Chapter 40

Question 1

Inflammation of the gastric or stomach mucosa

Answer 1

 gastritis

Question 2

Vomiting of blood

Answer 2

Hematemesis

Question 3

Bright red bloody stools

Answer 3

hematochezia

Question 4

Tarry or black stools indicated of a cold blood stool

Answer 4

Melena

Question 5

Acute gastritis is most often caused by what 4 things?

Answer 5

Aspirin
NSAIDs
corticosteroids
alcohol consumption

Question 6

What auto immune disorders are associated with the development of chronic gastritis?

Answer 6

Hashimoto thyroiditis
Addison’s disease
Graves’ disease

Question 7

Thin membrane that lines the inside of the wall of the abdomen

Answer 7

Peritoneum

Question 8

What are symptoms of gastric/duodenal ulcers?

Answer 8

Pyrosis
Vomiting
Constipation or diarrhea
Bleeding

Question 9

Many people have peptic ulcers with what types of symptoms?

Answer 9

Many people usually have no signs and symptoms

Question 10

The patient reports severe, sharp upper abdominal pain which may be referred to the shoulder, what could this be?

Answer 10

Peptic ulcer perforation

Question 11

What is the tx for peptic ulcers?

Answer 11

Combination of 2 antibiotics (amoxicillin and clarithromycin) and a proton pump inhibitor (omeprazole)
For 10-14 days

Question 12

With peptic ulcers, what should the patient avoid?

Answer 12

NSAIDS

Question 13

What is a minimally invasive surgery that involves indirect visualization of the abdominal cavity through the use of a laparoscope attached to a camera?

Answer 13

Laparoscopy

Question 14

What would be symptoms of anemia due to GI bleeding?

Answer 14

Tachycardia
Hypotension

Question 15

What are 2 major causes of upper GI bleeding?

Answer 15

Gastritis
Hemorrhage from peptic ulcers

Question 16

Erosion of the ulcer through the gastric serosa into the peritoneal cavity without warning is called?

Answer 16

Perforation

Question 17

Erosion of the ulcer through the gastric serosa into adjacent structures such as the pancreas or biliary tract is called?

Answer 17

Penetration

Question 18

Gastric surgery is more common among what group of people?

Answer 18

Older adults (mean age of diagnosis is 68 years old)

Question 19

What foods may increase the risk of gastric cancer?

Answer 19

Smoked, salted, or pickled foods

Question 20

What type of cancer cells is normally associated with gastric cancer?

Answer 20

Adenocarcinomas

Question 21

What are palpable nodules around the umbilicus called?
They’re a sign of GI malignancy, usually a gastric cancer

Answer 21

Sister Mary Joseph nodules

Question 22

What May occur as a result of any surgical procedure that involves removal of a significant portion of the stomach or pylorus?

Answer 22

Dumping syndrome

Question 23

Tumors of the sm intestines are more common among what group?

Answer 23

Older African American men

Question 24

The most common primary malignant tumor of the sm intestines is what?

Answer 24

Adenocarcinoma

Question 25

What blood type is at highest risk for peptic ulcer disease?

Answer 25

Type O

Question 26

To manage dumping syndrome when should you incorporate fluids?

Answer 26

Between meals

Question 27

A medication for gastric ulcers with H. Pylori that may cause a metallic taste in the mouth is called?

Answer 27

Metronidazole

Question 28

When will you feel pain after eating with a duodenal ulcer?

Answer 28

2-3 hrs after meal

Question 29

What procedure helps with the diagnosis of peptic ulcer disease?

Answer 29

Endoscopy

Question 30

With advanced gastric cancer how may you feel after every meal?

Answer 30

Bloated

Question 31

A total gastrectomy that results in low RBC count is given what?

Answer 31

Vitamin B12 injection