Deck 39: Assisting in Gastroenterology

Question 1

Chronic viral hepatitis can occur with hepatitis A.

Answer 1

False

Question 2

Crohn's disease can be cured surgically.

Answer 2

False

Question 3

A patient whose stool tests positive for occult blood will also complain of hematemesis.

Answer 3

False

Question 4

The hepatitis A virus is transmitted through contaminated blood and body fluids.

Question 5

Diverticuli of the colon are considered precancerous.

Question 6

Endemic disease is widespread in a particular geographic area.

Question 7

Hepatitis carriers can be asymptomatic but infectious.

Question 8

The Roux-en-Y procedure reduces the stomach to a pouch the size of an egg.

Question 9

Imodium is an antiemetic that may be prescribed for a patient with food poisoning.

Question 10

Peritonitis may result in the formation of adhesions in the omentum.

Question 11

OSHA requires employers to make the hepatitis B vaccine available to employees at a reduced price.

Question 12

Ulcerative colitis causes localized ulcer formation in the colon.

Question 13

Dietary restrictions for the collection of an occult stool sample should be followed for 72 hours before the specimen is collected.

Question 14

IBS is seen most frequently in adolescent males.

Question 15

The hepatitis B vaccine is given in two doses 6 months apart.

Question 16

Acute appendicitis frequently is caused by an impacted fecalith.

Question 17

One of the signs of a suspected peptic ulcer is a drop in hemoglobin.

Question 18

Advanced cirrhosis of the liver can lead to portal hypertension.

Question 19

Hepatitis can be caused only by infection.

Question 20

A patient who has anorexia has lost the appetite for food.

Question 21

Ascites is associated with patients who have chronic kidney disease.

Question 22

Polyps are caused by herniations of the lining of the colon and are associated with chronic constipation.

Question 23

Patients who have had bariatric surgery need routine injections of vitamin B₁₂.

Question 24

Which procedure would be most likely to have long-lasting psychological effects on the patient?

A)Colostomy
B)Hemorrhoidectomy
C)Colonoscopy
D)Cholecystectomy

Question 25

A very serious type of infectious hepatitis for pregnant women is hepatitis G.

Question 26

Hemorrhoids are the enlargement of veins either internally or externally in the rectal area.

Question 27

If the result of occult blood screening is positive, the patient:

A)has a serious condition that demands immediate medical attention
B)has tested positive for cancer of the lower intestinal tract
C)should have further tests to determine the cause
D)has a large amount of blood leaving the body during elimination

Question 28

To which specialist would a patient most likely be referred if a routine physical examination revealed an abnormality in the lower portion of the descending colon?

A)Internist
B)Gastroenterologist
C)Oncologist
D)Pathologist

Question 29

A patient reporting abdominal pain points to the area of the stomach; what would you note in the chart to indicate this location?

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

Question 30

Ulcerative colitis frequently is described as regional ileitis, because the ulcers typically are restricted to the ileum.

Question 31

Individuals who work in day care settings are at greater risk of becoming infected with hepatitis A because of its route of transmission.

Question 32

In a lithotripsy procedure, high-intensity lasers are used to break apart gallstones.

Question 33

Bariatric surgery frequently is recommended for patients with diabetes type 1.

Question 34

The most frequently used position for patients undergoing a sigmoidoscopy procedure in the physician's office is the knee-chest position.

Question 35

Cirrhosis of the liver may be caused by excessive fat deposits in liver tissue.

Question 36

A possible complication of Crohn's disease is the development of fistulas between the original location of the ulcer and a nearby organ.

Question 37

Patients with cirrhosis of the liver are at greater risk for developing drug toxicities.

Question 38

The muscular action that moves food along the gastrointestinal tract is called:

A)ingestion
B)digestion
C)peristalsis
D)mastication

Question 39

Cytoprotective medications help protect the tissues lining the stomach and small intestine and are used in the treatment of H.pylori infections of the GI system.

Question 40

Helicobacter pylori infection has been discovered to be a possible cause of:

A)cold sores
B)food poisoning
C)colitis
D)stomach ulcers

Question 41

Pouches or tunnels in the large intestine that can trap seeds are called:

A)Crohn's disease
B)duodenal ulcers
C)diverticuli
D)diverticulitis

Question 42

The condition of having gallstones is called:

A)cholelithiasis
B)cholecystitis
C)cholecystogram
D)cholecystectomy

Question 43

Diverticulitis, pancreatitis, and pyloric stenosis are disorders of which body system?

A)Respiratory system
B)Reproductive system
C)Urinary system
D)Digestive system

Question 44

Which of the following is not a part of the colon?

A)Ileum
B)Cecum
C)Splenic flexure
D)Sigmoid

Question 45

The first part of the small intestine, where food enters from the stomach, is the:

A)cecum
B)duodenum
C)jejunum
D)ileum

Question 46

The most common procedure or treatment for food poisoning is to:

A)induce vomiting
B)prevent dehydration
C)give an antidote
D)assess for damage of the intestinal lining

Question 47

You are responsible for conducting patient education in preparation for a three-time stool collection for occult blood.What foods should the patient avoid?

A)Red meat
B)Dairy products
C)Canned vegetables
D)Caffeine

Question 48

Colon cancer can be visualized during a(n):

A)EGD
B)colonoscopy
C)barium enema
D)CT scan

Question 49

Blood vessels that surround the villi of the small intestine carry absorbed materials through the portal circulation to which organ?

A)Heart
B)Kidneys
C)Brain
D)Liver

Question 50

A condition of inflammation of the gallbladder is called:

A)cholelithiasis
B)cholecystitis
C)cholecystogram
D)cholecystectomy

Question 51

Constipation can be treated with:

A)a low-fiber diet
B)a bland diet
C)a BRAT diet
D)water

Question 52

The absorption of nutrients is the primary role of the:

A)stomach
B)villi
C)large intestine
D)duodenum

Question 53

Malabsorption problems are expected in patients after weight loss surgery because of which of the following?

A)Patients stop eating nutritious food.
B)The duodenum is bypassed, so nutrients are not completely broken down.
C)Vitamin supplements cannot be absorbed.
D)GERD develops.

Question 54

Peptic ulcers caused by H.pylori bacteria are treated with which of the following medications?

A)Antibiotics and proton pump inhibitors
B)NSAIDs
C)Prednisone
D)Antiemetics and antibiotics

Question 55

Which anatomic structure is at the distal end of the gastric mucosa?

A)Esophagus
B)Cardiac sphincter
C)Jejunum
D)Pyloric sphincter

Question 56

When a patient is positioned for a proctologic exam, it is critical that the:

A)drape wrap securely around the patient's legs
B)gown open to the front
C)body is flexed at the hip joint
D)legs are placed lower than the head

Question 57

To confirm a diagnosis of gallstones, all of the following procedures may be ordered except:

A)cholecystography
B)cholangiography
C)serum bilirubin measurement
D)endoscopy

Question 58

Patients who have undergone bariatric surgery may have which of the following complications if they return to a diet high in simple sugars?

A)GERD
B)Diverticulitis
C)Dumping syndrome
D)Crohn's disease

Question 59

Mr.Grassi is diagnosed with a cancerous tumor of the cecum.He is scheduled for a resection of which of the following areas of the colon?

A)Splenic flexure
B)Descending colon
C)Ascending colon
D)Sigmoid colon

Question 60

Sclerotherapy is the treatment of choice for which of the following disorders?

A)Inguinal hernia
B)Gangrenous areas of the intestine
C)Hemorrhoids
D)Cancer of the liver

Question 61

Which of the following is(are) categorized as proton pump inhibitors?

A)Nexium
B)Tagamet
C)Prevacid
D)A and C

Question 62

__________ is the wavelike, muscular movement of substances through the GI tract.

Question 63

__________ are varicose veins of the anus and rectum.

Question 64

If a patient vomits bright red blood, typically from the upper gastrointestinal region, the patient is said to have __________.

Question 65

__________ is a malabsorption syndrome caused by an inherited defect in the patient's ability to metabolize gluten.

Question 66

Ulcerative colitis differs from Crohn's disease in what way?

A)It cannot be cured by surgery.
B)The disease typically recurs at the site of a previous ulcer.
C)Scar tissue at the site may cause a bowel obstruction.
D)Ulcers form on the surface of the colon, starting in the rectum and spreading proximally.

Question 67

All of the following are symptoms of Crohn's disease except:

A)diaphoresis
B)melena
C)diarrhea
D)anorexia

Question 68

Which of the following is a GI system medication prescribed to block histamine production?

A)Prilosec
B)Cytotec
C)Pepcid
D)Pepto Bismol

Question 69

A hard, impacted mass of feces in the colon is called a(n) __________.

Question 70

The appendix is located in the __________ region of the abdomen.

Question 71

Regional ileitis is also known as __________.

Question 72

Congenital __________, which typically is seen in first-born male infants, causes a problem with narrowing at the distal end of the stomach.

Question 73

The medical term for enlargement of the liver is __________.

Question 74

A disease or condition that is specific to a particular geographic location is said to be __________ to that region.

Question 75

The surgical joining together of two normally distinct organs, such as connecting the stomach to the ileum, is called an anastomosis.The surgical joining of two normally distinct organs (e.g., connecting the stomach to the ileum) is called a(n) __________.

Question 76

__________ occurs with an increased amount of pressure in the circulatory system.

Question 77

Any disorder or enlargement of the lymph nodes is called __________.

Question 78

The acronym GERD stands for __________.

Question 79

Which of the following types of infectious hepatitis is(are) transferred via blood and body fluids?

A)HAV
B)HBV
C)HEV
D)B and C

Question 80

The gallbladder is located in the __________ of the abdomen.