MS Exam 3

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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


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