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Quiz to prep for GERD and PUD lecture.

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Ash Lig
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GERD and PUD

Frage 1 von 18

1

What is the most common presenting complaint in patients with GERD?

Wähle eine der folgenden:

  • Burning in lower part of mid-chest

  • Dry cough

  • Dysphagia

  • Asthma-like symptoms

Erklärung

Frage 2 von 18

1

Which of the following can double your risk of developing GER/D?

Wähle eine der folgenden:

  • Alcohol

  • Caffeine

  • Smoking

  • Acidic foods

Erklärung

Frage 3 von 18

1

Which of the following is best described as being characterized by a reparative process in which the squamous mucosa that normally lines the esophagus is gradually replaced by columnar epithelium resembling that in the intestines and stomach?

Wähle eine der folgenden:

  • Barrett's esophagus

  • Murphy's esophagus

  • GERD

  • Esophageal stricture

Erklärung

Frage 4 von 18

1

You are doing some teaching with a patient who has GERD. Which of the following statements would be incorrect?

Wähle eine der folgenden:

  • "Eat slowly and chew thoroughly to add saliva to your food."

  • "Eat only two or three meals a day that are rich in carbohydrates and low in protein."

  • "Don't eat or drink 2-3 hours before bedtime to prevent heartburn at night (nocturnal reflux)."

  • "Avoid foods that reduce the muscle tone of the opening between your throat and stomach (lower esophageal sphincter) (e.g. chocolate, fatty foods)."

Erklärung

Frage 5 von 18

1

Aaron Huntley, 46, comes to your clinic complaining of dull, burning pain in his stomach. He tells you that it typically occurs 2 to 3 hours after meals and during the night and is relieved only by eating or taking an antacid. He says he doesn't have nausea or vomiting. What condition do you suspect that Mr. Huntley has?

Wähle eine der folgenden:

  • GERD

  • PUD, with duodenal ulcers

  • PUD, with gastric ulcers

  • GER

Erklärung

Frage 6 von 18

1

______ ulcers are more prevalent in the older age group, whereas ______ ulcers occur at any age and are frequently seen in early adulthood.

Wähle eine der folgenden:

  • peptic; gastric

  • gastric; duodenal

  • duodenal; gastric

  • duodenal; peptic

Erklärung

Frage 7 von 18

1

Which of the following is the major cause of peptic ulcer disease?

Wähle eine der folgenden:

  • Infection with helicobacter pylori

  • Chronic use of NSAIDs

  • Acute trauma

  • Stress

Erklärung

Frage 8 von 18

1

Helicobacter pylori is a small, curved, gram negative bacillus.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 9 von 18

1

How is it that H. pylori is able to survive in the acidic environment of the stomach?

Wähle eine der folgenden:

  • They secrete urease, which enables them to produce sufficient ammonia to buffer the acidity of their immediate environment

  • They secrete a toxin that damages the parietal cells in the stomach and inhibits release of gastric acid

  • They infect host cells that transport the bacteria into the stomach

  • Helicobacter pylori thrive in an acidic environment

Erklärung

Frage 10 von 18

1

All people infected with helicobacter pylori will develop peptic ulcer disease.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 11 von 18

1

Patients with duodenal ulcers usually have normal appetites, whereas patients with gastric ulcers usually present with nausea and vomiting of undigested food.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 12 von 18

1

Which of the following tests are avoided in diagnosis of peptic ulcer disease due to its high false positive test rate?

Wähle eine der folgenden:

  • Urea breath test

  • Serologic test for antibodies

  • Endoscopic biopsy

  • Stool sample to test for occult blood

Erklärung

Frage 13 von 18

1

Which type of shock would a patient with peptic ulcer disease be most likely to develop?

Wähle eine der folgenden:

  • Anaphylactic

  • Hypovolemic

  • Neurogenic

  • Obstructive

Erklärung

Frage 14 von 18

1

How would a patient present if they had peritonitis, secondary to peptic ulcer disease? Select all that apply.

Wähle eine oder mehr der folgenden:

  • Severe, acute abdominal pain radiating throughout abdomen and shoulder

  • Rigid abdomen

  • No bowel sounds

  • Distended abdomen

  • Ascites

Erklärung

Frage 15 von 18

1

GERD is a result of...

Wähle eine der folgenden:

  • an excessive production of hydrochloric acid

  • a zone of low pressure of the lower esophageal sphincter

  • the presence of helicobacter pylori in the esophagus

  • a reverse muscular peristalsis of the esophagus

Erklärung

Frage 16 von 18

1

In managing the symptoms associated with GERD, the nurse should assign the highest priority to which of the following interventions?

Wähle eine der folgenden:

  • Decrease daily intake of vegetables and water and ambulate frequently

  • Drink coffee diluted with milk at each meal and remain in an upright position for 30 minutes after eating

  • Eat small, frequent meals and remain in an upright position for 30 minutes after eating

  • Avoid over-the-counter drugs that have antacids in them

Erklärung

Frage 17 von 18

1

The primary cause of duodenal ulcers is...

Wähle eine der folgenden:

  • hypersecretion of gastric acid

  • hyposecretion of gastric acid

  • helicobacter pylori

  • escherichia coli

Erklärung

Frage 18 von 18

1

A peptic ulcer may occur in any of the following except:

Wähle eine der folgenden:

  • stomach

  • duodenum

  • jejunum

  • esophagus

Erklärung