Ash Lig
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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

Question 1 of 18

1

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

Select one of the following:

  • Burning in lower part of mid-chest

  • Dry cough

  • Dysphagia

  • Asthma-like symptoms

Explanation

Question 2 of 18

1

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

Select one of the following:

  • Alcohol

  • Caffeine

  • Smoking

  • Acidic foods

Explanation

Question 3 of 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?

Select one of the following:

  • Barrett's esophagus

  • Murphy's esophagus

  • GERD

  • Esophageal stricture

Explanation

Question 4 of 18

1

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

Select one of the following:

  • "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)."

Explanation

Question 5 of 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?

Select one of the following:

  • GERD

  • PUD, with duodenal ulcers

  • PUD, with gastric ulcers

  • GER

Explanation

Question 6 of 18

1

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

Select one of the following:

  • peptic; gastric

  • gastric; duodenal

  • duodenal; gastric

  • duodenal; peptic

Explanation

Question 7 of 18

1

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

Select one of the following:

  • Infection with helicobacter pylori

  • Chronic use of NSAIDs

  • Acute trauma

  • Stress

Explanation

Question 8 of 18

1

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

Select one of the following:

  • True
  • False

Explanation

Question 9 of 18

1

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

Select one of the following:

  • 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

Explanation

Question 10 of 18

1

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

Select one of the following:

  • True
  • False

Explanation

Question 11 of 18

1

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

Select one of the following:

  • True
  • False

Explanation

Question 12 of 18

1

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

Select one of the following:

  • Urea breath test

  • Serologic test for antibodies

  • Endoscopic biopsy

  • Stool sample to test for occult blood

Explanation

Question 13 of 18

1

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

Select one of the following:

  • Anaphylactic

  • Hypovolemic

  • Neurogenic

  • Obstructive

Explanation

Question 14 of 18

1

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

Select one or more of the following:

  • Severe, acute abdominal pain radiating throughout abdomen and shoulder

  • Rigid abdomen

  • No bowel sounds

  • Distended abdomen

  • Ascites

Explanation

Question 15 of 18

1

GERD is a result of...

Select one of the following:

  • 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

Explanation

Question 16 of 18

1

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

Select one of the following:

  • 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

Explanation

Question 17 of 18

1

The primary cause of duodenal ulcers is...

Select one of the following:

  • hypersecretion of gastric acid

  • hyposecretion of gastric acid

  • helicobacter pylori

  • escherichia coli

Explanation

Question 18 of 18

1

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

Select one of the following:

  • stomach

  • duodenum

  • jejunum

  • esophagus

Explanation

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