HITIAL HERNIA AND PUD PRACTICE - deck_18454352.csv

Question 1

What is a common cause of a hiatal hernia?
A) Aging
B) Increased intra-abdominal pressure
C) Smoking
D) Genetic factors

Answer 1

B) Increased intra-abdominal pressure

Question 2

What are the symptoms of a sliding hiatal hernia?
A) Regurgitation
B) Heartburn
C) Dysphagia
D) Pain in the upper abdomen

Answer 2

A) Regurgitation, B) Heartburn, D) Pain in the upper abdomen

Question 3

Which of the following are risk factors for developing a hiatal hernia? (Select all that apply)
A) Obesity
B) Pregnancy
C) Heavy lifting
D) Smoking

Answer 3

A) Obesity, B) Pregnancy, C) Heavy lifting

Question 4

What is the main goal of surgical treatment for a hiatal hernia?
A) To reduce the hernia
B) To prevent re-herniation
C) To maintain adequate LES pressure
D) To increase stomach acid production

Answer 4

A) To reduce the hernia, B) To prevent re-herniation, C) To maintain adequate LES pressure

Question 5

What diagnostic test is used to confirm a hiatal hernia?
A) Endoscopy
B) X-ray
C) Esophagram (Barium swallow)
D) CT scan

Answer 5

C) Esophagram (Barium swallow)

Question 6

Which of the following is a common complication of a paraesophageal hernia?
A) GERD
B) Strangulation
C) Esophagitis
D) Dysphagia

Answer 6

B) Strangulation

Question 7

What is a common symptom of gastric ulcers?
A) Pain 2-5 hours after meals
B) Pain immediately after eating
C) Pain in the lower abdomen
D) Pain that improves with eating

Answer 7

B) Pain immediately after eating

Question 8

Which test is commonly used to diagnose H. pylori infection in peptic ulcer disease?
A) Urea breath test
B) Endoscopy
C) Stool antigen test
D) CBC

Answer 8

A) Urea breath test, C) Stool antigen test

Question 9

What are common symptoms of duodenal ulcers?
A) Pain 2-5 hours after meals
B) Pain relieved by eating
C) Nighttime pain
D) Pain in the lower epigastric area

Answer 9

A) Pain 2-5 hours after meals, B) Pain relieved by eating, C) Nighttime pain

Question 10

Which of the following is the most common risk factor for developing peptic ulcers?
A) H. pylori infection
B) High-fat diet
C) Alcohol consumption
D) Smoking

Answer 10

A) H. pylori infection

Question 11

What is a complication of untreated peptic ulcers?
A) Hemorrhage
B) Ulcer perforation
C) Gastric outlet obstruction
D) All of the above

Answer 11

D) All of the above

Question 12

What is the primary function of proton pump inhibitors (PPIs) in treating PUD?
A) To neutralize stomach acid
B) To promote ulcer healing
C) To eradicate H. pylori
D) To increase stomach motility

Answer 12

B) To promote ulcer healing

Question 13

Which of the following is a common surgical treatment for peptic ulcer disease?
A) Gastrectomy
B) Billroth I procedure
C) Fundoplication
D) Pyloroplasty

Answer 13

B) Billroth I procedure, D) Pyloroplasty

Question 14

What is the purpose of H2 receptor blockers in PUD treatment?
A) To neutralize acid
B) To reduce gastric acid secretion
C) To promote mucosal healing
D) To inhibit H. pylori growth

Answer 14

B) To reduce gastric acid secretion

Question 15

Which is the first-line treatment for H. pylori infection in PUD?
A) Antibiotics
B) Proton pump inhibitors
C) Antacids
D) Cytoprotective agents

Answer 15

A) Antibiotics

Question 16

What are signs of a perforated ulcer?
A) Severe abdominal pain
B) Hypotension
C) Abdominal rigidity
D) All of the above

Answer 16

D) All of the above

Question 17

Which type of ulcer is more likely to cause pain immediately after eating?
A) Gastric ulcer
B) Duodenal ulcer
C) Esophageal ulcer
D) None of the above

Answer 17

A) Gastric ulcer

Question 18

Which procedure is commonly performed in the surgical treatment of peptic ulcers?
A) Vagotomy
B) Appendectomy
C) Colonoscopy
D) Esophagogastrectomy

Answer 18

A) Vagotomy

Question 19

What is a potential side effect of long-term use of PPIs?
A) Vitamin B12 deficiency
B) Hyperkalemia
C) Hypoglycemia
D) Hypertension

Answer 19

A) Vitamin B12 deficiency

Question 20

Which of the following is an appropriate nursing intervention for a patient with a peptic ulcer?
A) Encourage smoking cessation
B) Advise against heavy exercise
C) Promote a high-protein diet
D) Educate about avoiding alcohol and NSAIDs

Answer 20

D) Educate about avoiding alcohol and NSAIDs

Question 21

What is a common treatment for gastric outlet obstruction due to PUD?
A) Pyloroplasty
B) Fundoplication
C) Gastrectomy
D) Billroth II procedure

Answer 21

A) Pyloroplasty

Question 22

What is the main complication of a paraesophageal hernia?
A) GERD
B) Strangulation
C) Regurgitation
D) Ulcer formation

Answer 22

B) Strangulation

Question 23

Which of the following is an appropriate dietary modification for peptic ulcer disease?
A) Avoid spicy foods
B) Eat smaller, more frequent meals
C) Increase intake of caffeinated beverages
D) Avoid dairy products

Answer 23

A) Avoid spicy foods, B) Eat smaller, more frequent meals

Question 24

Which of the following is a diagnostic test for esophageal disorders, including hiatal hernia?
A) Endoscopy
B) Barium swallow
C) Chest X-ray
D) CT scan

Answer 24

B) Barium swallow

Question 25

What is a common complication of untreated GERD? A) Esophageal stricture B) Ulcer formation C) Laryngeal cancer D) All of the above

Answer 25

D) All of the above

Question 26

What is a common symptom of a paraesophageal hernia? A) Heartburn B) Regurgitation C) Dysphagia D) Chest pain

Answer 26

D) Chest pain

Question 27

What test is used to identify H. pylori infection in peptic ulcer disease? A) Stool test B) Breath test C) Blood test D) Biopsy

Answer 27

B) Breath test

Question 28

Which of the following should be avoided in patients with a history of PUD? A) Alcohol B) NSAIDs C) Caffeinated beverages D) All of the above

Answer 28

D) All of the above

Question 29

What is the preferred method of treatment for H. pylori-induced peptic ulcers? A) Antibiotics and PPIs B) Antacids and H2 blockers C) Cytoprotective agents D) Surgery

Answer 29

A) Antibiotics and PPIs

Question 30

What is the role of cytoprotective agents in PUD treatment? A) To inhibit acid production B) To coat the ulcer and protect it from acid C) To promote acid production D) To reduce gastric motility

Answer 30

B) To coat the ulcer and protect it from acid

Question 31

What is a key feature of a duodenal ulcer? A) Pain after meals B) Pain relieved by eating C) Pain at night D) All of the above

Answer 31

D) All of the above

Question 32

What is the main cause of "silent ulcers"? A) H. pylori infection B) NSAID use C) Stress D) Age-related changes

Answer 32

B) NSAID use

Question 33

Which surgery involves removal of part of the stomach to treat PUD? A) Gastrectomy B) Vagotomy C) Pyloroplasty D) Esophagogastrectomy

Answer 33

A) Gastrectomy

Question 34

What lifestyle modification is important in managing PUD? A) Cessation of smoking B) Regular exercise C) High-protein diet D) Avoidance of fat-rich foods

Answer 34

A) Cessation of smoking

Question 35

What is the purpose of an esophagram in diagnosing hiatal hernia? A) To assess esophageal function B) To visualize the stomach sliding through the diaphragm C) To identify ulcers in the esophagus D) To check for esophageal cancer

Answer 35

B) To visualize the stomach sliding through the diaphragm

Question 36

Which of the following medications is commonly used in PUD treatment? A) Ranitidine B) Omeprazole C) Sucralfate D) All of the above

Answer 36

D) All of the above