Deck 8: Screening for Gastrointestinal Disease

Question 1

The small intestine is innervated by ___________________ but refers pain to the ____________ lumbar spine segments. Fill in the blanks.

A) T1-T3, L1-L3
B) T4-T8, L2-L3
C) T8-T9, L3-L4
D) T9-T11, L3-L4

Answer 1

D
The small intestine is enervated by T9-T11 but refers pain to the L3-L4 lumbar spine.

Question 2

Drug-induced diarrhea is commonly associated with which type of medication?

A) Calcium channel blockers
B) Calcium-containing antacids
C) Narcotics
D) Antibiotics

Answer 2

D
Drug-induced diarrhea is associated most commonly with antibiotics. Diarrhea may occur as a direct result of antibiotic use, and the gastrointestinal symptoms resolve when the drug is discontinued.

Question 3

Which of the following medications will reduce the amount of stomach acid produced by the stomach so that the individual can obtain relief from gastroesophageal reflux disease (GERD)?

A) Mylanta
B) Maalox
C) Tums
D) Zantac

Answer 3

D
Antacids such as Mylanta, Maalox, Tums, and Rolaids are available over the counter and do not reduce stomach acid but merely neutralize it. H₂ receptor blockers such as Tagamet, Zantac, and Pepcid reduce the amount of stomach acid produced by the stomach and are available over the counter.

Question 4

When is a client most likely to report night pain associated with cancer or a duodenal ulcer?

A) 8-10 pm
B) 10 pm-12 am
C) 12 am-3 am
D) 3 am-6 am

Question 5

Where will patients with diverticulitis complain of pain?

A) Right upper quadrant
B) Left upper quadrant
C) Right lower quadrant
D) Left lower quadrant

Question 6

Visceral pain fibers are only sensitive to which of the following?

A) Cutting
B) Tearing
C) Crushing
D) Stretching

Question 7

Peptic ulcers caused by Helicobacter pylori are primarily located in the lining of which portion of the digestive tract?

A) Ileum
B) Duodenum
C) Jejunum
D) Rectum

Question 8

Damage to which internal organ will sometimes refer pain to the left shoulder?

A) Stomach
B) Spleen
C) Liver
D) Pancreas

Question 9

Which of the following is not a side effect of prolonged use of nonsteroidal antiinflammatory drugs (NSAIDs)?

A) Liver damage
B) Headache
C) Renal vasodilation
D) Mood changes

Question 10

An abnormality of which of the following structures is likely to result in a muscle spasm of the rectus abdominis below the umbilicus?

A) Stomach
B) Appendix
C) Gallbladder
D) Liver

Question 11

Numbness and weakness of the lower extremities has been reported as a result of deficiency of which vitamin?

A) Vitamin A
B) Vitamin B₆
C) Vitamin B₁₂
D) Vitamin E

Question 12

Palpation of McBurney's point is essential in the examination of a patient with possible acute appendicitis. Where is McBurney's point?

A) Halfway between the umbilicus and xiphoid process
B) Halfway between the umbilicus and the pubic symphysis
C) Halfway between the umbilicus and the left lower rib
D) Halfway between the umbilicus and the ASIS

Question 13

Which of the following positions is likely to relieve pain associated with esophagitis?

A) Sitting upright
B) Supine
C) Prone
D) Right side lying

Question 14

Individuals with inflammatory visceral pain are most often found in which of the following positions?

A) Supine
B) Prone
C) Fetal
D) Right side lying

Question 15

Which of the following will generally not cause bright red blood in the stool?

A) Bleeding from the upper gastrointestinal (GI) tract
B) Bleeding from internal hemorrhoids
C) Bleeding from external hemorrhoids
D) Colorectal carcinoma