GastroIntestinal System Flashcards

1
Q
A patient is taking cholestyramine to aid in controlling his cholesterol levels. However, he has foul smelling diarrhea and is looking to switch to other medications without this side effect. In addition to steatorrhea, which of the following vitamin deficiencies is this patient at risk for?
A. Vitamin C deficiency
B. Vitamin A deficiency
C. Vitamin B12 deficiency
D. Niacin deficiency
A
  1. B
    Steatorrhea: the excretion of abnormal quantities of fat with the feces owing to reduced absorption of fat by the intestine.
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2
Q
Where is Vitamin K made in the body?
A. Bone marrow
B. Stomach's parietal cells
C. Intestines by colonic bacteria
D. Pancreatic acinar cells
A
  1. C
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3
Q
A patient came into the clinic with abdominal pain. It started at the belly button, then traveled to the R lower quadrant. Upon physical examination, the acupuncturist palpated the left lower quadrant and elicited pain in the R lower quadrant after withdrawing his fingers from the left lower quadrant. Which of the following is the most appropriate intervention for this patient?
A. Acupuncture for abdominal pain ·
B. Chinese herbs for appendicitis
C. Referral to a Western MD's office
D. Referral to ER
A
  1. D
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4
Q
A patient comes to you because he is worried he may hepatitis. Upon  observation, you can see that his skin is an orangish color. When you inspect the patient's eyes, the sclera (whites of the eyes) appear white in coloration. Which of the following is correct?
A. The patient has hepatitis ·
B. The patient has hyper-vitaminosis A
C. The patient has jaundice
D. None of these
A
  1. B
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5
Q
In this condition, a person may develop a Vitamin B 12 deficiency.
A. Atrophic gastritis deficiency.
B. Crohn's disease
C. Ulcerative Colitis
D. Both a and b
E. All of the above
F. Both a and c
A
  1. D
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6
Q
A woman is 26 weeks pregnant and admitted to the hospital for incessant vomiting. She is diagnosed with hyperemesis gravidarum and given fluid support and Reglan. Which of the following is a severe side-effect of this medication?
A. Nausea
B. Vomiting
C. Tremor
D. Headache
A
  1. C
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7
Q
An acupuncturist must be very careful not to needle into an enlarged liver or spleen in patients affected with this pathogen.
A. H. pylori
B. Mycobacterium tuberculosis
C. EBV
D. Herpesvirus 2
A
  1. C
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8
Q
A 42-year-old, obese-appearing woman comes in to your office with complaint of a sharp, spasmodic abdominal pain. Upon further questioning, you learn that the pain is worse with fatty meals. Which of the following diseases might she have?
A. Pancreatitis
B. Appendicitis
C. UTI
D. Gallstones
A
  1. D
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9
Q
A man recently had surgery. Now, he has very bad diarrhea. Which of the following natural approaches is most helpful for treating his diarrhea symptoms?
A. Lactobacilli
B. Aloe vera
C. Psyllium
D. Kava kava
A
  1. A
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10
Q
The cause of hepatitis is most commonly due to which?
A. Bacteria
B. Fungus
C. Virus
D. Alcohol
A
  1. C
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11
Q
This nerve innervates the digestive tract and is responsible for activating the "rest and digest" response.
A. The sympathetic chain ganglia
B. The vagus nerve
C. The phrenic nerve
D. Dorsal root ganglia
A
  1. B
    Vagus: each of the tenth pair of cranial nerves, supplying the heart, lungs, upper digestive tract, and other organs of the chest and abdomen.
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12
Q
The _ secretes peptidases and disaccharidases, whereas the \_\_\_ secretes trypsin, chymotrypsin, amylase, lipse, and nucleases.
A. Liver, pancreas
B. Stomach, small intestine
C. Small intestine, pancreas
D. Liver, small intestine
A
  1. C
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13
Q
The terminal portion of the small intestine is known as the \_\_\_.
A. Jejunum
B. Pyloric sphincter
C. Ileum
D. Duodenum
A
  1. C
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14
Q
Amylase is a digestive enzyme from the \_\_\_
A. Liver
B. Stomach
C. Pancreas
D. Spleen
A
  1. C
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15
Q
Which hormone causes the pancreas to release an enzyme-rich juice?
A. Gastrin ·
B. Histamine
C. Cholecystokinin (CCK)
D. Secretin
A
  1. C
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16
Q
Salivary amylase secreted into the oral cavity starts the digestion of \_\_\_.
A. Starch
B. Proteins
C. Lipids
D. Amino acids
A
  1. A
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17
Q
Which of the following is NOT an accessory structure of the digestive system?
A. Liver
B. Gallbladder
C. Pancreas
D. Spleen
A
  1. D
18
Q
Which of the following enzymes digest fats?
A. Fatase
B. Protease
C. Lipase
D. Sucrase
A
  1. C
19
Q
Lipase, maltase, and protease are members of a group of catalysts know as \_\_\_.
A. Carbohydrates
B. Lipids
C. Enzymes
D. Hormones
A
  1. C
20
Q
What is the beginning of the large intestine called?
A. Cholecystokinin
B. Common bile duct
C. Cecum
D. Chyme
A
  1. C
21
Q
Wavelike motions that propel food through the GI system are called what?
A. Contractions
B. Oropharynxis
C. Peristalsis
D. Segmentation
A
  1. C
22
Q
Parietal cells in the lining of the stomach secrete \_\_.
A. HCL and intrinsic factor
B. Mucus
C. Regulatory hormones
D. Pepsinogen
A
  1. A
23
Q
The liver, gallbladder, and pancreas are connected to ducts which enter the \_\_\_.
A. Cecum
B. Descending colon
C. Ileum
D. Duodenum
A
  1. D
24
Q

The use of antibiotics in ulcer therapy is BEST explained in that antibiotics ___.
A. Heal the lining of the stomach
B. Prevent secondary infections in the gastrointestinal tract
c. Eliminate a microorganism that depletes gastric mucus
D. Coat the stomach for added protection

A
  1. C
25
Q

What is most commonly used sequence for examining the abdomen?
A. Percussion, auscultation, palpation, Inspection
B. Inspection, auscultation, percussion, palpation
c. Inspection, palpation, percussion, auscultation
D. Auscultation, palpation, percussion, inspection

A
  1. B
26
Q
What result would you find in a lab test for malabsorption syndrome?
A. High serum cholesterol
B. High triglycerides
C. Low magnesium levels
D. Fat in feces (steatorrhea)
A
  1. D
27
Q
People with cholecystitis, will report upper right quadrant pain and most will feel pain referring to the _. 
A. Neck and jaw
B. Right shoulder
C. Left upper arm
D. Right iliac crest
A
  1. B
28
Q
Which of the following strongly predisposes a man to hepatitis B? 
A. He is an unmarried dance instructor 
B. He is a chronic abuser of alcohol ·
C. He is an active homosexual
D. He previously lived in Africa
A
  1. C
29
Q
A common route of hepatitis A transmission is from \_\_.
A. Accidental needle-sticks
B. Infected blood
C. Insect carriers
D. Oral-fecal contamination
A
  1. D
30
Q
A person with hepatitis B absolutely must avoid \_\_.
A. Being a blood donor
B. Travel to foreign lands
c. Eating fatty red meat
D. Sex of all expressions
A
  1. A
31
Q
A patient with cholecystitis most likely would say the pain becomes worse \_\_\_.
A. During exercise
B. Before eating when very hungry
C. Early in the morning
D. Directly after eating
A
  1. D
32
Q
A patient has abdominal gas. Which of the following would you expect to find?
A. Painful liver
B. Decreasing gurgles on palpation
C. Bruits
D. Increased tympany
A
  1. D

Tympany: A hollow drum-like sound that is produced when a gas-containing cavity is tapped sharply.

33
Q
Absorption of nutrients occurs mainly in the \_\_\_.
A. Stomach
B. Large intestine
C. Pancreas
D. Small intestine
A
  1. D
34
Q

The most appropriate bed to prevent the gastric reflux associated with hiatal hernia is ___.
A. To place a bed board under the mattress to prevent sleeper from rolling
B. To use pillows to keep the feet and legs elevated
C. A fully reclined barcalounger
D. To raise the head of the bed on four inch blocks

A
  1. D
35
Q
Coffee like grounds in vomit means \_\_\_.
A. Stomach cancer
B. Gastro-esophageal reflux disease (GERD)
C. Blood from stomach
D. Indigestion
A
  1. C
36
Q
Patient has pain around the umbilicus, nausea and vomiting, rebound tenderness at the RLQ, and a low grade fever. What do you suspect?
A. Appendicitis
B. Peritonitis
C. Pancreatitis
D. Paralytic ileus
A
  1. A
37
Q
Skip areas of inflammation are seen in which disease?
A. Ulcerative colitis
B. IBS
C. Diverticular disease
D. Crohn 's disease
A
  1. D
38
Q
A patient is having a gastroscopy. What is not being visualized in this test?
A. Stomach
B. Duodenum
C. Heart
D. Esophagus
A
  1. C
39
Q
A colonoscopy is used to visualize the
A. Kidney
B. Large intestines
C. Liver
D. Esophagus and stomach
A
  1. B
40
Q
Amylase and lipase are elevated in disorders associated with the
A. Gall bladder
B. Liver
C. Pancreas
D. Spleen
A
  1. C
41
Q
Which of the following is the most significant infectious occupational risk in the US?
A. Hepatitis B
B. Hepatitis C
C. Hepatitis E
D. Hepatitis A
A
  1. A
42
Q
A 32 year-old male has Gastro-esophgeal Reflux Disease · Treatment consists of dietary changes and 
A. anti-acids (Maalox)
B. beta-blocker (Lopressor)
C. proton-pump inhibitors (Nexium)
D. anti-spasmodics (Bentyl)
A
  1. C