Pages: 18-19 (Abdomen & GI = Stomach, Spleen, Small Intestine) Flashcards

1
Q

_____: refers to a protrusion of the stomach above the diaphragm. Presents with palpable tenderness in LUQ.

a. ) Direct inguinal hernia
b. ) Indirect inguinal hernia
c. ) Hiatal hernia
d. ) Gastric hernia

A

c. ) Hiatal hernia

- Made worse after eating a large meal or when lying down.

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2
Q

Which of the following is a cause of Dyspepsia and/or Reflux Esophagitis?

a. ) Direct inguinal hernia
b. ) Indirect inguinal hernia
c. ) Hiatal hernia
d. ) Gastric hernia

A

c.) Hiatal hernia

  • Made worse after eating a large meal or when lying down, Valsalva’s or bearing down.
  • Test: X-ray or Upper GI series
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3
Q

_____: is caused by Helicobacter Pylori bacteria. Causes a pinpoint epigastric pain and coffee ground emesis?

a. ) Reflux esophagitis
b. ) Pyloric stenosis
c. ) Gastric carcinoma
d. ) Peptic ulcer

A

d.) Peptic ulcer

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4
Q

Gastric and Duodenal ulcers are considered?

a. ) Esophageal ulcers
b. ) Peptic ulcers
c. ) Refractory ulcers
d. ) Bleeding ulcers

A

b.) Peptic ulcers

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5
Q

Which of the following is the MC type of Peptic ulcer?

a. ) Duodenal
b. ) Gastric
c. ) Esophageal
d. ) Refractory

A

a.) Duodenal

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6
Q

Which of the following is true about Gastric ulcers?

a. ) Most common type of peptic ulcer
b. ) Pain occurs 2 hours after eating
c. ) Has no consistent pain pattern
d. ) Black/tarry stool

A

c.) Has no consistent pain pattern

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7
Q

_____: refers to projectile vomiting in the newborn?

a. ) Reflux esophagitis
b. ) Pyloric stenosis
c. ) Gastric carcinoma
d. ) Peptic ulcer

A

b.) Pyloric stenosis

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8
Q

Gastric carcinoma is most commonly located here?

a. ) Duodenum
b. ) Jejunum
c. ) Greater curvature
d. ) Lesser curvature

A

d. ) Lesser curvature

- also associated with Virchow’s node (left supraclavicular lymph node)

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9
Q

Which of the following cells found in the blood is associated with Mononucleosis?

a. ) Neutrophils
b. ) Eosinophils
c. ) Downey cells
d. ) Basophils

A

c.) Downey cells (aka: “Atypical lymphocytes”)

  • Paul Bunnell
  • Caused by Epstein-Barr Virus and is seen in young adults (18-25 y/o)
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10
Q

Osteopetrosis causes enlargement to which organs?

a. ) Pancreas, Kidneys
b. ) Spleen, Liver
c. ) Kidneys, Spleen
d. ) Gallbladder, Pancreas

A

b. ) Spleen, Liver

- Osteopetrosis (aka: “Marble bone”)

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11
Q

What is the pain referral site for the Small Intestines?

a. ) Epigastric
b. ) Flank
c. ) Perianal
d. ) Periumbilical

A

d.) Periumbilical

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12
Q

_____: refers to a nonspecific inflammatory disorder that affects the distal ileum and colon. Present with RLQ pain. Leads to malabsorption of Vitamin B12.

a. ) Celiac disease
b. ) Crohn’s disease
c. ) Irritable bowel syndrome
d. ) Diverticulitis

A

b. ) Crohn’s disease (aka: “Regional Ileitis”)

- RIGHT side of Intestines

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13
Q

_____: refers to an immune reaction to eating gluten, a protein found in wheat, barley, and rye.

a. ) Celiac disease
b. ) Crohn’s disease
c. ) Irritable bowel syndrome
d. ) Diverticulitis

A

a.) Celiac disease

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14
Q

_____: refers to a variable degree of constipation and diarrhea in response to stress, most commonly seen in females.

a. ) Ulcerative colitis
b. ) Crohn’s disease
c. ) Irritable bowel syndrome
d. ) Diverticulitis

A

c.) Irritable bowel syndrome (aka: “Spastic colon”)

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15
Q

_____: refers to chronic constipation, which causes small outpourings within the colon that become infected.

a. ) Ulcerative colitis
b. ) Irritable bowel disease
c. ) Irritable bowel syndrome
d. ) Diverticulitis

A

d. ) Diverticulitis

- Caused by inadequate fiber intake in diet.

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16
Q

_____: presents with bloody diarrhea and most commonly located at the colon and rectum.

a. ) Ulcerative colitis
b. ) Irritable bowel disease
c. ) Irritable bowel syndrome
d. ) Diverticulitis

A

a. ) Ulcerative colitis

- LEFT side of Intestines

17
Q

_____: refers to dull periumbilical or epigastric pain that radiates to the RLQ.

a. ) Hiatal hernia
b. ) Regional Ileitis
c. ) Appendicitis
d. ) Diverticulitis

A

c.) Appendicitis

18
Q

What is the pain referral site for a Hiatal Hernia?

a. ) RUQ
b. ) RLQ
c. ) LUQ
d. ) LLQ

A

c.) LUQ

19
Q

What is the pain referral site for Regional Ileitis?

a. ) RUQ
b. ) RLQ
c. ) LUQ
d. ) LLQ

A

b.) RLQ

20
Q

What is the pain referral site for Diverticulitis?

a. ) RUQ
b. ) RLQ
c. ) LUQ
d. ) LLQ

A

d.) LLQ

21
Q

What is the pain referral site for Appendicitis?

a. ) RUQ
b. ) RLQ
c. ) LUQ
d. ) LLQ

A

b.) RLQ

22
Q

Which vitamin is deficient in a patient with Regional Ileitis?

a. ) Vitamin A
b. ) Vitamin C
c. ) Vitamin B12
d. ) Vitamin E

A

c.) Vitamin B12