GI disorders

Question 1

Small intestine function

Answer 1

Digestion

Absorption

Question 2

Large intestine Function

Answer 2

Absorption of water and electrolytes
Forms feces
Metabolism of salts, estrogen, lipids, carbs, drugs
Protein digestion

Question 3

Inflammatory Bowel Disease (IBD)

Answer 3

Autoimmune disease characterized by idiopathic inflammation and ulceration

overactive, inappropriate and sustained inflammatory response

Question 4

Types of IBD

Answer 4

Crohn’s disease

Ulcerative Colitis

Question 5

Crohn’s Disease

Answer 5

Inflammation involves all layers of the bowel wall (discontinuous)

no curative surgery

Question 6

Crohn’s disease - Symptoms

Answer 6

Diarrhea, abd pain, abdominal distension, fatigue, weight loss, fever

Question 7

Ulcerative Colitis

Answer 7

Only the colon is involved
Inflammation of inner lining

Removal of large bowel is usually curative

Question 8

Ulcerative Colitis

Answer 8

Bloody diarrhea, abd pain, anorexia, weight loss, dehydration

Question 9

Ulcerative colitis can cause….

Answer 9

Disturbances in immune system - anemia

Question 10

UC- Collaborative care

Answer 10

rest bowel
control inflammation
manage fluids and nutrition
manage patient stress 
provide education
provide symptom relief

Surgery is curative

Question 11

Drug therapy for UC

Answer 11

Sulphasalazine
Corticosteroids
Immunosuppressive drugs

Question 12

Nutrition with UC

Answer 12

NPO (in acute)
High calorie, high protein
vitamin and iron supplements

Question 13

Crohn’s - Collaborative Care

Answer 13

Drug, Surgical, nutritional therapy

Question 14

Crohn’s- Drug therapy

Answer 14

Sulphasalazine
Corticosteroids
Flagyl
Biological drug therapies

Question 15

Crohn’s Nutritional therapy

Answer 15

Elemental diet and parenteral nutrition
High in calorie and protein
Vit B injections

Question 16

Colorectal Cancer

Answer 16

Malignant disease of colon, rectum

Question 17

Dukes Staging System

Answer 17

Used to stage colorectal cancer

Based on the degree where the tumor has grown through wall of colon

Question 18

TNM System

Answer 18

tumour, notes, metastasis

Used to stage colorectal cancer

Degree of invasion of primary tumour, lymph node involvement

Question 19

Colorectal cancer Nutrition

Answer 19

avoid red meat, low weight, decreased alcohol

Question 20

Colorectal Cancer - L side manifestations

Answer 20

Rectal bleeding
Alternating constipation and diarrhea
Change in stool

Question 21

Colorectal cancer - R side

Answer 21

Asymptomatic
Abd pain
ID anemia
Occult bleeding