Chapter 36 Review

The most common cause of mechanical bowel obstruction is A. volvulus. B. intussusception. C. adhesions. D. fecal impaction.

C

What clinical finding would suggest an esophageal cause of a client's report of dysphagia? A. Nasal regurgitation B. Airway obstruction with swallowing C. Chest pain during meals D. Coughing when swallowing

C

Epigastric pain that is relieved by food is suggestive of A. pancreatitis. B. cardiac angina. C. gastric ulcer. D. dysphagia.

C

Esophageal varices represent a complication of ________ hypertension. A. primary B. pregnancy-induced C. portal D. secondary

C

Dumping syndrome is commonly seen after __________ procedures. A. appendectomy B. intestinal biopsy C. colonoscopy D. gastric bypass

D

Rupture of esophageal varices is a complication of cirrhosis with portal hypertension and carries a high ________ rate. A. cure B. morbidity C. insurance D. mortality

D

Fecal leukocyte screening would be indicated in a patient with suspected A. lactose intolerance. B. enterocolitis. C. laxative abuse. D. giardiasis.

B

A patient receiving chemotherapy may be at greater risk for development of A. gastroesophageal reflux. B. stomatitis. C. esophageal varices. D. Mallory-Weiss syndrome.

B

A silent abdomen 3 hours after bowel surgery most likely indicates A. peritonitis. B. mechanical bowel obstruction. C. perforated bowel. D. functional bowel obstruction.

D

A patient with chronic gastritis would likely be tested for A. Helicobacter pylori. B. occult blood. C. lymphocytes. D. herpes simplex.

A

Acute right lower quadrant pain associated with rebound tenderness and systemic signs of inflammation are indicative of A. appendicitis. B. peritonitis. C. cholecystitis. D. gastritis.

A

Celiac sprue is a malabsorptive disorder associated with A. inflammatory reaction to gluten-containing foods. B. megacolon at regions of autonomic denervation. C. ulceration of the distal colon and rectum. D. deficient production of pancreatic enzymes.

A

Premature infants are at greater risk for developing A. necrotizing enterocolitis. B. pseudomembranous colitis. C. appendicitis. D. diverticular disease.

A

Ulcerative colitis is commonly associated with A. bloody diarrhea. B. malabsorption of nutrients. C. fistula formation between loops of bowel. D. inflammation and scarring of the submucosal layer of the bowel.

A

What finding would rule out a diagnosis of irritable bowel syndrome in a patient with chronic diarrhea? A. Negative stool leukocytes B. Intermittent constipation C. Abdominal pain and distention D. Bloody stools

D

A patient who should be routinely evaluated for peptic ulcer disease is one who is A. taking 6 to 8 tablets of acetaminophen per day. B. being treated with high-dose oral glucocorticoids. C. experiencing chronic diarrhea. D. routinely drinking alcoholic beverages.

B

Barrett esophagus is a A. gastrin secreting lesion. B. preneoplastic lesion. C. benign condition. D. gastrin-secreting tumor.

B

Which symptom suggests the presence of a hiatal hernia? A. Nausea B. Heartburn C. Diarrhea D. Abdominal cramps

B

An early indicator of colon cancer is A. rectal pain. B. bloody diarrhea. C. a change in bowel habits. D. jaundice.

C

An urgent surgical consult is indicated for the patient with acute abdominal pain and A. vomiting. B. CVA tenderness. C. absent bowel sounds. D. borborygmi.

C

Constipation in an elderly patient can be best treated by A. maintaining a low-fiber diet. B. maintaining the current level of activity. C. fecal disimpaction. D. increasing fiber in the diet.

D

Proton pump inhibitors may be used in the management of peptic ulcer disease to A. increase gastric motility. B. inhibit secretion of pepsinogen. C. neutralize gastric acid. D. decrease hydrochloric acid (HCl) secretion.

D

What finding should prompt further diagnostic testing in a child presenting with diarrhea? A. Periumbilical discomfort B. Greenish, watery diarrhea C. Frequent, large-volume diarrhea D. Blood and mucus in the stools

D