MedSurg PreLecture Quiz Ch41/42

A greater risk for obesity is assessed by a waist circumference that is ____ inches for women and ____ inches for men.

35, 40

The etiology of cancer of the colon and rectum is predominantly _________________ , a malignancy arising from the epithelial lining of the intestine.

ADENOCARCINOMA

Following bariatric surgery, disruption at the site of ________________ may cause leakage of gastric contents into the peritoneal cavity, causing infection and possible sepsis.

ANASTOMOSIS

Causes of obesity are complex and multifactorial and include _____________________, environmental, physiologic, and genetic factors.

BEHAVIORAL

Straining at stool initiates the ___________________ maneuver that results in a potentially dangerous increase in BP.

VALSALVA

_____________ , the most common cause of acute surgical abdomen in the United States, is the most common reason for emergency abdominal surgery.

APPENDICITIS

Lifestyle modification is aimed at weight loss and _____________________.

MAINTENANCE

________________ is a chronic functional disorder characterized by recurrent abdominal pain associated with diarrhea, constipation, or both.

IRRITABLE BOWEL SYNDROME

In Crohn's disease, the common clinical manifestations include abdominal pain and ___________________ .

DIARRHEA

Diverticula may occur anywhere in the small intestine or colon, but most commonly occur in the ascending colon. TRUE FALSE

F

Patients with dumping syndrome after gastric surgery should consume at least 16 ounces of fluid with each meal. FALSE TRUE

F

The average weight loss following bariatric surgery is 35% to 50% of previous body weight over 2 to 3 years. FALSE TRUE

F

The patient with irritable bowel syndrome (IBS) should select foods low in fiber in order to minimize intestinal irritation. FALSE TRUE

F

Traditionally, the term extreme obesity applies to adults whose body mass index (BMI) exceeds 30 kg/m2. FALSE TRUE

F

Antiobesity medications work by inhibiting GI absorption of fat and altering central brain receptors to enhance ________________ or reduce cravings.

SATIETY

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. FALSE TRUE

T

Celiac disease is a disorder of malabsorption caused by an autoimmune response to consumption of products that contain the protein gluten. FALSE TRUE

T

Decompression of the bowel through a nasogastric tube is necessary for all patients with small bowel obstruction. FALSE TRUE

T

Diarrhea is defined as the increased frequency of more than three bowel movements per day. FALSE TRUE

T

Obesity is associated with a 2- to 6-year decrease in life expectancy. FALSE TRUE

T