ibd and diverticulitis practice Flashcards
What is Inflammatory Bowel Disease (IBD)?
A) A form of cancer
B) Chronic inflammation of the GI tract with periods of remission and exacerbation
C) Infection of the intestines
D) Sudden acute abdominal pain
B) Chronic inflammation of the GI tract with periods of remission and exacerbation
What are the two types of IBD?
A) Ulcerative colitis and Crohn’s disease
B) Diverticulosis and diverticulitis
C) Celiac disease and gluten sensitivity
D) Gastroenteritis and colitis
A) Ulcerative colitis and Crohn’s disease
Which of the following is a major cause of IBD?
A) High-fiber diet
B) Autoimmune disease
C) Viral infection
D) Excessive alcohol consumption
B) Autoimmune disease
Which factor is the strongest risk for developing IBD?
A) Family history
B) High-fat diet
C) Stress
D) Low physical activity
A) Family history
Which of the following are lifestyle factors that increase the risk of IBD? (Select all that apply)
A) Urban living
B) High intake of refined sugars
C) Smoking
D) Use of NSAIDs
E) Vegetarian diet
A) Urban living, B) High intake of refined sugars, C) Smoking, D) Use of NSAIDs
A 30-year-old female presents with chronic diarrhea, weight loss, and cramping abdominal pain. Which disease is most likely?
A) Ulcerative colitis
B) Diverticulosis
C) Crohn’s disease
D) Irritable bowel syndrome
C) Crohn’s disease
What are the main symptoms of Crohn’s disease?
A) Bloody diarrhea, abdominal pain
B) Diarrhea, cramping abdominal pain, weight loss, rectal bleeding
C) Nausea, vomiting, bloating
D) Abdominal distention and constipation
B) Diarrhea, cramping abdominal pain, weight loss, rectal bleeding
What are the main symptoms of Ulcerative Colitis (UC)?
A) Diarrhea with blood and abdominal pain
B) Abdominal pain and constipation
C) Weight loss and cramping
D) Jaundice and nausea
A) Diarrhea with blood and abdominal pain
Which of the following are symptoms of severe UC? (Select all that apply)
A) 10-20 bloody stools/day
B) Fever
C) Rapid weight loss (>10% TBW)
D) Constipation
E) Anemia
A) 10-20 bloody stools/day, B) Fever, C) Rapid weight loss (>10% TBW), E) Anemia
What is the main goal of nursing care for IBD?
A) Treat the underlying infection
B) Rest the bowel and reduce inflammation
C) Eliminate all fiber from the diet
D) Use antibiotics to cure IBD
B) Rest the bowel and reduce inflammation
What is the cure for IBD?
A) Antibiotics
B) Surgical resection
C) No cure, symptom management only
D) Immunosuppressants
C) No cure, symptom management only
Which surgical procedure is a treatment option for severe UC?
A) Proctocolectomy with ileal pouch/anal anastomosis (IPAA)
B) Total colectomy with ileostomy
C) Appendectomy
D) Cholecystectomy
A) Proctocolectomy with ileal pouch/anal anastomosis (IPAA)
What surgery is most commonly done for Crohn’s disease?
A) Total colectomy
B) Resection of diseased segments with reanastomosis
C) Stomach bypass surgery
D) Splenectomy
B) Resection of diseased segments with reanastomosis
Which diagnostic test is used to examine the entire large intestine?
A) CT scan
B) Colonoscopy
C) MRI
D) Abdominal X-ray
B) Colonoscopy
Which of the following tests would indicate the presence of iron deficiency anemia in IBD?
A) Serum electrolytes
B) CBC
C) Imaging studies
D) Stool occult blood test
B) CBC
What lab test may indicate severe IBD?
A) Serum albumin
B) Serum creatinine
C) Liver enzymes
D) Renal function test
A) Serum albumin
Which of the following medications are used to treat both UC and Crohn’s? (Select all that apply)
A) Corticosteroids
B) 5-aminosalicylic acid (5-ASA)
C) Immunosuppressants
D) Proton pump inhibitors
E) Antifungals
A) Corticosteroids, B) 5-aminosalicylic acid (5-ASA), C) Immunosuppressants
Which of the following are risk factors for diverticulitis? (Select all that apply)
A) Low-fiber diet
B) Smoking
C) Excess alcohol use
D) High intake of fruits and vegetables
E) NSAID use
A) Low-fiber diet, B) Smoking, C) Excess alcohol use, E) NSAID use
What is diverticulosis?
A) The inflammation of diverticula
B) The presence of multiple non-inflamed diverticula
C) A type of IBD
D) A bowel obstruction
B) The presence of multiple non-inflamed diverticula
What is diverticulitis?
A) Presence of diverticula without inflammation
B) Inflammation of one or more diverticula
C) A viral infection of the intestines
D) A bacterial infection of the colon
B) Inflammation of one or more diverticula
Which of the following are common symptoms of diverticulitis? (Select all that apply)
A) Acute LLQ pain
B) Abdominal distention
C) Fever
D) Diarrhea with blood
E) Weight gain
A) Acute LLQ pain, B) Abdominal distention, C) Fever
Which diagnostic test is most commonly used to diagnose diverticulitis?
A) CT scan with oral contrast
B) Colonoscopy
C) MRI
D) Abdominal X-ray
A) CT scan with oral contrast
What is the typical surgical treatment for severe diverticulitis?
A) Colectomy with primary anastomosis
B) Colonoscopy
C) Resection of the colon with ileostomy
D) Abdominal laparotomy
A) Colectomy with primary anastomosis
What is the surgical treatment if primary anastomosis isn’t possible?
A) Temporary diverting colostomy
B) Appendectomy
C) Proctocolectomy
D) Colostomy reversal
A) Temporary diverting colostomy
What is the main nursing intervention for diverticulitis?
A) Encourage a high-fiber diet
B) Administer IV fluids and antibiotics
C) Encourage heavy lifting
D) Administer corticosteroids
B) Administer IV fluids and antibiotics
What client education should be provided for diverticulosis/itis? (Select all that apply)
A) High-fiber diet
B) Encourage fluid intake of at least 2L/day
C) Avoid straining and heavy lifting
D) Avoid fiber-rich foods
E) Encourage smoking cessation
A) High-fiber diet, B) Encourage fluid intake of at least 2L/day, C) Avoid straining and heavy lifting, E) Encourage smoking cessation
A 55-year-old male presents with left lower quadrant pain, fever, and elevated WBC. What condition do these symptoms suggest?
A) Diverticulitis
B) IBD
C) Gallbladder disease
D) Appendicitis
A) Diverticulitis
How is diverticulosis usually diagnosed?
A) Routine colonoscopy
B) Blood tests
C) Abdominal X-ray
D) Physical exam only
A) Routine colonoscopy
What is the primary goal for patients with IBD?
A) Relieve symptoms and reduce inflammation
B) Prevent dehydration
C) Increase fiber intake
D) Cure the disease
A) Relieve symptoms and reduce inflammation
Which medications are prescribed for UC?
A) Antibiotics
B) 5-aminosalicylic acid
C) Biologics
D) Corticosteroids
E) Both B, C, and D
E) Both B, C, and D
Which dietary modification is recommended for a patient with diverticulosis?
A) High-fiber diet
B) Low-fat diet
C) Low-salt diet
D) Low-protein diet
A) High-fiber diet
