Deck 14: Gastrointestinal Disorders

Question 1

Which of the following is true?

A) Pancreatic secretions promote fat digestion, while liver bile aids in absorption of glucose.
B) Solid organs in the abdominal cavity include the liver, pancreas, gallbladder, and kidneys.
C) Peristalsis pushes food from the duodenum into the central part of the stomach.
D) Most digestion occurs before food reaches the jejunum.

Answer 1

D

Question 2

The stomach, spleen, and body of the pancreas all reside in which abdominal quadrant?

A) RUQ
B) LUQ
C) RLQ
D) LLQ

Answer 2

B

Question 3

Periumbilical or epigastric pain that starts as colicky and then localizes to RLQ may be a sign of which of the following gastrointestinal diseases?

A) Diverticulitis
B) Biliary stones
C) Cholecystitis
D) Appendicitis

Answer 3

D

Question 4

A patient suffers from severe pain that seems to radiate from the abdomen up into her shoulder. Which of the following are possible?

A) Cholecystitis or biliary stones
B) Appendicitis or intestinal obstruction
C) Pancreatitis or perforated duodenal ulcer
D) Abdominal aneurysm or diverticulitis

Question 5

Esophageal, stomach, and small bowel resections are all associated with what?

A) Insufficient secretion of insulin
B) Malabsorption
C) Steatorrhea
D) Dumping syndrome

Question 6

Which disorder may manifest itself in the largest number of body systems outside the gastrointestinal system?

A) Electrolyte imbalance
B) Cancer
C) Cirrhosis
D) Hepatitis

Question 7

What do melanin deposits around the oral cavity indicate?

A) Cancer
B) Peutz-Jeghers syndrome
C) Jaundice
D) Malnutrition

Question 8

Which test requires the patient to place his or her own hand in the middle of the abdomen while the physician performs the test?

A) Test for ascites
B) Test for appendicitis
C) Test for cholecystitis
D) Test for aortic aneurysm

Question 9

When should a physician touch a patient's area of known pain and why?

A) Last, because otherwise the pain will reflect and mask other areas
B) Last, because inflicting pain causes a patient's muscles to tense and tighten in anticipation of more pain
C) First, to get "the worst" out of the way so the patient can relax
D) First, to set the pain in motion and see where it radiates to

Question 10

Which of the following is a concern when prescribing gastrointestinal treatments for a geriatric patient?

A) Lipid-soluble drugs can last longer in the patient's body.
B) An aging body's tendency toward diarrhea may cause quality-of-life issues.
C) As the number of stomach glands continues to grow, drug absorption becomes increasingly swift.
D) Wear in esophageal valves promotes reflux and heartburn.

Question 11

A patient has mild epigastric tenderness, normal bowel sounds, and signs of peritonitis. What do these symptoms suggest?

A) Cholecystitis
B) Peptic ulcer disease
C) Pancreatitis
D) Cirrhosis

Question 12

Which of the following is true regarding geriatric patients?

A) Constipation becomes less of a problem.
B) Esophageal reflux can be caused by weakening of the cardiac sphincter.
C) Pancreatic atrophy is rare.
D) The number of stomach glands decreases.

Question 13

All parts of the human colon reside in the two lower quadrants of the abdomen.

Question 14

The color of vomitus may help determine the cause.

Question 15

Polydipsia, polyuria, and asthenia are all related to ulcerative colitis.

Question 16

Spider angiomas are a progressive and degenerative disease associated with the liver.

Question 17

Murphy's sign is inspiratory arrest.

Question 18

Umbilical hernias are typically surgically corrected.

Question 19

What ailments of the skin may be related to gastrointestinal disorders?

Question 20

The physician is auscultating and hears what sounds like sandpaper being rubbed. Which organ is involved? What are the possible conditions causing this sound?