1. A 32 y/o female comes to

1. A 32 y/o female comes to your office with a 6 month history of loose bowel movements, approximately 8 per day. Blood has been present in many of them. She has lost 30 pounds. For the past 6 weeks, she has had an intermittent fever. She has had no previous Gl problems, and there is no family history of Gl problems. On exam, the patient looks ill. Her BP is 130/70; her pulse is 100 and regular. There is generalized abdominal tenderness with no rebound. A sigmoidoscopy reveals friable rectal mucosa with multiple bleeding points. O Crohn’s disease O Ulcerative colitis O Pseudomembranous colitis O Bacterial dysentery 2. Chris is a 42 y/o male who presents to the clinic with abdominal pain, nausea and vomiting. He has a history of alcoholism and Hepatitis B. Based on his history, exam and diagnostic test results, the NP diagnoses the patient with pancreatitis. During the exam, a bluish discoloration was noted to the periumbilical are of the abdomen. This should be documented in the medical record as: O Grey Turner sign O Obturator sign O Tap sign O Cullen sign SCIENCE HEALTH SCIENCE NURSING NURS GERONTOLOG

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