for final G.I. Pathophys

Question 1

pain in the LLQ could mean what?

Answer 1

diverticulitis, bowell obstruction or IBD

Question 2

pain in the epigastric region could mean?

Answer 2

gall bladder stuff, peptic ulcer, pancreatitis, GERD would be a little higher

Question 3

pain in the RLQ could mean?

Answer 3

appendix or bowell obstruction, or IBS

Question 4

pain in the RUQ could mean

Answer 4

peptic ulcer, liver, gall bladder, right kidney, pancreas

Question 5

what is the most valuable diagnostic for celiac disease?

Answer 5

IgA antibody testing
gluten sensitivity

Question 6

what is the most common GI disorder in US

Answer 6

GERD

Question 7

bacteria are an important element of the digestive tract?

Answer 7

true!

Question 8

your patient has cirrhosis and esophageal varices and their SBP has decreases from 132 to 110 and their heart rate has increased from 84 to 108. what is likely happening

Answer 8

upper GI bleed

Question 9

esophageal varices is a problem with arteries or veins?

Answer 9

with veins
caused by portal hypertension, because the liver becomes so fibrotic and hard that pressure builds up
then when they rupture, it acts similar to an artery because of the high pressure

Question 10

“abd pain, bloating, visual changes, & bone pain,” weight loss and possible autoimmune hypersensitivity disorder? what could it be?

Answer 10

celiac disease
vitamin A deficiency, vitamin B for bone pain
problem with nutritional absorption

Question 11

what are the most common causes of pancreatitis

Answer 11

gallstones and alcohol abuse
its inflamed and irritated because it is having to absorb and digest lots of amounts of one thing

Question 12

cobblestone or skip legions
weight loss
fatigue
exarcebations and remissions

Answer 12

Crohn’s disease

Question 13

what organ is involved with jaundice?

Answer 13

liver
buildup of bilirubin
red blood cell destruction can also cause this

Question 14

dilated veins visible at umbilicus

Answer 14

caput medusa

Question 15

fine capillaries that fan out from a central point on skin

Answer 15

spider angiomas

Question 16

itching of pts skin

Answer 16

peritis

Question 17

enlarged fluid filled abdominal cavity

Answer 17

ascites – advanced livers disease

Question 18

nurse suspects hepatic encephalopathy in a patient with sever liver dysfunction. Which symptom supports the nurse’s conclusion

Answer 18

change in personality/LOC –> because of buildup of ammonia

Question 19

blood in stool might be

Answer 19

rupture esophageal varices

Question 20

due to low levels of coagulation factors, patients with cirrhosis are at risk for which of the following?

Answer 20

spontaneous bleeding

Question 21

what does it mean when someone vomits bright red blood?

Answer 21

the blood hasn’t mixed with bile and the other gastric contents
if it looks like coffee grounds, then it has probably gotten into the stomach

Question 22

which of the following contributes most to complications associated with GI bleeding?
A) patient age
B) recent gastric ulcer
C) sodium levels
D) amount of blood loss

Answer 22

amount of blood loss

Question 23

name some agents that cause injury to the stomach or mucosal lining?

Answer 23

NSAIDS ibuprofen, aspirin
alcohol

Question 24

which conditions will most likely present with an elevated WBC level?
A) appendicitis
B) IBS
C) Diverticulitis

Answer 24

appendicitis and diverticulitis

Question 25

what is the most common complication of esophageal varices?

Answer 25

hemorrage

Question 26

who is at risk for esophageal varices

Answer 26

pts with liver disease, especially those with portal vein hypertension

Question 27

what is the pathology of hyperbilirubinemia

Answer 27

excessive RBC hemolysis

Question 28

in liver disease there is low albumin. what is the consequence and complication of low albumin levels?

Answer 28

clotting deficiency and low oncotic pressure

Question 29

cullen sign and grey turner sign

Answer 29

acute pancreatitis

Question 30

Non alcoholic fatty liver disease and alcohol induced liver disease are basically the same thing (T/F)

Answer 30

false
*they both cause liver problems, but not the same