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