Gastro Flashcards

1
Q

Most gastrointestinal disorders arise from a dysfunction in coordination of two determinants of absorption which are:

A

Motility and secretion.

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2
Q

Which of the following determines the vector of the force generated by gastrointestinal muscle mass?

A

Anatomical orientation of the muscle cells

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3
Q

Features of the intrinsic (enteral) nervous system include all of the following except it:

A

Begins in the wall of the oropharynx and ends in the rectum.

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4
Q

The Auerbach’s plexus:

A

Controls motor activity along the length of the gut.

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5
Q

The primary hormonal determinant of gastric acid secretion is ______________ and is stimulated by parasympathetic excitation.

A

Gastrin

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6
Q

The gastric hormone primarily responsible for the secretion of pepsin is:

A

Secretin.

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7
Q

The oral stage of swallowing can be involuntarily initiated by:

A

Signals from the medullary deglutition center.

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8
Q

The initial gastric mixing and propulsion motor waves in the stomach are initiated by the:

A

Basal electrical rhythm (BER).

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9
Q

The coordinated muscle effort by which chyme is delivered incrementally in milliliters into the absorptive duodenum is known as the ___________ pump.

A

Pyloric

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10
Q

Gastric acid secretion is a timed event. The phase that occurs during sleep (interdigestive phase) is characterized by what degree of acid output?

A

up to 30% maximal

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11
Q

Which of the following is true with respect to the relationship between H. pylori and gastroesophageal reflux disease (GERD)?

A

H. pylori may be protective against GERD.

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12
Q

Physiologic stress is a likely causative agent in cases of:

A

Gastritis.

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13
Q

While evaluating a biopsy report on a patient with gastric polyps, the advanced practice nurse learns that the patient has hyperplastic gastric polyps. This suggests that:

A

The polyps are probably benign.

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14
Q

Which of the following is not a true statement about irritable bowel syndrome?

A

Emotional stress is not considered a cofactor.

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15
Q

All of the following characteristics regarding inflammatory bowel disease (IBD) are true except:

A

Associated with H. pylori colonization.

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16
Q

What percent of patients with gastric ulcer disease are colonized with H. pylori?

A

85%–95%

17
Q

A premalignant condition that occurs as a consequence of GERD is:

A

Barrett’s esophagus.

18
Q

Which of the following statements is false regarding Ménétrier’s disease?

A

Associated with over-expression of IFN-y

19
Q

The most common site for small bowel adenocarcinoma is the:

A

Duodenum.