Chapter 55-test 2

Question 1

Acute gastritis

Answer 1

Exposure to local irritants
NSAIDs steroids
If muscle is damaged, hermmorhage occurs

Question 2

Chronic gastritis

Answer 2

Chronic exposure
ETOH
Tobacco
Radiation

Question 3

S/s of chronic gastritis

Answer 3

Patchy diffuse inflammation
Vague epigastric pain
Pernicious anemia-destruction of paritial cells

Question 4

S/s of acute gastritis

Answer 4

Thick, red mucosa, rugae
Rapid onset
Epigastric pain
May vomit blood

Question 5

Type A chronic gastritis

Answer 5

Non erosive
Autoimmune
Parietal cell destruction
Fundus

Question 6

Type B chronic gastritis

Answer 6

Caused by h pylori infection

Antrum

Question 7

Atrophic chronic gastritis

Answer 7

Elderly
Toxic exposure
H pylori
Related autoimmune 
Destruction of deep glands

Question 8

Atrophic gastritis may lead to

Answer 8

Gastric cancer

MALT lymphoma

Question 9

Treatment of gastritis

Answer 9

Diet
No ETOH
Caution NSAIDs
Avoid caffeine
Food and water safe
Stress
Smoking

Question 10

Treatment of gastritis medications

Answer 10

Treat h pylori with at least 2 antibiotics and PPI
H2 blocker
PPI
Mucosal barrier fortifiers (karophate) 
B12 injections to prevent anemia

Question 11

Most ulcers are caused by

Answer 11

H pylori

Question 12

Gastric ulcers usually develop in the

Answer 12

Antrum

Question 13

Peptic ulcer disease hostile factors

Answer 13

H pylori
Gastric acid
NSAIDs
Pepsin

Question 14

Peptic ulcer disease protective factors

Answer 14

Bicarbonate
Prostaglandins
Blood flow to mucosa

Question 15

Risk factors for peptic ulcer disease

Answer 15

Heredity
Smoking
Stress

Question 16

Gastric and duodenal ulcers can perforate

Answer 16

Peritonitis - tender ridged board like abdomen
Paralytic ileum
Emergency

Question 17

Dyspepsia

Answer 17

Indigestion

Most commonly reported symptoms associated with peptic ulcer disease

Question 18

S/s of gastric ulcer

Answer 18

GI upset
Pain with eating
Rare nighttime symptoms
Hemmatemisis
Nausea vomiting
Anemia

Question 19

S/s of duodenal ulcer

Answer 19

Sharp, burning gnawing pain
Pain occurs 90 mins to 3 hours after eating 
Pain wakes them up at night 
Melena
Anemia

Question 20

Testing blood

Answer 20

H pylori antibody

H&h

Question 21

Testing stool

Answer 21

Blood

H pylori

Question 22

EGD for ulcer

Answer 22

Gold standard
Biopsy for h pylori
And cancer

Question 23

Medications for treatment

Answer 23

PPIs
H2 blockers
Antacids

Question 24

H pylori infection treatment

Answer 24

Flagyl (metronidazole 
Tetracycline or blaxin ( clarithromycin
PPI
Amoxicillin
TRIPLE

Question 25

Treatment diet

Answer 25

No snacking HS
No ETOH
No smoking
Avoid foods

Question 26

Treatment UGI bleed

Answer 26

O2
Start 2 large bore IVs
Normal saline, LR
NPO
NG with lavage
EGD to stop bleeding 
Monitor electrolyte