2944614
Pregunta 1
Pregunta
What is the most common presenting complaint in patients with GERD?
Respuesta
-
Burning in lower part of mid-chest
-
Dry cough
-
Dysphagia
-
Asthma-like symptoms
Pregunta 2
Pregunta
Which of the following can double your risk of developing GER/D?
Respuesta
-
Alcohol
-
Caffeine
-
Smoking
-
Acidic foods
Pregunta 3
Pregunta
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?
Respuesta
-
Barrett's esophagus
-
Murphy's esophagus
-
GERD
-
Esophageal stricture
Pregunta 4
Pregunta
You are doing some teaching with a patient who has GERD. Which of the following statements would be incorrect?
Respuesta
-
"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)."
Pregunta 5
Pregunta
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?
Respuesta
-
GERD
-
PUD, with duodenal ulcers
-
PUD, with gastric ulcers
-
GER
Pregunta 6
Pregunta
______ ulcers are more prevalent in the older age group, whereas ______ ulcers occur at any age and are frequently seen in early adulthood.
Respuesta
-
peptic; gastric
-
gastric; duodenal
-
duodenal; gastric
-
duodenal; peptic
Pregunta 7
Pregunta
Which of the following is the major cause of peptic ulcer disease?
Respuesta
-
Infection with helicobacter pylori
-
Chronic use of NSAIDs
-
Acute trauma
-
Stress
Pregunta 8
Pregunta
Helicobacter pylori is a small, curved, gram negative bacillus.
Respuesta
- True
- False
Pregunta 9
Pregunta
How is it that H. pylori is able to survive in the acidic environment of the stomach?
Respuesta
-
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
Pregunta 10
Pregunta
All people infected with helicobacter pylori will develop peptic ulcer disease.
Respuesta
- True
- False
Pregunta 11
Pregunta
Patients with duodenal ulcers usually have normal appetites, whereas patients with gastric ulcers usually present with nausea and vomiting of undigested food.
Respuesta
- True
- False
Pregunta 12
Pregunta
Which of the following tests are avoided in diagnosis of peptic ulcer disease due to its high false positive test rate?
Respuesta
-
Urea breath test
-
Serologic test for antibodies
-
Endoscopic biopsy
-
Stool sample to test for occult blood
Pregunta 13
Pregunta
Which type of shock would a patient with peptic ulcer disease be most likely to develop?
Respuesta
-
Anaphylactic
-
Hypovolemic
-
Neurogenic
-
Obstructive
Pregunta 14
Pregunta
How would a patient present if they had peritonitis, secondary to peptic ulcer disease? Select all that apply.
Respuesta
-
Severe, acute abdominal pain radiating throughout abdomen and shoulder
-
Rigid abdomen
-
No bowel sounds
-
Distended abdomen
-
Ascites
Pregunta 15
Pregunta
GERD is a result of...
Respuesta
-
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
Pregunta 16
Pregunta
In managing the symptoms associated with GERD, the nurse should assign the highest priority to which of the following interventions?
Respuesta
-
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
Pregunta 17
Pregunta
The primary cause of duodenal ulcers is...
Respuesta
-
hypersecretion of gastric acid
-
hyposecretion of gastric acid
-
helicobacter pylori
-
escherichia coli
Pregunta 18
Pregunta
A peptic ulcer may occur in any of the following except:
Respuesta
-
stomach
-
duodenum
-
jejunum
-
esophagus
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