MS Exam 3
The etiology of cancer of the colon and rectum is predominantly , a malignancy arising from the epithelial lining of the intestine.
Adenocarcinoma
Decompression of the bowel through a nasogastric tube is necessary for all patients with small bowel obstruction.
True
Diarrhea is defined as the increased frequency of more than three bowel movements per day.
True
Obesity is associated with a 6- to 20-year decrease in life expectancy.
True
Causes of obesity are complex and multifactorial and include _____________ , environmental, physiologic, and genetic factors.
behavioral
Lifestyle modification is aimed at weight loss and __________________.
healthy life
Gastritis and _____________ from peptic ulcer disease are the two most common causes of upper GI tract bleeding.
hemorrhage
After bowel sounds have returned and oral intake is resumed following bariatric surgery, six small feedings consisting of a total of 600 to 800 calories per day should be consumed.
True
Celiac disease is a disorder of malabsorption caused by an autoimmune response to consumption of products that contain the protein gluten.
True
Straining at stool initiates the __________ maneuver that results in a potentially dangerous increase in BP.
Valsalva
Currently, the most commonly used therapy for peptic ulcers is a combination of ____________, proton pump inhibitors, and bismuth salts that suppresses or eradicates H. pylori.
antibiotics
A laparoscopic _________________ is the standard therapy for symptomatic gallstones.
cholecystectomy -surgical removal of gallbladder
In Crohn's disease, the common clinical manifestations include abdominal pain and .
diarrhea
_____________________ may occur as a result of any surgical procedure that involves the removal of a significant portion of the stomach or includes resection or removal of the pylorus.
dumping syndrome
True or False: Acute gastritis is a prolonged inflammation due to benign or malignant ulcers of the stomach.
false
True or False: Gallstones, composed predominantly of pigment, account for 75% of all cases of gallbladder diseases in the United States.
false
True or False: The most common site for a peptic ulcer formation is in the pylorus.
false
Following bariatric surgery, disruption at the surgical site may cause leakage of gastric contents into the peritoneal cavity, causing ___________________ and possible sepsis.
infection
Tumors of the small intestine are uncommon, of these approximately 64% are __________________.
malignant
________________ , the most common cause of acute surgical abdomen in the United States, is the most common reason for emergency abdominal surgery.
Appendicitis
The average weight loss following bariatric surgery is 35% to 50% of previous body weight over 2 to 3 years.
False
The patient with irritable bowel syndrome (IBS) should select foods low in fiber in order to minimize intestinal irritation.
False
Antiobesity medications work by inhibiting GI absorption of fat and altering central brain receptors to enhance or reduce cravings.
satiety
In patients with gastric cancer a _______may be used to evaluate for the presence of anemia.
CBC- complete blood count
True or False: Most peptic ulcers result from infection with the gram-negative bacteria H. pylori, which may be acquired through ingestion of food and water.
true
True or False: The best time to teach a client to take proton pump inhibitors is 30 minutes before a meal.
true
True or False: The vast majority of gastric cancers are acquired and not inherited.
true
Diverticula may occur anywhere in the small intestine or colon, but most commonly occur in the ascending colon.
False
_____________ is a chronic functional disorder characterized by recurrent abdominal pain associated with diarrhea, constipation, or both.
IBS
