CGRN GI/Endoscopy Practice Exam - Question List

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36. A 54 year old woman has been admitted with a diagnosis of sepsis. What would be the first signs and symptoms that the patient may have a gastrointestinal bleed?
  1. Blood in feces
  2. Weakness and fatigue
  3. Abdominal pain and discomfort
  4. Weight loss and anorexia
37. Which diagnostic test is considered the “gold standard” for diagnosis of gastrointestinal bleeding?
  1. Colonoscopy
  2. Endoscopy
  3. Exploratory laparoscopy
  4. Upper Gastrointestinal Series
38. A 33 year old female has been admitted with severe abdominal pain that has lasted greater than 3 days. She has had severe diarrhea and rectal bleeding for 48 hours. She is scheduled for an Endoscopy in one hour. What disease does this patient most likely have?
  1. Small bowel obstruction
  2. Portal hypertension
  3. Ulcerative colitis
  4. Gastroesophageal reflux disease
39. A nurse is taking care of a patient with a gastrointestinal bleed who is receiving intravenous fluids, packed red blood cell transfusion and proton pump inhibitor medication. The nurse would assess for all the following complications of a gastrointestinal bleed except for:
  1. Hemorrhagic shock
  2. Perforation
  3. Myocardial infarction
  4. Small bowel obstruction
40. What is the main intervention that needs to occur if a patient develops a perforation of the gastro intestinal tract?
  1. Surgical intervention
  2. Fluid resuscitation
  3. Nasogastric tube placement to low wall suction
  4. Hold all food and assess for signs of bleeding

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