Question 1

The small intestine is innervated by ___________________ but refers pain to the ____________ lumbar spine segments. Fill in the blanks.&#10;A) T1-T3, L1-L3&#10;B) T4-T8, L2-L3&#10;C) T8-T9, L3-L4&#10;D) T9-T11, L3-L4

Accepted Answer

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?&#10;A) Calcium channel blockers&#10;B) Calcium-containing antacids&#10;C) Narcotics&#10;D) Antibiotics

Accepted Answer

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)?&#10;A) Mylanta&#10;B) Maalox&#10;C) Tums&#10;D) Zantac

Accepted Answer

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?&#10;A) 8-10 pm&#10;B) 10 pm-12 am&#10;C) 12 am-3 am&#10;D) 3 am-6 am

Accepted Answer

The client with a duodenal ulcer or cancer-related pain may report pain during the night between midnight and 3 am. Ulcer pain may be differentiated from the nocturnal pain associated with cancer by its intensity (7 or higher on a scale from 0 to 10) and duration (constant).

Question 5

Where will patients with diverticulitis complain of pain?&#10;A) Right upper quadrant&#10;B) Left upper quadrant&#10;C) Right lower quadrant&#10;D) Left lower quadrant

Accepted Answer

Perforation and subsequent infection cause symptoms of the left lower quadrant with pelvic pain and tenderness in diverticulitis. For the therapist performing iliopsoas and obturator tests abdominal pain in the left lower quadrant may be caused by diverticular disease and should be reported to the physician.

Question 6

Visceral pain fibers are only sensitive to which of the following?&#10;A) Cutting&#10;B) Tearing&#10;C) Crushing&#10;D) Stretching

Accepted Answer

The abdominal viscera are ordinarily insensitive to many stimuli, such as cutting, tearing, or crushing, that when applied to the skin evoke severe pain. Visceral fibers are sensitive only to stretching or tension in the wall of the gut.

Question 7

Peptic ulcers caused by Helicobacter pylori are primarily located in the lining of which portion of the digestive tract?&#10;A) Ileum&#10;B) Duodenum&#10;C) Jejunum&#10;D) Rectum

Accepted Answer

H. pylori ulcers are primarily located in the lining of the duodenum (upper portion of the small intestine that connects to the stomach).

Question 8

Damage to which internal organ will sometimes refer pain to the left shoulder?&#10;A) Stomach&#10;B) Spleen&#10;C) Liver&#10;D) Pancreas

Accepted Answer

Pain in the left shoulder can occur as the result of free air after laparoscopic surgery or blood in the abdominal cavity, usually from a ruptured spleen or retroperitoneal bleeding causing distention.

Question 9

Which of the following is not a side effect of prolonged use of nonsteroidal antiinflammatory drugs (NSAIDs)?&#10;A) Liver damage&#10;B) Headache&#10;C) Renal vasodilation&#10;D) Mood changes

Accepted Answer

Possible adverse side effects of NSAIDs may include suppression of cartilage repair and synthesis, food retention and kidney damage, liver damage, skin reactions, and impairment of the nervous system such as headache, depression, confusion, or memory loss, mood changes, and ringing in the ears. NSAIDs are also potent renal vasoconstrictors.

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?&#10;A) Stomach&#10;B) Appendix&#10;C) Gallbladder&#10;D) Liver

Accepted Answer

Contraction of the rectus abdominis muscles above the umbilicus can occur with dysfunction of the stomach, gallbladder, liver, pylorus, or respiratory diaphragm. The cramping of the ileum, jejunum, appendix, cecum, colon, and rectum are more likely to result in muscle spasm of the rectus abdominis below the umbilicus.

Question 11

Numbness and weakness of the lower extremities has been reported as a result of deficiency of which vitamin?&#10;A) Vitamin A&#10;B) Vitamin B&#8326;&#10;C) Vitamin B&#8321;&#8322;&#10;D) Vitamin E

Accepted Answer

The answer of Numbness and weakness of the lower extremities...

Question 12

Palpation of McBurney's point is essential in the examination of a patient with possible acute appendicitis. Where is McBurney's point?&#10;A) Halfway between the umbilicus and xiphoid process&#10;B) Halfway between the umbilicus and the pubic symphysis&#10;C) Halfway between the umbilicus and the left lower rib&#10;D) Halfway between the umbilicus and the ASIS

Accepted Answer

The answer of Palpation of McBurney's point is essential in...

Question 13

Which of the following positions is likely to relieve pain associated with esophagitis?&#10;A) Sitting upright&#10;B) Supine&#10;C) Prone&#10;D) Right side lying

Accepted Answer

The answer of Which of the following positions is likely...

Question 14

Individuals with inflammatory visceral pain are most often found in which of the following positions?&#10;A) Supine&#10;B) Prone&#10;C) Fetal&#10;D) Right side lying

Accepted Answer

The answer of Individuals with inflammatory visceral pain are most...

Question 15

Which of the following will generally not cause bright red blood in the stool?&#10;A) Bleeding from the upper gastrointestinal (GI) tract&#10;B) Bleeding from internal hemorrhoids&#10;C) Bleeding from external hemorrhoids&#10;D) Colorectal carcinoma

Accepted Answer

The answer of Which of the following will generally not...

Deck 8: Screening for Gastrointestinal Disease