Wk 6, 7 GI - PowerPoint/1

Question 1

obesity rx therapy

4

Answer 1

1. appetite suppressants - phentermine/Fastin
2. nutrient absorbing - orlistat/Xenical
3. Serotonin agonist - Lorcaserin/Belviq
4. Antiseizure med - Topiramate

Question 2

Currently the only treatment found to have a successful and lasting impact on sustained weight loss for severely obese individuals

Answer 2

bariatric surgery

Question 3

bariatric surgery criteria

2

Answer 3

1. BMI > 40 kg

2. BMI > 35 with one or more obesity-related complication (HTN, type 2 DM, HF, sleep apnea)

Question 4

bariatric surgery three broad categories

Answer 4

1. restrictive
2. malabsorptive
3. combination of restrictive and malabsorptive

Question 5

bari restrictive surgery - most common

Answer 5

adjustable gastric banding AGB

Question 6

AGB

Answer 6

limits stomach size with an inflatable band around fundus of the stomach - connected to subcut port that can be inflated or deflated to meet pts needs as weight is lost

Question 7

AGB pouch size

Answer 7

10-15 mL

Question 8

bari surgery most common complication

Answer 8

wound infection

Question 9

late complications following bari surgery include

4

Answer 9

1. anemia
2. vitamin def
3. diarrhea
4. psychosocial problems

Question 10

dumping syndrome

Answer 10

food quickly dumps into intestine and cause NVD and sweating

Question 11

GERD predisposing conditions

2

Answer 11

1. hiatal hernia

2. incompetent lower esophageal sphincter

Question 12

cholinergic system is same as what NS

Answer 12

SNS - rest and digest

Question 13

meds for GERD

4

Answer 13

1. PPIs
2. histamine receptor antagonists
3. antacids
4. cholinergics

Question 14

GERD most common s/s

2

Answer 14

1. heartburn

2. dyspepsia

Question 15

complication of GERD

Answer 15

barrett’s esophagus - esophageal metaplasia, which is considered a precancerous lesion that increases the pts risk for esophageal cancer

Question 16

cholinergic rx name for GERD

Answer 16

metoclopramide/Reglan

Question 17

GERD lifestyle changes

5

Answer 17

1. elevated HOB with blocks
2. no eating before bed
3. watch diet and lose weight
4. limit smoking, etoh
5. stress management

Question 18

PUD stands for

Answer 18

peptic ulcer disease

Question 19

PUD causes include

5

Answer 19

1. h. pylori
2. NSAID
3. severe stress
4. hypersecretory state
5. etoh

Question 20

h. pylori can test through

2

Answer 20

stool

breath

Question 21

cox1 and 2 are to

Answer 21

NSAIDS

Question 22

COX1

Answer 22

nsaid - blocks prostaglandins that protect kidneys and stomach lining

Question 23

COX2

Answer 23

nsaid - blocks inflammatory from prostaglandins

Question 24

cox1 =

Answer 24

good

Question 25

cox2 =

Answer 25

bad

Question 26

NSAIDS are big risk for

Answer 26

ARF

Question 27

nsaids examples | 3

Answer 27

1. ibuprofen 2. ASA 3. naproxyn (blocks 1 and 2)

Question 28

gastric ulcer | 3

Answer 28

1. 30-60 mins after meal, pain 2. rarely occurs at night 3. pain exacerbated by food

Question 29

duodenal ulcer | 3

Answer 29

1. pain 1.5-3 hours after meal 2. occurs at night 3. relieved with food

Question 30

stool occult blood test - changes color

Answer 30

to blue when positive

Question 31

PUD objective findings

Answer 31

1. epigastric pain with palpation 2. blood emesis/hematemesis 3. dark tarry stools/melena 4. weight loss 5. h. pylori testing 6. hgb and hct 7. EGD - esophogastroduodenoscopy

Question 32

best dx test for PUD

Answer 32

EGD