WGU D115 OA Study Guide Unit 6 Questions and Answers Rated A+

WGU D115 OA Study Guide Unit 6 Questions and Answers Rated A+ What type of fibers stimulate the salivary glands? Cholinergic fibers What part of the esophagus is innervated by nerve fibers? The lower third What artery provides blood to the stomach? Celiac artery What hormone is responsible for the inhibition of stomach contraction? Secretin Gastrin increases stomach contraction (aids in motility) and produces acid in the antrum, duodenum, and pancreas by G-cells Which cells of the stomach secrete hydrochloric acid and intrinsic factor? Parietal cells Pernicious anemia* (Vitamin B12 deficiency) Which enzyme is responsible for cleaving fatty acids from phospholipids? Phospholipase Which enzyme is responsible for breaking the end amino acids away from the ingested protein? Carboxypeptidase What is true of unconjugated bilirubin? Unconjugated bilirubin is bilirubin bound to albumin. Also called "free bilirubin" Define pepsin Produced in the stomach and breaks down proteins Think P and P Define Lipase Produced by the pancreas and breaks down triglycerides Define amylase Produced in the mouth and breaks down starch "Amy eats a starchy meal" What are 3 characteristics of celiac disease? Anemia Diminished growth Deficiences in fat-soluble vitamins Is pyloric stenosis more common in male or female infants ? Males A 74-year-old male complains of rectal bleeding for the past year. He has not change in bowel habits and denies abdominal pain, weight loss, and rectal pain. He has seen blood in the toilet water and when wiping approximately once every few weeks, but lately the bleeding has increased. He had colonoscopy 5 year ago. The FNP should: Schedule a colonoscopy to look for colon polyps and/or cancer An overweigh, middle-aged woman has right upper quadrant pain that radiates to her right subscapular area and is severe and persistent. She is also experiencing anorexia, nausea, and a fever. Her most recent meal was a double quarter-pound cheeseburger, French fries, and a milkshake. The FNP examines the abdomen and percusses for CVA tenderness. the abdomen is tender in the RUQ. Which of the following signs corresponds with the correct diagnosis? Murphy's sign: the patient has cholecystitis McBurney's sign is related to appendicitis CVA tenderness is related to UTIs A sudden onset of diarrhea that consists of five to six loose stools a day and awakens the pt at night with cramping, but without blood in the stools, would most likely be caused by what? Infection Clues for infection are awakening at night, cramping without blood, sudden onset Those S/S are either infection or inflammation The FNP is discussion Clostridium difficile infection with the family of a 68-year-old female who lives with them and who was recently diagnosed with the infection. Which of the following statements would be the most important for the family to understand? Pt needs to use a different bathroom than the rest of the family Contact isolation An older woman is noted to have iron-deficiency anemia. She has no pain or rectal bleeding. What hx would raise suspicion of a gastric ulcer? An ankle sprain requiring 800mg of ibuprofen 3 times a day for the last 6 weeks NSAIDs have a high risk of causing ulcers and erosion - there may be no s/s until anemia develops Which problem would MOST likely worsen the s/s of gerd? Gastroparesis which is delayed gastric emptying A 54 year-old female complains fo intermittent crampy abdominal pain over the last 18 hours, loss of appetite, vomiting, abdominal bloating, and inability to have a bowel movement. She has a history of hysterectomy 20 years ago, cholecystectomy 5 years ago, and tow laparoscopies for abdominal pain over the last 4 years. The FNP send her to the ER because she suspects: SBO hx of having multiple abd surgeries increases adhesions whic