Question 1

The gold standard for diagnosis of gastroparesis is the:​

Accepted Answer

The gold standard for diagnosis of gastroparesis is a scintigraphic gastric emptying test, which measures the rate at which food empties from the stomach into the small intestine. Upper GI endoscopy, ERCP, endoscopic ultrasound, and esophagography test can be helpful in identifying structural abnormalities or other causes of symptoms, but they do not definitively diagnose gastroparesis.

Question 2

LK would most likely be at risk of which nutrient deficiency?​

Accepted Answer

LK is most likely at risk of iron deficiency, as it is a common nutrient deficiency in vegetarians who do not consume enough iron-rich foods such as red meat and seafood.

Question 3

Which medication would most likely be prescribed for LK's condition?​

Accepted Answer

Clarithromycin is an antibiotic that is used to treat bacterial infections. It is commonly used to treat infections of the respiratory tract, skin, and soft tissues.

Question 4

Which gastrointestinal condition is not associated with dysphagia?​

Accepted Answer

Dumping syndrome is not associated with dysphagia. Dumping syndrome occurs after a meal, where food moves too quickly from the stomach into the small intestine, leading to symptoms such as nausea, cramping, and diarrhea. Dysphagia is difficulty swallowing, which is commonly associated with achalasia, hiatal hernia, gastroparesis, and GERD.

Question 5

Which complication would most commonly be associated with dysphagia?​

Accepted Answer

Dysphagia, or difficulty swallowing, can lead to the unintentional inhalation of food or liquids into the lungs, known as aspiration. Aspiration can lead to complications such as pneumonia, lung abscess, or acute respiratory distress syndrome. Ageusia (loss of taste), eructation (belching), syncope (fainting), and flatulence (excessive gas) are not directly related to dysphagia.

Question 6

What describes the mechanism of action of metoclopramide in managing nausea?

Accepted Answer

Metoclopramide works by blocking dopamine receptors in the brain, specifically those in the chemoreceptor trigger zone (CTZ) and the vomiting center. This prevents the CTZ and vomiting center from receiving signals that would trigger nausea and vomiting.

Question 7

A patient is having a procedure that involves passing a tube through the oral pharynx into the stomach and recording barometric pressure through a transducer. This procedure most accurately describes a(n):

Accepted Answer

This procedure involves passing a tube through the oral pharynx into the stomach and recording barometric pressure through a transducer. This is characteristic of an esophageal manometry study, which is a test that measures the pressures and function of the esophagus. Endoscopy involves the insertion of a flexible tube with a camera to visualize the digestive system, while a barium radiology study involves swallowing a liquid containing barium and taking X-rays to visualize the digestive system. The Bernstein test is a test to diagnose gastroesophageal reflux disease (GERD), and the urea breath test is a diagnostic test for Helicobacter pylori infection.

Question 8

What describes an appropriate nutrition intervention for a patient following gastric surgery?​

Accepted Answer

The answer of What describes an appropriate nutrition intervention for...

Question 9

Which is a component of nutrition therapy for peptic ulcer disease?​

Accepted Answer

Eating small, frequent meals helps to decrease the amount of acid produced during digestion and can also help to prevent discomfort caused by an empty stomach. Restricting acidic juices can also be helpful in reducing symptoms of peptic ulcer disease. Lying down after eating, increasing sodium intake, and drinking extra milk are not recommended components of nutrition therapy for peptic ulcer disease.

Question 10

The most common surgical procedure used for refractory GERD is:​

Accepted Answer

The most common surgical procedure used for refractory GERD is the Nissen fundoplication, which involves wrapping the upper part of the stomach around the lower esophageal sphincter to strengthen it and prevent acid reflux. A videofluoroscopy swallowing procedure is a diagnostic test, not a surgical procedure for GERD. The Roux-en-Y procedure and agastroduodenostomy are surgical procedures for other conditions and not for GERD. A partial gastrectomy with a reconstruction is a more radical surgical option and is not typically used for refractory GERD.

Question 11

Which nutritional recommendation would be most appropriate for LK?

Accepted Answer

Restricting foods that irritate the gastric mucosa is a common recommendation for individuals with gastric issues to prevent further irritation and discomfort.

Question 12

Which describes the purpose of vagotomy?​

Accepted Answer

Vagotomy is a surgical procedure that involves the cutting of the vagus nerve to eliminate cholinergic stimulation of the stomach. This is done to decrease acid secretion and reduce symptoms in patients with peptic ulcers or other gastrointestinal disorders. It can also be done in combination with other procedures to treat conditions such as gastric cancer or reflux disease, but its primary purpose is to reduce gastric acid secretion.

Question 13

The most common symptom related to peptic ulcer disease is:​

Accepted Answer

The most common symptom related to peptic ulcer disease is epigastric pain, which is a burning or gnawing sensation in the upper abdomen. Other symptoms such as nausea, belching, anorexia, and vomiting may also occur but are less common.

Question 14

Which foods would the dietitian most likely recommend for LK?​

Accepted Answer

The answer of Which foods would the dietitian most likely...

Question 15

Which is a correct statement regarding late dumping syndrome?​

Accepted Answer

Late dumping syndrome typically occurs 1-3 hours after a meal and can result in hypoglycemia. Option A is incorrect as it refers to early dumping syndrome. Option B is incorrect as late dumping syndrome is often associated with carbohydrates instead of protein. Option D is a symptom of both early and late dumping syndrome. Option E is a symptom of early dumping syndrome.

Question 16

Which is considered a symptom of gastroesophageal reflux in infants?

Accepted Answer

Irritability is a common symptom of gastroesophageal reflux in infants, as they may experience discomfort and pain due to the regurgitation of stomach contents into their esophagus. Constipation, increased food intake, dry mucous membranes, and diarrhea are not typically associated with gastroesophageal reflux in infants.

Question 17

Which type of food would most likely be recommended during the recovery period after gastric surgery?

Accepted Answer

Potatoes without the skin are soft, easy to digest, and low in fiber, making them suitable for a post-surgery diet.

Question 18

What is the most likely cause of LK's persistent diarrhea?

Accepted Answer

Dumping syndrome is a condition that can cause persistent diarrhea due to rapid gastric emptying, which is not associated with the other conditions listed.

Question 19

Major innervation for the enteric nervous system is supplied by parasympathetic and sympathetic fibers of the autonomic nervous system.

Accepted Answer

The enteric nervous system is primarily innervated by parasympathetic and sympathetic fibers of the autonomic nervous system.

Question 20

The most common symptoms of gastroparesis are:​

Accepted Answer

The most common symptoms of gastroparesis are nausea, vomiting, and postprandial fullness.

Quiz 14: Diseases of the Upper Gastrointestinal Tract

The gold standard for diagnosis of gastroparesis is the:

LK would most likely be at risk of which nutrient deficiency?

Which medication would most likely be prescribed for LK's condition?

Which gastrointestinal condition is not associated with dysphagia?

Which complication would most commonly be associated with dysphagia?

What describes the mechanism of action of metoclopramide in managing nausea?

A patient is having a procedure that involves passing a tube through the oral pharynx into the stomach and recording barometric pressure through a transducer. This procedure most accurately describes a(n) :

What describes an appropriate nutrition intervention for a patient following gastric surgery?

Which is a component of nutrition therapy for peptic ulcer disease?

The most common surgical procedure used for refractory GERD is:

Which nutritional recommendation would be most appropriate for LK?

Which describes the purpose of vagotomy?

The most common symptom related to peptic ulcer disease is:

Which foods would the dietitian most likely recommend for LK?

Which is a correct statement regarding late dumping syndrome?

Which is considered a symptom of gastroesophageal reflux in infants?

Which type of food would most likely be recommended during the recovery period after gastric surgery?

What is the most likely cause of LK's persistent diarrhea?

Major innervation for the enteric nervous system is supplied by parasympathetic and sympathetic fibers of the autonomic nervous system.

The most common symptoms of gastroparesis are:

Quiz 14: Diseases of the Upper Gastrointestinal Tract

The gold standard for diagnosis of gastroparesis is the:​

LK would most likely be at risk of which nutrient deficiency?​

Which medication would most likely be prescribed for LK's condition?​

Which gastrointestinal condition is not associated with dysphagia?​

Which complication would most commonly be associated with dysphagia?​

What describes the mechanism of action of metoclopramide in managing nausea?

A patient is having a procedure that involves passing a tube through the oral pharynx into the stomach and recording barometric pressure through a transducer. This procedure most accurately describes a(n) :

What describes an appropriate nutrition intervention for a patient following gastric surgery?​

Which is a component of nutrition therapy for peptic ulcer disease?​

The most common surgical procedure used for refractory GERD is:​

Which nutritional recommendation would be most appropriate for LK?

Which describes the purpose of vagotomy?​

The most common symptom related to peptic ulcer disease is:​

Which foods would the dietitian most likely recommend for LK?​

Which is a correct statement regarding late dumping syndrome?​

Which is considered a symptom of gastroesophageal reflux in infants?

Which type of food would most likely be recommended during the recovery period after gastric surgery?

What is the most likely cause of LK's persistent diarrhea?

Major innervation for the enteric nervous system is supplied by parasympathetic and sympathetic fibers of the autonomic nervous system.

The most common symptoms of gastroparesis are:​

The gold standard for diagnosis of gastroparesis is the:

LK would most likely be at risk of which nutrient deficiency?

Which medication would most likely be prescribed for LK's condition?

Which gastrointestinal condition is not associated with dysphagia?

Which complication would most commonly be associated with dysphagia?

What describes an appropriate nutrition intervention for a patient following gastric surgery?

Which is a component of nutrition therapy for peptic ulcer disease?

The most common surgical procedure used for refractory GERD is:

Which describes the purpose of vagotomy?

The most common symptom related to peptic ulcer disease is:

Which foods would the dietitian most likely recommend for LK?

Which is a correct statement regarding late dumping syndrome?

The most common symptoms of gastroparesis are: