NURS 5315 GI Exam Questions and
Answers
Upper iiGI iiorgans ii- iiAnswers ii-mouth,pharynx, iiesophagus, iistomach, iiand iiduodenum
Lower iiGI iiorgans ii- iiAnswers ii-small iiintestine, iilarge iiintestine, iirectum iiand iianus
Hepatoportal iicirculation ii- iiAnswers ii-hepatic iiartery iireceives iioxygenated iiblood iifrom
iithe iiinferior iimesenteric, iigastric, iiand iicystic iiveins. iiThe iihepatic iiportal iivein iireceives
iideoxygenated iiblood iifrom iithe iiinferior iiand iisuperior iimesenteric iivein iiand iisplenic
iivein iiand iidelivers iinutrients iithat iihave iibeen iiabsorbed iifrom iithe iiintestinal iisystem
Osmotic iidiarrhea ii- iiAnswers ii-Caused iiby iithe iipresence iiof iia iinonabsorbable
iisubstance iiin iithe iiintestines. iiThis iipulls iiwater iiby iiosmosis iiinto iithe iiintestinal iilumen
iiand iiresults iiin iilarge iivolume iidiarrhea. iiThis iiis iihow iimag iicitrate, iilactulose iiand
iimiralax iiwork. iiCauses iiinclude: iiexcessive iiingestion iiof iinonabsorbable iisugars, iitube
iifeedings, iidumping iisyndrome, iimalabsorption, iipancreatic iienzyme iideficiency, iibile
iisalt iideficiency, iismall iiintestine iibacterial iiovergrowth iior iiceliac iidisease
Secretory iidiarrhea ii- iiAnswers ii-Results iiin iilarge iivolume iilosses iisecondary iito
iiinfectious iicauses iisuch iias iirotavirus, iibacterial iienterotoxins, iior iic-diff.
Motility iidiarrhea ii- iiAnswers ii-AKA iishort iibowel iisyndrome. iiResults iifrom iiresection iiof
iismall iiintestine iior iisurgical iibypass iiof iismall iiintestine, iiIBS, iidiabetic iineuropathy,
iihyperthyroidism, iiand iilaxative iiabuse. iiFatty iistools iiand iibloating iiare iicommon iiin
iimalabsorption iisyndrome. iiComplications iiinclude: iidehydration, iielectrolyte iiimbalance,
iimetabolic iiacidosis, iiweight iiloss iiand iimalabsorption.
Upper iiGI iibleed ii- iiAnswers ii-bleeding iithat iioccurs iiin iithe iiesophagus, iistomach iior
iiduodenum iicommonly iicaused iiby iibleeding iivarices, iipeptic iiulcers iior iiMallory-Weiss
iitear(tearing iiof iiesophagus iifrom iistomach) iiCharacterized iiby iifrank, iibright iired iior
iicoffee iiground iiemesis.
Lower iiGI iibleed ii- iiAnswers ii-Bleeding iiin iithe iijejunum, iiileum, iicolon iior iirectum iifrom
iiinflammatory iibowel iidisease, iicancer, iidiverticula iior iihemorrhoids. iiHematochezia, iior
iithe iipresence iiof iibright iired iiblood iiin iithe iistools, iisuggest iia iilower iiGI iibleed iiusually
iiin iithe iirectum, iisigmoid iicolon iior iidescending iicolon
Peptic iiUlcer iiDisease ii- iiAnswers ii-Is iia iibreak iiin iithe iiintegrity iiof iithe iimucosa iiof iithe
iiesophagus, iistomach iior iiduodenum iiresulting iiin iiexposure iiof iithe iitissue iito iigastric
iiacid. iiRisk iifactors iiinclude iismoking, iiadvanced iiage, iiNSAID iiuse, iiETOH, iichronic
, iidisease, iiacute iipancreatitis, iiCOPD, iiobesity, iisocioeconomic iistatus, iigastrinoma, iiand
iiinfection iiwith iiHelicobacter iipylori. iiS&S: iiEpigastric iipain iiis iiworse iiwith iieating,
iimelena iior iihematemesis
Duodenal iiulcers ii- iiAnswers ii-most iicommon iiand iitend iito iidevelop iiin iiyounger
iipatients. iiS&S: iiepigastric iipain iithat iiis iirelieved iiby iifood. iiPatients iimay iihave
iimelena(black iiand iitarry iistool) iior iihematemesis
Ulcerative iicolitis ii(UC) ii- iiAnswers ii-Inflammatory iidisease iiof iithe iilarge iiinstestine iiin
iipersons ii20-40y/o. iiLess iicommon iiin iipeople iiwho iismoke. iiHas iiperiods iiof iiremission
iiand iiexacerbations. iiCharacterized iiby iiinflammation iiand iiulcerations iithat iiremain
iisuperficial iiand iiin iithe iismall iiintestine.
UC iiS&S ii- iiAnswers ii-recurrent iidiarrhea, iibloody iistools, iifebrile, iipolyarthritis, iiuveitis,
iisclerosing iicholangitis, iierythema iinodosum iiand iipyoderma iigangrenosum
UC iicomplications ii- iiAnswers ii-fissures, iihemorrhoids, iiperirectal iiabscess, iitoxic
iimegacolon, iicolon iiperforation, iiand iicolorectal iiadenocarcinoma. iiIncreased iirisk iiof
iiVTE iiand iimicrothrombi, iiand iicolon iicancer
Crohn's iidisease ii- iiAnswers ii-Chronic iiinflammatory iidisorders iithat iican iiaffect iiany
iiportion iiof iithe iiGI iitract iibut iimost iioften iiin iithe iiileum iiand iiproximal iicolon. iiAffects
iipersons iiin iitheir ii20-30s iiand iiof iijewish iidecent. iiCARD15/NOD2 iigene iimutation
iicommonly iiassociated.
Crohn's iidisease iirisk iifactors ii- iiAnswers ii-smoking, iifamily iihistory, iiJewish iidecent,
iiage iiless iithan ii40, iislight iipredominance iiin iiwomen iiand iialtered iigut iimicrobiome.
Crohn's iidisease iipatho ii- iiAnswers ii-includes iitrasmural iiinvolvement iiof iithe iiaffected
iiarea(entire iiwall iiof iiintestine iiis iiaffected) iiand iithe iipresence iiof iiskip iilesions. iiDisease
iiprogression iimay iilead iito iiabscess iiformation iiin iiGI iitract. iiPossible iicauses iiinclude
iiinfectious iiagents, iiautoimmune, iipsychosomatic, iiimpaired iiT-cell iiimmunity
Crohn's iidisease iiS&S ii- iiAnswers ii-abd iipain, iidiarrhea, iidehydration, iibloody iistools,
iimalabsorption, iimalnutrition, iiweight iiloss, iiintestinal iiobstruction iifrom iichronic
iiinflammation, iifistulas iiand iiperforation iiof iithe iiintestine
Diverticular iidisease ii- iiAnswers ii-Characterized iias iithe iipresence iiof iidiverticula iiin iithe
iilarge iiintestine. iiRisk iifactors iiinclude iiolder iiage, iigenetic iipredisposition, iiobesity,
iismoking, iidiet, iilack iiof iiexercise, iiASA iiand iiother iiNSAIDS, iialtered iiDI iimicrobiome
iiand iiabnormal iicolonic iiperistalsis
Diverticulosis/Diverticulitis ii- iiAnswers ii-Diverticula iiare iioutpouchings iiof iimucosa iifrom
iithe iimuscle iilayer iiof iithe iiintestine iithat iiprotrude iiinto iithe iiintestinal iilumen iimost
iicommonly iiin iithe iisigmoid iicolon. iiDiverticulosis iiis iithe iipresence iiof iidiverticula iiin iian