBs negative - ANS susceptible no infection HBeAg positive Anti-HBc positive IgM anti-HBc positive HBsAg positive Anti-HBs negative - ANS Active Hep B HBeAg positive
HBsAg positive Anti-HBc positive IgM anti-HBc negative AntiHBs negative - ANS chronic hep B active viral replication HBeAg negative HBs Ag positive Anti-HBc positive IgM anti-HBc negative AntiHBs negatibe - ANS chronic hep B without active viral replication HBsAg negative Anti-HBc positive Anti-HBs positive - ANS recovered Hep B HBsAg negative Anti-HBc negative AntiHBs positive - ANS immune due to immunization HBeAg - ANS Hepatitis B antigen Indicates active replication of HBV and increased risk of infectiousness HBsAG - ANS Hep B surface antigen indicates infection with acute or chronic hepatitis Anti-HBs - ANS Hep B surface antibody indicates recovery and immunity from HBV infection or immunity from immunization Anti-HBc - ANS total hepatitis B core antibody indicates previous or ongoing infection with Hep B and persists for life IgM anti-HBc - ANS IgM antibody to hep B core antigen indicates acute infection if present less than 6 months if present over 6 months indicates chronic infection Anti-Hbe - ANS hep B antigen antibodies indicates recovery and immunity from HBV infection. Should be present with anti-HBc and anti-HBs Ulcerative Colitis Treatment - ANS Oral 5-ASA is treatment of choice for chronic treatment of mild to moderate disease (Sulfasalazine) Oral 5-ASA without sulfapyridine is first line to achieve and maintain remission during exacerbation (mesalamine)