Jeopardy Questions

Question 0

Vitamin K is malabsorbed in the presence of cirrhosis. This would lead to an elevation of this lab value.

Answer 0

What is Prothrombin time

Question 1

This diagnostic procedure allows endoscopic visualization of the esophagus, stomach and duodenum.

Answer 1

EGD

Esophagogastroduoidenoscopy

Question 2

In the setting of liver disease with symptoms of altered mental status that could progress to a hepatic coma, this lab value would be elevated.

Answer 2

What is ammonia.

Question 3

This is a common lab test that would be ordered in the presence of jaundice.

Answer 3

What is total serum bilirubin.

Question 4

Patients with suspected pathological conditions of the liver may have this lab value ordered.

Answer 4

What is:
Alkaline Phosphate
AST
ALT
LDH
Gamma GT

Question 5

This procedure removes a portion of the stomach, thus placing the patient at risk for vitamin B12 deficiency.

Answer 5

What is gastrectomy

Question 6

This is a type of surgical procedure used to treat carcinoma of the esophagus.

Answer 6

What is:
Esophagogastrectomy 
Esophagogastrotomy
Esophagoenterostomy
Gastrostomy

Question 7

This is a procedure used to remove fluid from the abdominal cavity. Important nursing considerations during this procedure include ensuring the fluid is removed over the course of 30-90 minutes to prevent sudden changes in blood pressure, monitoring the patient for signs of hypovolemia and electrolyte imbalances.

Answer 7

What is paracentesis.

Question 8

This is the most common operative procedure for removal of the gallbladder.

Answer 8

What is laparoscopic cholecystectomy.

Question 9

Surgical interventions for ulcerative colitis, cancers and other types of bowel diseases include these types of procedures where portions of the bowel are resected or removed.

Answer 9

What are “-ostomy” or “-ectomy” procedures.

Question 10

These tiny fingerlike projections line the inner surface of the small intestines and contain blood vessels that absorb the end products of carbohydrate and protein digestion.

Answer 10

What are villi

Question 11

This is a contrast medium used in several procedures to visualize the GI tract. Important nursing considerations post procedure include increasing fluid intake to ensure the contrast medium is all expelled post procedure to prevent constipation.

Answer 11

What is barium

Question 12

This is a term used to describe a complication of a hernia in which the blood supply to the tissue is occluded. Common symptoms may include nausea, vomiting, abdominal dissension and pain.

Answer 12

What is a strangulated hernia.

Question 13

This is a progressive wavelike movement that occurs involuntarily in the alimentary canal to propel fluids, gas and digestive substances forward and produce bowel sounds when we auscultate the abdomen.

Answer 13

What is peristalsis.

Question 14

This term describes a flapping tremor that is often seen in patients with hepatic encephalopathy.

Answer 14

What is asterixis

Question 15

This condition can occur from an excess of gastric acid, decrease in the natural ability of the GI mucosa to protect itself form acid and pepsin, infection of spiral-shaped bacteria, and gastric injury from NSAIDS, aspirin and corticosteroids.

Answer 15

What is Peptic Ulcer disease

Question 16

This condition occurs when the lower esophageal sphincter is weak or experiences prolonged or frequent transient relaxation, conditions which allow gastric acids and enzymes to flow into the esophagus. Often pain occurs after meals and is best treated by remaining upright for 1-2 hours after eating.

Answer 16

What is GERD (gastroesophageal reflux disease)

Question 17

This disease is an inflammation of a pouchlike herniation in the colon. Patients generally complain of pain in the left lower quadrant and require a diet high in fiber to decrease symptoms.

Answer 17

What is diverticulitis?

Question 18

This is a syndrome that involves rapid gastric emptying following eating. Symptoms may include diaphoresis, nausea, vomiting, pain, diarrhea, and blood glucose variations. Nursing measures to help manage this syndrome may include eating six small meals daily that are high in protein and fat, avoiding fluids during meals.

Answer 18

What is dumping syndrome?

Question 19

This is an inflammatory disease of the pancreas. Factors associated with this disease include alcoholism and biliary tract disease. Common nursing interventions include NPO status, pain management (excluding the use of morphine) and encourage leaning forward to relieve pain.

Answer 19

What is pancreatitis?

Question 20

These are common medications administered to treat hepatic encephalopathy.

Answer 20

What is neomycin and lactulose.

Question 21

Your patient has undergone a liver transplant. Postoperative care includes monitoring for infection and providing this immunosuppressant medication.

Answer 21

What is cyclosporine?

Question 22

Crohn’s disease in the mild to moderate stage is most commonly treated with this medication. Important nursing considerations include ensuring adequate hydration to prevent crystallization of the medication in the kidneys.

Answer 22

What is Sulfasalazine?

Question 23

H. Pylori is a bacterium that is found in the stomach. It is known to be effectively treated with this class of medications.

Answer 23

What are antibiotics?

Question 24

These are the 2 types of acid reducers.

Answer 24

What are H2 antagonists and proton pump inhibitors?