Test 3 Pre-lecture Questions

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

Most peptic ulcers result from infection with the gram-negative bacteria H. pylori, which may be acquired through ingestion of food and water.

True

Obesity is associated with a 6- to 20-year decrease in life expectancy.

True

Gastritis and _____________ from peptic ulcer disease are the two most common causes of upper GI tract bleeding.

hemorrhage

Acute pancreatitis presents with fever, jaundice, confusion, agitation, and abdominal guarding.

True

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

The best time to teach a client to take proton pump inhibitors is 30 minutes before a meal.

True

The endocrine functions of the pancreas include secretion of insulin, glucagon, and somatostatin directly into the bloodstream.

True

The vast majority of gastric cancers are acquired and not inherited.

True

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

Valsalva

Severe _______________ pain is the major symptom of pancreatitis that causes the patient to seek medical care.

abdominal

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

adenocarcinoma

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

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

appendicitis

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

behavioral

In patients with gastric cancer a _______may be used to evaluate for the presence of anemia.

cbc

A laparoscopic _________________ is the standard therapy for symptomatic gallstones.

cholecystectomy

The major stimulus for digestive enzyme secretion is the hormone ________________, which acts by stimulating the gallbladder to contract.

cholecystokinin

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

diarrhea

_____________________ may occur a result any surgical procedure that involves the removal of a significant portion of the stomach or includes resection or removal of the pylorus.

dumping syndrome

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

irritable bowel syndrome

Lifestyle modification is aimed at weight loss and _______________.

maintenance

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

False

The most common site for a peptic ulcer formation is in the pylorus.

False

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

False

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

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

Zollinger--Ellison syndrome is characterized by tumors of the islets of Langerhans that result in hypersecretion of gastric acid.

True

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

satiety

The patient with chronic pancreatitis often has frequent, frothy, foul smelling stools, a condition known as _________________.

steatorrhea

Pancreatic enzymes include amylase, which aids in the digestion of carbohydrates; _____________, which aids in the digestion of proteins; and lipase, which aids in the digestion of fats.

trypsin

A greater risk for obesity is assessed by a waist circumference that is greater than how many inches for women and > 40 inches for men?. __________________

35

Acute gastritis is a prolonged inflammation due to benign or malignant ulcers of the stomach.

False

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

False

Gallstones, composed predominantly of pigment, account for 75% of all cases of gallbladder diseases in the United States.

False

Pancreatic carcinoma has only a 5% survival rate at 5 years regardless of the stage of the disease at diagnosis or treatment.

False

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

False