Chapter 54-test2

Question 1

Factors contributing to GERD

Answer 1

Caffeinated beverages
Chocolate
Citrus fruits tomatoes 
Smoking
Calcium channel blockers 
Nitrates
Peppermint
Alcohol 
Anticholenergic drugs
High estrogen progesterone
Ng tube

Question 2

Eructation

Answer 2

Belching

Question 3

Odynophagia

Answer 3

Painful swallowing

Question 4

Barium swallow

Answer 4

Shows hiatal hernias
Strictures
Obstructions

Question 5

Antacids

Answer 5

Increase pH level of gastric contents
This deactivates pepsin
Short acting

Question 6

Antacid examples

Answer 6

Maalox
Mylanta

Have aluminum hydroxide and magnesium hydroxide
1 hour before
2-3 hours after meal

Question 7

Histamine blockers

Answer 7

Decreased acid secretion

Question 8

Histamine blocked examples

Answer 8

Pepcid
Zantac
Long acting

Question 9

PPI

Answer 9

Inhibit partial cells

Question 10

PPI examples

Answer 10

Omeprazole
Pantoprazole
Esomprazole

30-60 minutes before meal

Question 11

Risk of PPI

Answer 11

Bone health

Alzheimer’s

Question 12

PPI can sometimes be used for

Answer 12

Prevent stress ulcers from surgery

Question 13

Laparoscopic Nissan fundoplication

Answer 13

Minimally invasive

Standard surgical approach for GERD

Question 14

Hiatal hernia

Answer 14

Protrusion of stomach through the diaphragm where the esophagus is into the chest

Question 15

Dx of hiatal hernia

Answer 15

EGD

Question 16

Volvus

Answer 16

Twisting of a GI structure

Question 17

Rolling hernia

Answer 17

Fundus of stomach comes up through diaphragm at esophagus hole
High risk of volvulus

Question 18

Fundoplication

Answer 18

Surgeon wraps a portion of the stomach fundus around the distal esophagus to anchor and reinforce the LES

Question 19

Post-op care for open Nissen

Answer 19

Bleeding
Soft diet
Avoid soda
Activity rest
No driving 1 week
No lifting
Never be able to vomit again

Question 20

Diverticula

Answer 20

Sacs resulting from the herniation of esophageal mucosa into surrounding tissue
Zenkers