Digestive Disorders

Question 1

Diarrhea sees an increase in ___ movements and a decrease in ____ movements.

Answer 1

increase: propulsive
decrease: segmental

Question 2

Multiple, patchy ulcerations most commonly affected the ileum & ileocecal area resulting in scarring & thickening of the bowel describes…

Answer 2

Crohn’s disease

Question 3

Broad areas of ulcerations of the mucosa from the descending colon to rectum, with periods of pain, bloody diarrhea and remission describes…

Answer 3

ulcerative colitis

Question 4

Outpouchings in the wall of the colon or small intestine is called…

Answer 4

diverticulosis

Question 5

Nausea, vomiting, low grade fever and LRQ pain could indicate…

Answer 5

appendicitis

Question 6

Differentiate IBS and IBD

Answer 6

IBS does not see inflammation and scarring/thickening of the mucosa, whereas IBD does. IBS is more of a functional issue.

Question 7

This disease is believed to be caused by segmental smooth mm spasm of the bowel, increasing pressure to cause mucosal extrusions at the weakest points in the muscular wall.

Answer 7

Diverticulosis

Question 8

H. Pylori overgrowth is a common cause of…

Answer 8

peptic ulcers

Question 9

Which muscle can compress the large colon when hypertrophied?

Answer 9

iliopsoas

Question 10

Where do psoas major triggerpoints refer?

Answer 10

low back parallel to the spine
groin
front of thighs

Question 11

What type of hernia is most common in infants?

Answer 11

umbilical hernia (d/t defective umbilical ring)

Question 12

What/where is McBurney’s point?

Answer 12

2/3s the distance from the navel to the right ASIS

It will be maximally tender in cases of acute appendicitis

Question 13

The hepatic flexure is found on the ___ side of the body.

Answer 13

right

Question 14

The splenic flexure is found on the ___ side of the body.

Answer 14

left

Question 15

What is the function of gastrin?

Answer 15

stimulates production of gastric acid to secrete pepsinogen & HCl acid

Question 16

What stimulates release of gastrin?

Answer 16

food arriving in the stomach

Question 17

What is the function of secretin? Where is it released?

Answer 17

in the S.I./duodenum

it regulates acidity - stimulating release of sodium bicarb and bile from the liver

Question 18

What does CCK do?

Answer 18

stimulates release of pancreatic enzymes in response to fat in the chyme

Question 19

What does GIP (gastric inhibitory peptide) do?

Answer 19

decreases stomach churning to slow stomach emptying AND induce insulin secretion

Question 20

What is the function of motilin?

Answer 20

has a role in fat metabolism - stimulates production of pepsin

Question 21

__% of population suffers from constipation

Answer 21

25%

Question 22

A board-like abdomen would mean…

Answer 22

there is a medical emergency! peritonitis, appendix rupture… sign of peritoneal inflammation

Question 23

Where will diverticulitis pain be felt?

Answer 23

LLQ or epigastric region, often referring to the back

Question 24

IBS pain is/is not relieved after a bowel movement.

Answer 24

IS

Question 25

What is Rovsing's sign?

Answer 25

Pain felt in the RLQ upon palpation of the left side of the abdomen, indicating acute appendicitis

Question 26

What is Carnett's sign?

Answer 26

when you palpate an abdominal site with flexed abdominal muscles... if there is increased pain, the source is muscular. if there is no increased pain, the source is visceral

Question 27

How would you test for rebound tenderness? What else is this sign called?

Answer 27

apply pressure to McBurney's point quickly/briefly, remove hands and see if pain felt on RELEASE of the palpation rather than when pressure is applied if abdominal mm spasm/pain upon release, suggestive of appendicitis Blumberg's sign

Question 28

True or false: bleeding is common with Crohn's disease

Answer 28

false

Question 29

True or false: ulcerative colitis usually occurs in the lower right abdomen

Answer 29

FALSE, lower left

Question 30

True or false: ulcerative colitis sees continuous inflammation limited to the large intestine, penetrating the inner lining of the intestine only

Answer 30

true

Question 31

Which digestive disease presents with cobblestoning?

Answer 31

Crohn's

Question 32

Violent, bloody diarrhea is a hallmark symptom of...

Answer 32

ulcerative colitis

Question 33

True or false: Crohn's disease may have anal fistulae, abscesses, and ulcers, but the rectum is often spared

Answer 33

true

Question 34

True or false: Crohn's disease may involve any segment of the GI tract from mouth to anus

Answer 34

true