Ash Lig
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Quiz to prep for GERD and PUD lecture.

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Ash Lig
Criado por Ash Lig aproximadamente 9 anos atrás
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GERD and PUD

Questão 1 de 18

1

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

Selecione uma das seguintes:

  • Burning in lower part of mid-chest

  • Dry cough

  • Dysphagia

  • Asthma-like symptoms

Explicação

Questão 2 de 18

1

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

Selecione uma das seguintes:

  • Alcohol

  • Caffeine

  • Smoking

  • Acidic foods

Explicação

Questão 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?

Selecione uma das seguintes:

  • Barrett's esophagus

  • Murphy's esophagus

  • GERD

  • Esophageal stricture

Explicação

Questão 4 de 18

1

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

Selecione uma das seguintes:

  • "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)."

Explicação

Questão 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?

Selecione uma das seguintes:

  • GERD

  • PUD, with duodenal ulcers

  • PUD, with gastric ulcers

  • GER

Explicação

Questão 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.

Selecione uma das seguintes:

  • peptic; gastric

  • gastric; duodenal

  • duodenal; gastric

  • duodenal; peptic

Explicação

Questão 7 de 18

1

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

Selecione uma das seguintes:

  • Infection with helicobacter pylori

  • Chronic use of NSAIDs

  • Acute trauma

  • Stress

Explicação

Questão 8 de 18

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 9 de 18

1

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

Selecione uma das seguintes:

  • 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

Explicação

Questão 10 de 18

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 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.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 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?

Selecione uma das seguintes:

  • Urea breath test

  • Serologic test for antibodies

  • Endoscopic biopsy

  • Stool sample to test for occult blood

Explicação

Questão 13 de 18

1

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

Selecione uma das seguintes:

  • Anaphylactic

  • Hypovolemic

  • Neurogenic

  • Obstructive

Explicação

Questão 14 de 18

1

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

Selecione uma ou mais das seguintes:

  • Severe, acute abdominal pain radiating throughout abdomen and shoulder

  • Rigid abdomen

  • No bowel sounds

  • Distended abdomen

  • Ascites

Explicação

Questão 15 de 18

1

GERD is a result of...

Selecione uma das seguintes:

  • 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

Explicação

Questão 16 de 18

1

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

Selecione uma das seguintes:

  • 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

Explicação

Questão 17 de 18

1

The primary cause of duodenal ulcers is...

Selecione uma das seguintes:

  • hypersecretion of gastric acid

  • hyposecretion of gastric acid

  • helicobacter pylori

  • escherichia coli

Explicação

Questão 18 de 18

1

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

Selecione uma das seguintes:

  • stomach

  • duodenum

  • jejunum

  • esophagus

Explicação