chapter 40 part 2

Question 1

peptic ulcer disease may be referred to as a

Answer 1

gastric ulcer
duodenal ulcer
esophageal ulcer

Question 2

excavation (hollowed-out area) that forms in the mucosa of the stomach, in the pylorus, duodenum, or in esophagus

Answer 2

peptic ulcer disease

Question 3

peptic ulcer more likely to occur in the _____ than in the stomach

Answer 3

duodenum

Question 4

occur as a result of the BACKWARD FLOW of HCl from the stomach into the esophagus

Answer 4

ESOPHAGUS ULCER

Question 5

Most peptic ulcers result from infection with _______

Answer 5

H. pylori

Question 6

major risk factor for peptic ulcers

Answer 6

nsaids

Question 7

what blood type is the more susceptible to the development of peptic ulcers

Answer 7

type O

Question 8

the opening between the stomach and duodenum

Answer 8

pylorus

Question 9

the first portion of the small intestine, between the stomach and the jejunum

Answer 9

duodenum

Question 10

thin membrane that ‘lines the inside of the wall of the abdomen’

Answer 10

peritoneum

Question 11

a rare condition in which ‘benign or malignant tumors form in the pancreas and duodenum’ that secrete excessive amounts of the hormone gastrin

Answer 11

zollinger-ellison syndrome

Question 12

acute mucosal ‘ulceration of the duodenal or gastric area that occurs after physiologically stressful events’, such as burns, shock, sepsis, and multiple organ dysfunction syndrome

Answer 12

stress ulcer

Question 13

specific TYPES of ulcers that result from STRESSFUL conditions include:

Answer 13

curling ulcer
cushing ulcer

Question 14

a type of stress ulcer: observed after extensive BURN INJURIES and often involves the antrum of the stomach or the duodenum

Answer 14

curling ulcer

Question 15

a type of stress ulcer: common in patients with a traumatic head injury, stroke, brain tumor, or following intracranial surgery; caused by ↑ICP

Answer 15

cushing ulcer

Question 16

in peptic ulcer, pain occurs immediately after eating, what is the estimated hours?

Answer 16

(2-3 hours)

Question 17

common when the patient’s stomach is empty

Answer 17

sour eructation/burping

Question 18

allows direct visualization of inflammatory changes, ulcers, and lesions

preferred diagnostic for peptic ulcer

Answer 18

upper endoscopy

Question 19

used to determine the extent of blood loss

Answer 19

CBC

Question 20

lack of HCl

Answer 20

achloryhdria

Question 21

low levels of HCl

Answer 21

hypochlorhydria

Question 22

high levels of HCl

Answer 22

hyperchlorhydria

Question 23

recommended days for combination drug therapy

Answer 23

10 to 14 days

Question 24

what foods to be avoid in peptic ulcer

Answer 24

foods in high temp
alcohol
coffee

Question 25

the two most common causes of upper GI tract bleeding

Answer 25

gastritis hemorrhage

Question 26

EROSION OF THE ULCER through the gastric serosa INTO THE PERITONEAL CAVITY without warning; abdominal emergency

Answer 26

PERFORATION

Question 27

EROSION OF THE ULCER through the gastric serosa INTO ADJACENT STRUCTURES such as the pancreas, biliary tract, or gastrohepatic omentum

Answer 27

PENETRATION

Question 28

occurs when the area distal to the 'pyloric sphincter becomes scarred and stenose'

Answer 28

GASTRIC OUTLET OBSTRUCTION