Sample interview questions: How do you assess and manage patients with gastrointestinal disorders related to autoimmune diseases?
Sample answer:
Assessment:
- Detailed history: Inquiry into symptoms, duration, triggers, aggravating factors, family history of autoimmune diseases.
- Physical examination: Examination of the abdomen for tenderness, masses, hepatomegaly, ascites; skin examination for rashes, ulcers; joint examination for arthritis.
- Laboratory tests: Blood tests (autoantibody panels, liver function tests, complete blood count); stool tests (fatty acids, elastase); imaging studies (endoscopy, colonoscopy, MRI/CT scan).
Management:
Medical Therapy:
- Immunosuppressive medications: To suppress the immune response and reduce inflammation (e.g., azathioprine, methotrexate).
- Biologic therapies: Targeted therapies that block specific inflammatory pathways (e.g., infliximab, vedolizumab).
- Anti-inflammatory medications: To reduce inflammation (e.g., corticosteroids, mesalamine).
Nutritional Intervention:
- Dietary modifications: Avoidance of trigger foods, adherence to a specific diet (e.g., low-FODMAP diet for IBS).
- Nutritional supplements: To address nutrient deficiencies (e.g., vitamin D, calcium).
Lifestyle Modifications:
- Stress management: Stress can exacerbate symptoms.
Source: https://hireabo.com/job/2_0_26/Gastroenterology%20Nurse