Sample interview questions: Can you discuss your experience in assessing and managing patients with gastrointestinal bleeding?
Sample answer:
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Assessment:
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Detailed History Taking:
- Thoroughly assess the patient’s history, including:
- Onset, duration, and character of gastrointestinal bleeding (hematemesis, melena, hematochezia)
- Associated symptoms (e.g., abdominal pain, nausea, vomiting, diarrhea, constipation)
- Past medical history (e.g., peptic ulcer disease, liver disease, inflammatory bowel disease)
- Current medications (including NSAIDs, anticoagulants, antiplatelets)
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Alcohol and tobacco use
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Physical Examination:
- Assess vital signs, including blood pressure, heart rate, and respiratory rate
- Inspect the skin and mucous membranes for signs of anemia or Jaundice
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Perform a thorough abdominal examination, including auscultation for bowel sounds and palpation for abdominal tenderness or masses
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Laboratory Tests:
- Order and interpret laboratory tests:
- Complete blood count (CBC) to assess for anemia
- Coagulation studies (prothrombin time, partial thromboplastin time) to evaluate coagulation status
- Liver function tests to assess for liver disease
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Serum electrolytes to assess for electrolyte imbalances
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Imaging Studies:
- Order and interpret imaging studies:
- Upper endoscopy or colonoscopy to visualize the gastrointestinal tract and identify the source of bleeding
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Abdominal ultrasound or CT scan to assess for abdominal masses or other abnormalities
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Management:
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Source: https://hireabo.com/job/2_0_26/Gastroenterology%20Nurse