Gastric Fluid

Question 1

What does parietal cells produce

Answer 1

HCl and Intrinsic Factor

Question 2

What is required for Vitamin B12 absorption

Answer 2

Intrinsic Factor

Question 3

It produces pepsinogen

Answer 3

Peptic cell/Chief cell

Question 4

It catalyzes the degradation of proteins

Answer 4

Pespsinogen

Question 5

It produces gastrin

Answer 5

Specialized G cells

Question 6

It hydrolyze peptide and disaccharides and converts pepsinogen to pepsin

Answer 6

HCl

Question 7

It is a mucus-producing cells that cover the inside of the stomach

Answer 7

Faveolar/Goblet cell

Question 8

It acts as a barrier to protect gastric mucosa from acid autodigestion

Answer 8

Mucus

Question 9

A major digestive enzyme catalyzing proteolysis at pH 1.6 to 3.6

Answer 9

Pepsin

Question 10

At what pH does pepsin catalyzes proteolysis

Answer 10

1.6 to 3.6

Question 11

It is important in the digestion of fats especially when pancreatic function is not well developed (in neonates) or is compromised (in cystic fibrosis)

Answer 11

Gastric lipase

Question 12

What are the pathological contents of gastric juice

Answer 12

Organic acids (chiefly lactic acid)
Blood,
Bile
Pus and Mucus
Trypsin

Question 13

It is a non-beta islet cell adenoma of the pancreas

Answer 13

Zollinger-Ellison Syndrome

Question 14

It is an anti-parietal cell and anti-intrinsic factor antibody

Answer 14

Pernicious Anemia

Question 15

In gastric fluid collection how many hours should the px fast?

Answer 15

12 or 15 hours with no mediation

Question 16

TRUE or FALSE. Px are not allowed to swallow large amount of saliva during collection

Answer 16

TRUE

Question 17

Method of collection for gastric fluid collection

Answer 17

gastric aspiration

Question 18

For gastric and duodenal contents collection, with METAL TIP, swallowed by gravity, inserted through the MOUTH

Answer 18

Rehfuss Tube

Question 19

Gastric collection, rubber, smallest diameter, inserted through the NOSE

Answer 19

Levine Tube

Question 20

Translucent pale gray w/ Mucus; faint acrid or sour

Answer 20

Normal gastric fluid

Question 21

Large amount of bile

Answer 21

Yellow-green

Question 22

Small amount of blood

Answer 22

Red

Question 23

Normal volume (fasting specimen)

Answer 23

20-100 mL

Question 24

Normal gastric pH

Answer 24

1.5-3.5 or 1.6-1.9

Question 25

Total gastric secretion during unstimulated, fasting state

Answer 25

Basal Acid Output

Question 26

Total gastric secretion after gastric stimulation

Answer 26

Maximum Acid Output

Question 27

Synthetic analog of gastrin and the stimulant of choice (most preferred)

Answer 27

Pentagastrin

Question 28

Histamine isomer with preferential effect on gastric acid secretion

Answer 28

Histalog

Question 29

Normal Basic Acid Output (BAO)

Answer 29

0-6 mEq/hr (mmol/hr)

Question 30

Normal Maximum Acid Output (MAO)

Answer 30

5-40 mEq/hr (mmol/hr)

Question 31

Normal BAO/MAO

Answer 31

<0.4

Question 32

Test meal that uses bread and tea without sugar or water Routinely used

Answer 32

Ewald's meal

Question 33

Test meal that is composed of oat meal; recommended for lactic acid detection

Answer 33

Boas

Question 34

Test meal that is composed of beef steak and mashed potato; recommended for detection of achylia and hypoacidity

Answer 34

Reigel

Question 35

Test meal that utilizes ethyl alcohol and methylene blue; detects regurgitation of alkaline material from duodenum in stomach by the change of blue to greenish blue

Answer 35

Alcohol test meal/Lavine's

Question 36

Used to assess vagotomy procedure (induce hypoglycemia)

Answer 36

Insulin

Question 37

BAO= 0 mEq/hr MAO= 0 mEq/hr BAO/MAO= 0

Answer 37

Pernicious Anemia

Question 38

Zollinger Ellison Syndrome BAO=___________ MAO=__________ BAO/MAO=_____

Answer 38

BAO= .15 mEq/hr MAO= 25 mEq/hr BAO/MAO= 0.72

Question 39

BAO= 5 mEq/hr MAO= 30 mEq/hr BAO/MAO= 0.17

Answer 39

Duodenal ulcer

Question 40

Color. Old blood (from gastritis, ulcer or carcinoma or swallowed from the mouth, nasopharynx or lungs

Answer 40

Coffee ground

Question 41

Terms. Normal free HCl

Answer 41

Euchlorhydria

Question 42

Increase of free HCl; peptic ulcers

Answer 42

Hyperchlorhydria

Question 43

Disease associated with hyperchlorhydria

Answer 43

Peptic Ulcer Zollinger-Ellison Syndrome

Question 44

Decrease free HCl, Gastric fluid pH>3.5 but falls after gastric stimulation

Answer 44

Hypochlorydria

Question 45

Disease associated with hypochlorydria

Answer 45

Gut Peptide (GIP) Vasoactive Intestinal Peptide (VIP) Somastotatinoma Cobalamin def.

Question 46

Absence of free HCl; Gastric fluid pH>3.5 but does not fall after gastric stimulation

Answer 46

Achlorydria

Question 47

Disease associated with achlorhydria

Answer 47

Pernicious Anemia

Question 48

Failure to produce a pH <6.0 following gastric stimulation

Answer 48

Anacidity

Question 49

Disease associated with anacidity

Answer 49

Pernicious Anemia

Question 50

Tubeless gastric analysis

Answer 50

Diagnex blue

Question 51

Sample for Diagnex blue test

Answer 51

Urine

Question 52

appearance of azure blue is an indication that __________ is present in the stomach

Answer 52

Free HCl

Question 53

Physical Examination. normal quantity varies but large quantity signifies catarrhal type of gastritis

Answer 53

Mucus

Question 54

Physical Examination. Minute particles as a result of excessive straining while the tube is in the stomach. Large amounts are rare, indicates upper intestinal obstruction

Answer 54

Bile

Question 55

Qualitative test for Free HCl. Alcohol solution

Answer 55

Dimethylamino-azobenzol

Question 56

Qualitative test for Free HCl. Phloroglucin, vanillin, and alcohol

Answer 56

Gunzberg's

Question 57

Qualitative Test for Free HCl Resublimed resorcinol, cane sugar, alcohol

Answer 57

Boas

Question 58

Positive Result for Dimehtylamino-azobenzol

Answer 58

Cherry-red color

Question 59

Positive result for Gunzberg's

Answer 59

Purplish-red color

Question 60

Positive result for Boas

Answer 60

Rose-red color

Question 61

Trypsin activity sample

Answer 61

Random fresh stool

Question 62

positive for Trypsin activity

Answer 62

2+ to 4+

Question 63

urobilinogen qualitative test sample

Answer 63

Random stool

Question 64

urobilinogen quantitative test sample

Answer 64

24 hour stool

Question 65

Gastric occult blood test sample

Answer 65

Vomitus/aspirate

Question 66

GOBT bloody intubation, undercooked meat & PO containing foods

Answer 66

False +

Question 67

GOBT Ascorbic Acid

Answer 67

False -

Question 68

Positive for Diagnex blue

Answer 68

Free HCl

Question 69

Positive for qualitative urobilinogen test

Answer 69

40-200 mg/24hr

Question 70

Positive for quantitative urobilinogen test

Answer 70

80-200 Ehrlich unit/24hr

Question 71

Positive for GOBT

Answer 71

Blue quinone

Question 72

Quantitative Test. Free HCl-Topfer's method Indicator__________

Answer 72

dimethylamino-azobenzol

Question 73

Quantitative Test. Free HCl-Topfer's method Endpoint_______

Answer 73

Canary Yellow

Question 74

Quantitative Test. Total Acidity Indicator___________

Answer 74

Phenolphthalein

Question 75

Quantitative Test. Total Acidity Endpoint__________

Answer 75

50-75 degrees

Question 76

Quantitative Test. Combined HCl Indicator________

Answer 76

Sodium alizarin

Question 77

Quantitative Test. Combined HCl Endpoint_________

Answer 77

Violet

Question 78

Normally absent; if lactic acid is present, it indicates_____________

Answer 78

ADVANCED GASTRIC CANCER

Question 79

Mucus: separates into 3 layers on standing - Top:____________ - Middle:______________ - Bottom:______________

Answer 79

Mucus Opalescent fluid sediments