Gastropathophysiology Flashcards
Upper abdominal pain within 1 hour of eating can be typically seen in patients with:
- Duodenum ulcer
- Gall bladder inflammation
- Gastroesophageal reflux
- Stomach ulcer
- Irritable bowel syndrome
Duodenum ulcer
What is the classical pain pattern in patients with acute appendicitis?
- Blunt epigastric pain appears 1 hour after the intake of food
- Severe upper abdominal pain radiating to the back
- Lower right abdominal rebounded pain
- Upper right abdominal pain radiating to the shoulder
- Blunt epigastric pain appears after the intake of fish and chips
Lower right abdominal rebounded pain
What is the classical pain pattern seen in patients with acute pancreatitis?
- Blunt epigastric pain appears 1 hour after the intake of food
- Lower right abdominal rebounded pain
- Blunt epigastric pain appears after the intake of fish and chips
- Severe upper left abdominal pain radiating to the back
- Upper right abdominal pain radiating to the shoulder
Severe upper left abdominal pain radiating to the back
Linda just had fish and chips. She feels discomfort in the right upper abdominal area with pain under the rib at the border of the liver. She is most likely to have..?
- Gall bladder disease
- Lactose intolerance
- Gastric ulcer
- Acute pancreatitis
- Chronic pancreatitis
Gall bladder disease
When a pregnant woman suffers from constipation, you will advise..?
(select one answer)
- Exercise regularly
- Laxatives for a short period of time
- Sufficient bed resting
- Easy to digest food, like mashed potato
Easy to digest food, like mashed potato
When treating patients with reflux esophagitis, which aspect should be addressed?
- Dysplasia of the epithelial lining of the esophagus
- Obstruction of esophagus
- Congenital anomaly of the esophagus
- Inflammatory response to gastric contents in the esophagus
Autoimmune destruction of the esophageal mucosa
Inflammatory response to gastric contents in the esophagus
When you look after a patient with acute pancreatitis in the ICU, you will..?
- Give him easy to digest food, like starch, when he is complaining of hunger
- IgnorE his request to sip some water when he is very thirsty
- Not worried about his blood pressure if he has no existing cardiovescular conditions
- Not give him opioids unless it is an extreme pain
Not give him opioids unless it is an extreme pain
A patient with cholelithiasis asks the nurse what cholelithiasis means. Which information is best for the nurse to share with the patient?
- You have gallstones.
- You have atrophy of the gallbladder.
- You have mild to moderate cholecystitis.
- You have hypersecretion of bile by the liver.
- You have inflammation of the gallbladder.
You have inflammation of the gallbladder.
Hematemesis (brown vomitus) and melena (black stool) are suggestive of..?
- Irritable bowel disease
- Ulcerative colitis
- Lactose intolerance
- Duodenum ulcer
- Inflammatory bowel syndrome
Duodenum ulcer
Which type of hepatitis is generally benign and can induce life-long immunity?
- A type
- B type
- Alcoholic
- C type
A type
Ascites is difficult to reverse because
- arterial hypertension
- metabolic alkalosis
- enlarged spleen caused anaemia
- impaired liver synthesis of albumin
impaired liver synthesis of albumin
Which of the following is less likely to be observed in patients with portal hypertension?
- Systemic hypotension
- Oedema
- Reduced red blood cell count
- Sudden upper GIT haemorrhage
- Increased white blood cell count
Increased white blood cell count
Which type of viral hepatitis is generally difficult to develop a vaccine?
- Alcoholic
- Type A (HAV)
- Type C (HCV)
- Type B (HBV)
Type C (HCV)
True or false: Autoimmune hepatitis is a life long condition.
True
Mr Thomas has an ongoing drinking problem. Lately, he noticed that his stool colour has been turning darker and darker. This morning, he suddenly vomited a large volume of fresh red blood at home. The blood in the vomit is very likely to come from:
- Duodenum ulcer
- Gastric ulcer
- Gastroesophageal reflex
- Oesophageal Varices
- Inflammatory bowel syndrome
Oesophageal Varices
