Nutrition

Question 1

Fear of obesity

weight

Answer 1

anorexia

Question 2

binging followed by self-vomitting

normal weight,

pitted teeth, pharyng& esophagus inflammed, tracheoesophageal fistulae, rectal bleeding

Answer 2

bulimia nervosa

Question 3

anorexia weight loss, weakness, taste disturbance, early satiety

hypermetabolism and systemic inflammation contribute to weight loss, (cancer patient)

decrease protein synthesis

Answer 3

cachexia

Question 4

abnormal taste, salty or metallic

Answer 4

Dysgeusia

Question 5

change in saliva alter nutrition

chronic, disease white blood cells attack moisture producing gland

effect mostly women

Answer 5

sjorgren syndrome

Question 6

lack of saliva, due to poor saliva producing glands

sjogrens, med side effect, radiation

worsen by smoke and alc

Answer 6

xerostomia

Question 7

congenital malformation fissure of lip or palate

multifactorial genetic

4&12 week of pregnancy

teeth alignment problem

unable to suck

Answer 7

cleft lip and palate

Question 8

white plaque on oral mucosa

cause: antibiotic, steroid, diabetes, dentures
fungal infection

Answer 8

candiasis

Question 9

painful ulcer on palate and gums

recurring painful crateriform, stress related

Answer 9

herpes simplex

aphthous stomatis (canker sores)

Question 10

chronic gum infection by plaque result in loss of bone support

adults over 40

Answer 10

peridontal disease

Question 11

difficulty swallowing, obstruction, esophageal peristalsis, ALS, Parkinson’s

Answer 11

Dysphagia

Question 12

Liver complication elevated portal pressure backflow of blood into GI\

prophylaxis for cirrhosis, screen 2-3 years

bleeding, nausea, vomitting

Answer 12

esophageal varices

Question 13

unease of stomach

Answer 13

nausea

Question 14

forceful expulsion of stomach content

controlled by medulla, defense mech

Answer 14

vomitting

Question 15

hiatal hernia,

stomach protrudes diaphragm to chest

reflux after eating, chest pain

Answer 15

dyspepsia/heartburn

Question 16

incompetent esophageal sphincter

food/acid reflux to esophagus

premature infant,

Answer 16

gastroesophageal reflux

Question 17

stenosis of opening between stomach and duodenum

ulcer with edema, spasm, inflammation or cancer

vomit, anorexia

Answer 17

pyloric obstruction

Question 18

stomach inflammation,

prostaglandin stimulate mucous, NSAIDS

acute or chronic, pernicious anemia

Answer 18

gastritis

Question 19

altered lining of stomach, esophagus, duodenum, acid causes ulcer

smoking, alc, stress, age

Answer 19

peptic ulcer disease

Question 20

bile reflux cause HCL acid to attack stomach lining

destruction of vessel cause bleeding

pain after eating

Answer 20

gastric ulcer

Question 21

bacteria causing gastritis and gastric ulcer

Answer 21

H. Pylori

Question 22

young people, NSAIDS, O+

hypersecretion of acid and undersecrete bicarb by duodenum, relieved by ingestion and antacid

hemorrage, obstruction, perforation

Answer 22

duodenal ulcer

Question 23

esophagus-duodenum bleeding

Answer 23

GI bleeding

Question 24

disacharide malabsorption, lactose undigested and remain in gut fermenting

Answer 24

lactose deficiency

Question 25

gluten ingestion, celiacs,

Answer 25

gluten sensitive enteropathy

Question 26

cystic fibrosis, pancreatic cancer, pancreatitis Low ph, fat stool (steatorrhea)

Answer 26

pancreatic deficiency

Question 27

needed for digestion of fat, liver disease, bile duct obstruction fat soluble vitamin deficit, blindness, bleeding

Answer 27

Bile salt deficiency

Question 28

group of enzyme involved in drug metabolism and bioactivation 75% of metabolic reaction

Answer 28

cytochrome p450

Question 29

liver damage Laenec cirrhosis alcohol cardiac chirrhosis

Answer 29

cirrhosis

Question 30

toxic liver, drug reaction or hepatotoxin vomit, lethargy, nausea

Answer 30

hepatitis

Question 31

Hep A- contaminated food, fecal/oral route, incubation 2-6 weeks Hep E- epidemic area, fecal/oral

Answer 31

Hepatitis A and E

Question 32

Hep transmited through parent

Answer 32

Viral hepatitis (HBV)

Question 33

hypertension in vessel that drain into liver due to obstruction in kidney cause: varices, ascites, splenomegaly, hepaticencphalopathy effect nutrition by causing disease in esophagus stomach and lower GI

Answer 33

portal hypertension

Question 34

caused by hyperbilirubenemia, execessive hemolysis of blood cell, occlusion of bile duct, or liver damage

Answer 34

jaundice

Question 35

accumulation of fluid in peritoneal cavity called third spacing, low albumin causes increase hydrostatic pressure

Answer 35

ascities

Question 36

elevated with liver damage, (hepatitis or toxin)

Answer 36

(ALT or SGPT)

Question 37

elevated with alcohol induced liver disease, statins, tylenol, acne drugs

Answer 37

AST or GGT

Question 38

decreased in hepatitis, liver tumor, cirrhosis, ascities

Answer 38

albumin

Question 39

inability to produce clotting factors

Answer 39

clotting

Question 40

elevated in failure

Answer 40

ammonia

Question 41

nausea, vomit, change in fat digestion

Answer 41

gall bladder

Question 42

inflammation of gale bladder due to obstruction or stones chill and feaver with murphys sign

Answer 42

cholecystitis

Question 43

gallstones occur in women, obese, age obstruction of duct leads to pain and complication

Answer 43

cholelithiasis

Question 44

gallstones in common bile duct

Answer 44

choledocholithiasis

Question 45

insulin production and release

Answer 45

pancreas

Question 46

inflammation of pancreas, activated enzymes before entering duodenum produce autodigestion, altered nutrition pain panceatic infection cause: billiary stone and alcohol symptom; abdominal pain and decreased peristalsis, cullens sign

Answer 46

acute pancreatitis

Question 47

BMI>30,genetics,metabolic abnormality high levels of leptin, ghrelin, insulin, decrease level of adiponectin

Answer 47

obesity