Chap 29 Flashcards

1
Q
  1. Following consumption of an offending substance, the presence of GI bleeding, belching, epigastric pain, and vomiting suggest
    a. A gastric ulcer
    b. Gastroespohageal reflux
    c. Dyspepsia
    d. Acute gastritis
A

D

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2
Q
  1. Upper GI pain with no definite etiology is termed:
    a. Dyspepsia
    b. Gastritis
    c. Dysphagia
    d. Gastroenteritis
A

A

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3
Q
  1. Which of the following is NOT a cause of gastroenteritis?
    a. Viral infection
    b. Bacterial infection
    c. Excessive alcohol consumption
    d. Emotional stress
A

C

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4
Q
  1. The management of gastroenteritis includes which of the following?
    a. Avoiding factors that bring on anxiety and stress
    b. Avoiding dehydration
    c. Taking sulfasalazine
    d. Taking an antimotility drug
    e. Al of the above
    f. A, B, C
    g. A, B, D
    h. A, C, D
    i. B, C, D
    j. None of the above
A

G

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5
Q
  1. Abdominal pain with alternating constipation and diarrhea, heartburn, abdominal distention, back pain, and weakness are characteristics of:
    a. Crohn disease
    b. Irritable bowel syndrome
    c. Ulcerative colitis
    d. Colitis
A

B

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6
Q
  1. Which of the following is a sign or symptom of Crohn disease?
    a. Colicky or steady abdominal; pain in the right lower quadrant
    b. Lack of appetite
    c. Hematemesis
    d. Diarrhea
    e. All of the above
    f. A, B, C
    g. A, B, D
    h. A, C, D
    i. B, C, D
    j. None of the above
A

G

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7
Q
  1. Recurrent bloody diarrhea is the classic symptom of:
    a. Ulcerative colitis
    b. Crohn disease
    c. Irritable bowel syndrome
    d. Gastroenteritis
A

A

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8
Q
  1. Exercise-induced shunting can lead to which of the following?
    a. Gastritis
    b. Intestinal bleeding
    c. Esophageal mobility
    d. Prompt gastric emptying
    e. All of the above
    f. A, B, C
    g. A, B, D
    h. A, C, D
    i. B, C, D
    j. None of the above
A

F

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9
Q
  1. Conditions that force contents of the abdomen superiorly, such as obesity, pregnancy, and running, are often associated with which of the following conditions?
    a. Gastroesophageal reflux
    b. Peptic ulcers
    c. Dysphagia
    d. Gastritis
A

A

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10
Q
  1. Which of the following would NOT be part of a diet modification plan for someone who has a peptic ulcer?
    a. Decrease consumption of alcohol
    b. Decrease the use of caffeine
    c. Decrease the use of tobacco products
    d. Decrease clear fluid consumption
A

D

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11
Q
  1. Antidiarrheal medications perform which of the following actions?
    a. Increase intestinal movement
    b. Modify intestinal bacteria
    c. Decrease lower GI discomfort
    d. Increase fluid absorption
    e. All of the above
    f. A, B, C
    g. A, B, D
    h. A, C, D
    i. B, C, D
    j. None of the above
A

I

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12
Q
  1. Peptic ulcers normally occur in the:
    a. Proximal esophagus
    b. Small intestine
    c. Stomach
    d. Duodenum
    e. All of the above
    f. A, B, C
    g. A, B, D
    h. A, C, D
    i. B, C, D
    j. None of the above
A

H

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13
Q
  1. Which of the following would NOT be suggested in the management of constipation?
    a. Bran cereal
    b. Fruits
    c. Increase fluid intake
    d. Decrease exercise
A

D

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14
Q
  1. Common OTC stool softeners include which of the following:
    a. Dulcolax
    b. Metamucil
    c. Imodium
    d. Senokot
    e. All of the above
    f. A, B, C
    g. A, B, D
    h. A, C, D
    i. B, C, D
    j. None of the above
A

G

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15
Q
  1. Which of the following increases the incidence of hemorrhoids?
    a. Peptic ulcers
    b. Gastritis
    c. Dyspepsia
    d. Constipation
A

D

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16
Q
  1. Prior to running in the 100-m state finals, an athlete suddenly develops dry mouth, dyspepsia, abdominal cramping, and heartburn. What is the athlete most likely experiencing?
    a. Gastritis
    b. Anxiety reaction
    c. Food positioning
    d. Gastroesophageal reflux
A

B

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17
Q
  1. An athlete is experiencing emesis. What should you do for this athlete?
    a. Give the athlete an antihistamine
    b. Summon EMS
    c. Give the athlete a container in which to vomit
    d. Give the athlete a decongestant
A

C

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18
Q
  1. Each of the following would be part of the management of gastroesophageal reflux EXCEPT:
    a. Use of antacids 4 hours prior to exercise
    b. Use of antidiarrheals 4 hours prior to exercise
    c. Timing of meals prior to exercise
    d. Diet modification
A

B

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19
Q
  1. Which of the following would NOT reduce the discomfort from diarrhea?
    a. Drinking boiled milk
    b. Eating bland food
    c. Eating a low-fiber diet 24 to 36 hours before practice
    d. Reducing fluid intake before and during exercise
A

D

20
Q
  1. Which of the following are considered rectal preparations?
    a. Tucks Pad
    b. Proctofoam
    c. Tronolane
    d. Citrucel
    e. All of the above
    f. A, B, C
    g. A, B, D
    h. A, C, D
    i. B, C, D
    j. None of the above
A

F

21
Q
  1. ________ are often used to treat dyspepsia.
A

a. Antacids

22
Q
  1. An athlete who has suffered from diarrhea should be closely monitored for______
A

a. Dehydration

23
Q
  1. Preparation-H and Tucks Pads are used in the treatment of _________
A

a. hemorrhoids

24
Q
  1. The propulsive reflex in colon that stimulates defecation is known as _______
A

a. gastrocolic reflex

25
Q
  1. When gastric juice, an extremely acidic substance, regurgitates into the esophagus, it is called __________
A

a. gastroesophageal reflux disease (GERD)

26
Q
  1. A diagnosis of constipation occurs when a patient experiences _______ or fewer bowel movements each week
A

a. Two

27
Q
  1. True or False: The incidence of gastroenteritis is rare among adolescents and young adults.
A

F

28
Q
  1. True or False: When bleeding is associated with gastritis, antacids may be contraindicated.
A

T

29
Q
  1. True or False: Crohn disease involves an inflammation through all the layers of the intestinal wall resulting in a characteristic thickening of the wall and narrowing of the intestinal lumen.
A

T

30
Q
  1. True or False: Gastroenteritis is self-limiting and usually clears in 2 to 3 days.
A

T

31
Q
  1. True or False: Gastroesophageal reflux is associated with upper GI pain and heartburn.
A

T

32
Q
  1. True or False: Anxiety and stress can lead to decreased acid secretion in the stomach.
A

T

33
Q
  1. True or False: Vomiting is often preceded by a dry mouth and nausea.
A

F

34
Q
  1. True or False: Irritable bowel syndrome is self-limiting and does not require referral to a physician.
A

F

35
Q
  1. True or False: The signs and symptoms of food poisoning can appear 1 to 6 hours after ingestion of food and last for 1 to 3 days.
A

T

36
Q
  1. True or False: The management for food poisoning includes having the individual induce vomiting.
A

F

37
Q
  1. True or False: Many upper GI conditions are caused by irritation due to stress.
A

T

38
Q
  1. True or False: Peptic ulcers usually occur at the upper end of the digestive tract.
A

F

39
Q
  1. True or False: The most common cause of food poisoning is contaminated food.
A

T

40
Q
  1. True or False: Decreased intestinal motility increases the risk of “runner’s” diarrhea
A

F

41
Q
  1. True or False: Dysphagia is the medical term for indigestion.
A

F

42
Q
  1. True or False: Antacids can help reduce the acidity associated with a gastric ulcer.
A

T

43
Q
  1. True or False: Symptoms of gastritis can include a loss of appetite, a full feeling in the stomach, or vague epigastric pain.
A

T

44
Q
  1. True or False: Exercise to promote good abdominal muscle tone can be a means of reducing the inflammation of hemorrhoids.
A

T

45
Q
  1. What treatment would you suggest to a triathlete who is experiencing chronic diarrhea while running?
A

a. The treatment includes taking antidiarrheal medication; eliminating foods that trigger bowel irritation; improving hydration before and after exercise; limiting intake of foods that contain sorbitol; referring the athlete to a physician if the condition continues.

46
Q
  1. An athlete reports mild indigestion, nausea, flatulence, and a sour stomach. What condition should be suspected? What is the treatment for this condition? Is return to competition advisable?
A

a. Gastroenteritis should be suspected. The treatment involves eliminating irritating foods from the diet; avoiding factors that bring on stress and anxiety; avoiding dehydration. The condition is self-limiting. Return to competition is limited only by hydration status, infective nature of the problem, and complexity of the symptoms.