Patho Chapter 36

Acute RLQ pain associated with rebound tenderness and systemic signs of inflammation are indicative of

appendicitis

A patient who should be routinely evaluated for peptic ulcer disease is one who is

being treated with high-dose oral glucocorticoids

What finding would rule out a diagnosis of IBS in a patient with chronic diarrhea?

bloody stools

What clinical finding would suggest an esophageal cause of a client's report of dysphagia?

chest pain during meals

Leukocyte screening would be indicated in a patient with suspected

enterocolitis

A silent abdomen 3 hours after bowel surgery most likely indicates

functional bowel obstruction

Dumping syndrom is commonly seen after ________ procedures.

gastric bypass

Constipation in an elderly patient can be best treated by

increasing fiber in the diet

Celiac sprue is a malabsorptive disorder that is associated with

inflammatory reaction to gluten containing foods

Rupture of esophageal varices is a complication of cirrhosis with portal hypertension and carries a high

mortality rate

Esophageal varices represent a complication of

portal hypertension

Premature infants are at greater risk for developing

Necrotizing enterocolitis

An urgent surgical consult is indicated for the patient with acute abdominal pain and

absent bowel sounds

Barrett esophagus is a

preneoplastic lesion

A patient with chronic gastritis would likely be tested for

H. Pylori

Which symptom suggest the presence of a hiatal hernia?

Heartburn

The most common cause of mechanical bowel obstruction is

adhesions

A patient receiving chemotherapy may be at a greater risk for development of

stomatits

Ulcerative colitis is commonly associated with

bloody diarrhea

What finding should prompt further diagnostic testing in a child presenting with diarrhea?

blood and mucus in the stools

Proton pump inhibitors may be used in the management of peptic ulcer disease to

decrease HCL secretion

An early indicator of colon cancer is

a change in bowel habits

Epigastric pain that is relieved by food is suggestive of

gastric ulcer

A disorder of the esophageal smooth muscle function where dysphagia is a symptom is:

-Esophageal stricture -achalasia -esophageal tumors -hiatal hernia

What is a pathophysiologic mechanism involved in the development of diarrhea?

-osmotic -secretory -exudative -motility

Crohn's disease is associated with what complications?

-perianal fissures -fistulae -abscesses