Ash Lig
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Quiz to prep for GERD and PUD lecture.

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GERD and PUD

Pregunta 1 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • Burning in lower part of mid-chest

  • Dry cough

  • Dysphagia

  • Asthma-like symptoms

Explicación

Pregunta 2 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • Alcohol

  • Caffeine

  • Smoking

  • Acidic foods

Explicación

Pregunta 3 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Barrett's esophagus

  • Murphy's esophagus

  • GERD

  • Esophageal stricture

Explicación

Pregunta 4 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • "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)."

Explicación

Pregunta 5 de 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?

Selecciona una de las siguientes respuestas posibles:

  • GERD

  • PUD, with duodenal ulcers

  • PUD, with gastric ulcers

  • GER

Explicación

Pregunta 6 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • peptic; gastric

  • gastric; duodenal

  • duodenal; gastric

  • duodenal; peptic

Explicación

Pregunta 7 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • Infection with helicobacter pylori

  • Chronic use of NSAIDs

  • Acute trauma

  • Stress

Explicación

Pregunta 8 de 18

1

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

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

Pregunta 9 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 10 de 18

1

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

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

Pregunta 11 de 18

1

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

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

Pregunta 12 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • Urea breath test

  • Serologic test for antibodies

  • Endoscopic biopsy

  • Stool sample to test for occult blood

Explicación

Pregunta 13 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • Anaphylactic

  • Hypovolemic

  • Neurogenic

  • Obstructive

Explicación

Pregunta 14 de 18

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • Severe, acute abdominal pain radiating throughout abdomen and shoulder

  • Rigid abdomen

  • No bowel sounds

  • Distended abdomen

  • Ascites

Explicación

Pregunta 15 de 18

1

GERD is a result of...

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 16 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 17 de 18

1

The primary cause of duodenal ulcers is...

Selecciona una de las siguientes respuestas posibles:

  • hypersecretion of gastric acid

  • hyposecretion of gastric acid

  • helicobacter pylori

  • escherichia coli

Explicación

Pregunta 18 de 18

1

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

Selecciona una de las siguientes respuestas posibles:

  • stomach

  • duodenum

  • jejunum

  • esophagus

Explicación

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