Disturbance In Ingestion

Question 1

Inflammation of the soft tissue of the oral cavity

Answer 1

Stomatitis

Question 2

Cause of stomatitis give 3 of the five causes

Answer 2

Infection,mechanical trauma, chemical trauma, systemic disorder, mouth dryness

Question 3

Signs and symptoms of stomatatis give 3 of 7 signs

Answer 3

1.Pain,sting and soreness
2.Mouth ulcers
3.Red patches
4.Blisters
5. Swelling
6. Oral dysaesthesia- a burning feeling in the mouth
7.Lesions

Question 4

Give 3 Treatment for common forms of stomatitis among the 5 given

Answer 4

1.Avoid hot, salty, spicy and citrus based foods
2.Gargle cool water/ ice chips
3.Increase OFI
4. Rinse with salt water
5. Proper dental care

Question 5

Give 3 pharmacologic treatment for stomatitis

Answer 5

1.Topical corticosteroids
2.Topical antibiotics
3. Topical anaesthetics

Question 6

Give 3 nursing management for stomatitis inclueded in the 8 given samples

Answer 6

1.Maintain integrity of oral mucosa
2.Promote adequate food and oral intake
3.Minimize pain
4.Promote comfort
5.Promote nutrition
6.Avoid irritants
7. Relieve mouthdryness
8. Administer meds

Question 7

A condition where absenr or ineffective peristalsis of the distal esophagus occurs, failure of esophageal sphincter. This condition progress slowly and occurs on people age ____ or older

Answer 7

Achalasia, 40

Question 8

The cause of achalasia is well understood. True or False

Answer 8

False

Question 9

This two causes of achalasia have been suspected to be the etiology

Answer 9

Infection and Autoimmune disorder/condition

Question 10

Achalasia cant be caused by an inherited generic disorder or infection but is rare. True or false

Answer 10

False

Question 11

Give 3 Clinical manifestation of achalasia included in the 5 given sample

Answer 11

1. Dyspahgia
2. Regurgitation
3. Epigastric pain or chest pain
4. Heartburn
5. Secondary pulmonary complications

Question 12

To diagnose achalasia give three diagnostic exams included in the 5 given sample

Answer 12

1.Xray
2.Barium Swallo
3.CT Scan
4.Endoscopy
5.Manometry

Question 13

This tests measures the contractions as your food is pushed into the stomach. Also measure force coordination of esophageal muscles as food moves to stomach

Answer 13

Esophageal Manometry

Question 14

Nursing management for achalasia is to instruct the patient to eat ______ and drink fluids with ______

Answer 14

Slowly, With meals

Question 15

Give 3 Medical management for achalasia (3/4)

Answer 15

1. Oral Calcium channel blockers
2. Botox
3. Pneumatic Dilation
4. Esophagomyotomy ( Heller myotomy)

Question 16

This is the cutting of affected esophageal muscle to allow better passage of foods and liquids (esophagus to stomach)

Answer 16

Esophagomyotomy

Question 17

An anatomical abnormality where part of stomach protrudes through diaphragm and up into the chest wall

Answer 17

Hiatal Hernia or Diaphragmatic hernia

Question 18

How many types of hernia are there

Answer 18

2

Question 19

This type of hernia is when the upper stomach and gastroesophageal junction have moved up and slide in and out of the thorax

Answer 19

Sliding hernia or type 1 hernia

Question 20

A type of hiatal hernia where all or part of the stomach pushes through the diaphragm next to the gastroesophageal junction

Answer 20

Rolling / paraesophageal hernia

Question 21

Give three cause of hiatal hernia (3/5)

Answer 21

1. Age
2. Congenital
3. Obesity
4. Trauma
5. Persistent and intense pressure

Question 22

Give Dx test for hiatal hernia includes (2/2)

Answer 22

1. Barium Swallow
2. Plain film

Question 23

Give 3 symptoms of Hiatal hernia (3/7)

Answer 23

1. Heartburn
   2.Swallowing difficulty
2. Dyspnea
3. Chest pain
4. Abdominal pain
5. N/V
6. Belching

Question 24

Give 3 medical management for hiatal hernia (3/5) aside from Nissen fundoplication (Surgical procedure)

Answer 24

1. Antacid
2. Antiemetics
3. Histamine
4. H2 receptor
5. Proton pump inhibitor

Question 25

Give 3 nursing management for hiatal hernia are (3/3)

Answer 25

1. Relieve pain 2. Modify diet 3. Promote lifestyle

Question 26

A condition where backward flow of GI contents into esophagus occurs causing esophageal mucosa injury

Answer 26

GERD ( Gastroesophageal Reflux Disease)

Question 27

Causes of GERD are give three (3/3)

Answer 27

1.Incompetent LES 2. Pyloric Stenosis 3. Motility Disorder

Question 28

What are the three diagnostic test used for of GERD (3/3)

Answer 28

1. Endoscopy 2. 24-36 pH monitoring 3. Barium Swallow

Question 29

Give three signs of GERD (3/7)

Answer 29

1.Pyrosis 2.Dysphagia 3.Odynophagia 4.Sore throat 5.Dental Erosions 6. Regurgitation 7. Hypersalivation

Question 30

In GERD, patient should avoid eating and drinking ___ hrs before bedtime

Answer 30

2

Question 31

In GERD, avoid tobacco and drinking these three :

Answer 31

Caffeine/coffee, milk and beer

Question 32

Weight control is needed to manage GERD. True or false

Answer 32

true

Question 33

This condition is caused by congenital, malfunction of sphincter sphinters on either end of the esophagus

Answer 33

Esophageal diverticulum

Question 34

Give 3 clinical manifestations of esophageal diverticulum (3/6)

Answer 34

1. Dysphagia, feeling of fullness in the neck 2. Regurgitation, gurgling noise after eating 3.Nocturnal coughing 4. Halitosis 5. Halitosis 6. Sour taste in the mouth 7. Weight loss

Question 35

Sac-Like out pouching in one or more layers of the esophagus

Answer 35

Esophageal diverticulum

Question 36

Give three Dx exam for Esophageal diverticulum (3/3)

Answer 36

1. Barium swallow 2. Esophageal Manometry 3. Endoscopy is C/I

Question 37

When foods are trapped in a diverticulum, local abscess occurs then will cause esophageal ________

Answer 37

Perforation

Question 38

What do you call a esophageal diverticulum in the upper esophagus

Answer 38

Pulsion (Zenker’s) Diverticulum

Question 39

What do you call a esophageal diverticulum in the lower esophagus

Answer 39

Traction diverticulum

Question 40

Give 2 medical management for esophageal diverticulum (2/4)

Answer 40

1. Observe incision for leakage 2. Observe the incision for developing fistula 3. NPO until xrays shows no leakage at surgical site 4. Diet, liquid then DAT

Question 41

Give 1 nursing management for esophageal diverticulum to patients with NG TUBE (1)

Answer 41

1. Comfort and pain control

Question 42

Give 1 Surgical management for esophageal diverticulum

Answer 42

1. Excision of the diverticukum and re anastamosis of esophageal mucosa 2. Myotomy of the cricopharyngeal muscle

Question 43

Two types of stomatitis

Answer 43

Apthous ulcer, Herpes simplex