Quiz
GERD and PUD
Questions in this quiz (18)
1What is the most common presenting complaint in patients with GERD?
- ABurning in lower part of mid-chest
- BDry cough
- CDysphagia
- DAsthma-like symptoms
2Which of the following can double your risk of developing GER/D?
- AAlcohol
- BCaffeine
- CSmoking
- DAcidic foods
3Which 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?
- ABarrett's esophagus
- BMurphy's esophagus
- CGERD
- DEsophageal stricture
4You are doing some teaching with a patient who has GERD. Which of the following statements would be incorrect?
- A"Eat slowly and chew thoroughly to add saliva to your food."
- B"Eat only two or three meals a day that are rich in carbohydrates and low in protein."
- C"Don't eat or drink 2-3 hours before bedtime to prevent heartburn at night (nocturnal reflux)."
- D"Avoid foods that reduce the muscle tone of the opening between your throat and stomach (lower esophageal sphincter) (e.g. chocolate, fatty foods)."
5Aaron 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?
- AGERD
- BPUD, with duodenal ulcers
- CPUD, with gastric ulcers
- DGER
6______ ulcers are more prevalent in the older age group, whereas ______ ulcers occur at any age and are frequently seen in early adulthood.
- Apeptic; gastric
- Bgastric; duodenal
- Cduodenal; gastric
- Dduodenal; peptic
7Which of the following is the major cause of peptic ulcer disease?
- AInfection with helicobacter pylori
- BChronic use of NSAIDs
- CAcute trauma
- DStress
8Helicobacter pylori is a small, curved, gram negative bacillus.
- ATrue
- BFalse
9How is it that H. pylori is able to survive in the acidic environment of the stomach?
- AThey secrete urease, which enables them to produce sufficient ammonia to buffer the acidity of their immediate environment
- BThey secrete a toxin that damages the parietal cells in the stomach and inhibits release of gastric acid
- CThey infect host cells that transport the bacteria into the stomach
- DHelicobacter pylori thrive in an acidic environment
10All people infected with helicobacter pylori will develop peptic ulcer disease.
- ATrue
- BFalse
11Patients with duodenal ulcers usually have normal appetites, whereas patients with gastric ulcers usually present with nausea and vomiting of undigested food.
- ATrue
- BFalse
12Which of the following tests are avoided in diagnosis of peptic ulcer disease due to its high false positive test rate?
- AUrea breath test
- BSerologic test for antibodies
- CEndoscopic biopsy
- DStool sample to test for occult blood
13Which type of shock would a patient with peptic ulcer disease be most likely to develop?
- AAnaphylactic
- BHypovolemic
- CNeurogenic
- DObstructive
14How would a patient present if they had peritonitis, secondary to peptic ulcer disease? Select all that apply.
- ASevere, acute abdominal pain radiating throughout abdomen and shoulder
- BRigid abdomen
- CNo bowel sounds
- DDistended abdomen
- EAscites
15GERD is a result of...
- Aan excessive production of hydrochloric acid
- Ba zone of low pressure of the lower esophageal sphincter
- Cthe presence of helicobacter pylori in the esophagus
- Da reverse muscular peristalsis of the esophagus
16In managing the symptoms associated with GERD, the nurse should assign the highest priority to which of the following interventions?
- ADecrease daily intake of vegetables and water and ambulate frequently
- BDrink coffee diluted with milk at each meal and remain in an upright position for 30 minutes after eating
- CEat small, frequent meals and remain in an upright position for 30 minutes after eating
- DAvoid over-the-counter drugs that have antacids in them
17The primary cause of duodenal ulcers is...
- Ahypersecretion of gastric acid
- Bhyposecretion of gastric acid
- Chelicobacter pylori
- Descherichia coli
18A peptic ulcer may occur in any of the following except:
- Astomach
- Bduodenum
- Cjejunum
- Desophagus
Information
- Description
- Quiz to prep for GERD and PUD lecture.
- Author
- Ash Lig
- Language
- English
- Views
- 606
- Tags
- Rating
- No ratings yet Rate this quiz