GI 1

Question 1

symptoms include reflux, heartburn, feeling full, bleaching, indigestion, substernal chest pain

Answer 1

hernia

Question 2

wear a devise to check ph

Answer 2

ambulatory espohageal pH monitoring

Question 3

NPO, numb throat

Answer 3

upper endoscopy

Question 4

lab and diagnostic tests for endoscopy

Answer 4

RBC, hemoglobin, hematocrit, serum and pre albumin, AST, ALT, and ALP

Question 5

GI hernia meds

Answer 5

antacids, histamine 2, H2 recepter blockers, PPI

Question 6

GI hernia medical management

Answer 6

restrict certain foods, small frequent meals, don’t lay down after eating

Question 7

mild to severe heartburn, sour taste in mouth, regurgitation, coughing, belching, chest pain, asthma or cough

Answer 7

GERD

Question 8

most common GERD procedure

Answer 8

Nissen fundoplication

Question 9

if chronic heartburn is not properly treated it can increase the risk for

Answer 9

esophageal cancer

Question 10

risk factors for gastric and duodenal ulcers

Answer 10

NSAIDS, cigarette smoke, ETOH

Question 11

when removed stomach why do you need B12 shots

Answer 11

lack of intrinsic factor

Question 12

RLQ pain, rebound tenderness, guarding

Answer 12

appendicitis

Question 13

impairment of the forward movement of intestinal contents

Answer 13

intestinal obstruction

Question 14

abnormal saclike outpouchings of intestinal wall and can occur anywhere in the GI tract except rectum

Answer 14

diverticular disease (diverticulosis and diverticulitis)

Question 15

IBS that is limited to intestine (colon and rectum)

Answer 15

ulcerative colitis

Question 16

IBS that is inflammation and may develop anywhere in the GI tract. May appear in patches commonly at the end of the small intestine

Answer 16

Chron’s disease

Question 17

in ulcerative colitis symptoms develop

Answer 17

over time rather than suddenly

Question 18

disease that usually affects the jejunum and ileum

Answer 18

chrone’s disease

Question 19

heartburn, sour taste in the morning, regurgitation, laughing, belching, chest pain (atypical are asthma or cough)

Answer 19

GERD

Question 20

factors that contribute to GERD

Answer 20

obesity, pregnancy, hiatal hernia

Question 21

GERD lab and diagnostic procedures

Answer 21

upper endoscopy, esophageal pH, and barium studies

Question 22

GERD meds

Answer 22

antacids, histamine 2 receptor blockers, PPI, Reglan (don’t use long term)

Question 23

most common GERD surgery

Answer 23

Nissen fundoplication

Question 24

GERD lifestyle changes

Answer 24

tight fitting clothing, obesity, meds, H. Pylori, too much exercise, wrong posture, smoking, pregnancy, hernia

Question 25

what is risk of Barrett's esophagitis

Answer 25

cancer

Question 26

reflux, heartburn, feeling full, belching, indigestion, substernal chest pain

Answer 26

hiatal hernia

Question 27

two major types of hiatal hernia

Answer 27

Sliding (direct) and rolling (Paresophageal)

Question 28

diagnostic tests of hiatal hernia

Answer 28

ambulatory esphageal pH monitering, upper endoscopy, barium swallow, esophageal manometry (man = muscle), CT, MRI

Question 29

lab and diagnostic procedures for hiatal hernia

Answer 29

RBC, H/H, albumin, AST, ALT, ALP (these three are liver)

Question 30

surgery for incarcerated hernia

Answer 30

nissen fundoplication

Question 31

pain located in upper abdomen, intermittent pain, knowing and burning and aging pain, hunger like pain when stomach is empty, older adults may have chest pain or anemia, relieved with food or antacids, weight loss

Answer 31

Gastric and duodenal ulcers

Question 32

risk factors are ETOH, NSAIDS, cit smoke and H pylori

Answer 32

Gastric and duodenal ulcers

Question 33

you take 4 different classes of meds for?

Answer 33

H. Pylori

Question 34

complications with gastric and duodenal ulcers

Answer 34

bleeding, hemorrhage, pyloric or gastric outlet obstruction, perforation

Question 35

pharm for stress ulcers

Answer 35

H2 receptor blockers, PPI, sucralfate (for prophylaxis)

Question 36

rarely any symptoms, weight loss as it progresses

Answer 36

stomach cancer

Question 37

risk factors for gastric cancer

Answer 37

H. Pylori infection, heredity, age, smoking, gastric polyps, nitrates (smoked foods), diets low in veggies and fruit

Question 38

Risk factors are IBD (Iflamm. Bowel disease), family history, age, diet, smoking, ETOH

Answer 38

colon cancer

Question 39

most common symptoms are change in bowel habits or caliber of stools. Constipation is predominant symptom and obstruction is common

Answer 39

colon cancer

Question 40

diagnostic tests for colon cancer

Answer 40

colonoscopy with tissue biopsy, CT, C-reactive protein and carcinoembryonic antigen (CEA): inflammation and as tumor maker

Question 41

lab marker that says most likely cancer tumor but don't know where

Answer 41

C-reactive protein

Question 42

common surgeries for colon cancer

Answer 42

polypectomy, colectomy, resection,

Question 43

Obstruction of the intestine due to paralysis of the intestinal muscles.

Answer 43

Paralytic ileus

Question 44

can be caused by meds, crohn's disease, diverticulitis, adhesions

Answer 44

paralytic ileus

Question 45

RLQ pain, N/V, rebound tenderness, guarding, McBurney's point

Answer 45

appendicitis

Question 46

usually infectious and often life-threatening. It's caused by leakage or a hole in the intestines, such as from a burst appendix. Even if the fluid is sterile, inflammation can occur.

Answer 46

perionitis

Question 47

two types of IBS

Answer 47

ulcerative colitis and Chrohn's disease

Question 48

limited to large intestine (colon and rectum), inflammation of innermost lining of the intestine, symptoms develop over time, long lasting inflammation and ulcers

Answer 48

ulcerative colitis (IBS)

Question 49

can occur in any portion of the GI tract, involves all layers of the intestinal wall, usually affects the jejunum and ileum

Answer 49

Crohn's disease (IBS 2)

Question 50

medical management of IBS 1 and 2

Answer 50

eliminate inflammation, meds and diet changes, surgery dpending on which type of IBD,

Question 51

what is the best way to determine bowel obstruction

Answer 51

measure girth

Question 52

abnormal saclike outpoucings of intestinal wall

Answer 52

diverticulitis and diverticulosis

Question 53

if ________ form with diverticular disease, ischemia and perforation can occur

Answer 53

fecalith

Question 54

___________ form where weak points exist in intestinal wall

Answer 54

diverticula

Question 55

what kind of diet for diverticulitis

Answer 55

high fiber

Question 56

psyllium

Answer 56

fiber

Question 57

positive with gallbladder inflammation

Answer 57

murphy's sign

Question 58

epigastric and/or RUQ pain, nausea and fatty food intolerance, flatulence, bloating, abdominal distention, diarrhea, light COLORED STOOL, jaundice, fever and chills,

Answer 58

cholelithiasis

Question 59

labs test for cholelithiasis

Answer 59

ultrasound of gallbladder, nuclear studies

Question 60

medical management of cholelithiasis

Answer 60

lifestyle and diet, open or laparoscopic, T-Tube, meds, ultrasound therapy,