NUR 2063 PATHOPHYSIOLOGY EXAM 2
QUESTIONS AND CORRECT ANSWERS
A GRADED
What /is /gastritis? /- /(correct /answer) /-
Inflammation /of /the /stomach /lining. /The /lining /will /be /red /and /inflamed /and /irritated
What /are /the /causes /of /gastritis? /- /(correct /answer) /-
Ingestion
/of /irritating /substances /such /a /alcohol, /aspirin, /NSAIDS, /viruses /and /bacteria
What /is /GERD? /- /(correct /answer) /-
the
/back
/flow
/of
/gastric
/contents
/into /the /esophagus /through /the /lower /esophageal /sphincter. /The /inflammation /occurs
/from /the /reflex /of /highly /acidic /stomach /acid /that /comes /up.
What /are /the /causes /of /GERD? /- /(correct /answer) /-
Any
/condition
/or
/agent /that /alters /closure /of /the /lower /esophageal /sphincter /or /increases /in /abdominal
/pressure,
/fatty
/food,
/caffeine,
/large
/amounts /of /alcohol, /smoking, /pregnancy /and /anatomical /features /like /hiatal /hernia
What /are /complications /of /GERD? /- /(correct /answer) /-
Barrett's
/esophagus
/where /columnar /tissue /replaces /normal /squamous /tissue /in /the /distal /esophagus /that
/carries /
a
/high
,/risk
/for
/cancer.
/Progression
/can
/lead
/to
/ulcers
/and
/scarring.
/Esophageal
/strictures,
/pulmonary
/symptoms /such /as /cough, /asthma /and /laryngitis /from /reflux /in /breathing /passages.
What /are /the /signs /and /symptoms /of /peptic /ulcer /disease? /- /(correct /answer) /-
epigastric
/burning
/pain
/that
/is
/usually
/relieved
/by
/food
/or /antacids /(gastric /ulcers /present /on /empty /stomach /but /can /be /after /food, /duodenal
/ulcers /present /2-
3
/hours
/after
/food
/and
/is
/relieved
/by
/food).
/Can
/also
/be
/life
/threatening
/as
/GI /bleeding /can /occur /without /warning /and /cause /a /drop /in /H/H /and /dark /tarry /stools
/and /hematemesis.
,What /is /the /role /of /H.pylori /in /peptic /ulcer /disease? /- /(correct /answer) /-promotes /both
/gastric
/and
/duodenal
/ulcer
/formation
/and
/thrives
/in
/acidic
/areas.
/It
/slows
/down
/ulcer /healing /and /can /reoccur /frequently, /and /taking /it /away /can /help /ulcers /heal.
What /is /pseudomembranous /colitis?(C.diff) /- /(correct /answer) /-acute /inflammation /and
/necrosis /of /large /intestine. /The /intestinal /lining /cannot /absorb /well.
What /is /the /cause /of /pseudomembranous /colitis? /- /(correct /answer) /-
clostridium
/difficile,
/exposure /to /long /term /antibiotics /that /off /set /the /e.coli /and /c.diff /balance /in /intestine
What /are /the /manifestations /of /pseudomembranous /colitis? /- /(correct /answer) /-
foul
/smelling/bloody /stool, /abdominal /pain, /fever, /leukocytosis, /sepsis, /colonic /perforation.
How /do /we /treat /pseudomembranous /colitis? /- /(correct /answer) /-
stop /current /antibiotics, /treat /ischemia /and /contributing /conditions, /give /oral /antibiotics
/like /metronidazole /or /vancomycin, /fecal /transplant /or /colectomy /if /severe
How /do /we /prevent /the /spread /of /pseudomembranous /colitis? /- /(correct /answer) /-
wearing /appropriate /PPE /and /washing /hands /with /soap /and /water /only
What /are /the /signs /and /symptoms /of /appendicitis? /- /(correct /answer) /-
Periumbilical
/pain,
/RLQ /pain, /presence /of /a /positive /McBurneys /point /with /pain, /nausea, /vomiting, /fever,
/diarrhea, /RLQ /tenderness, /systemic /signs /of /infection
How /do /we /assess /for /appendicitis? /- /(correct /answer) /-
McBurney's
/point
/technique
/when
, /pressing
/on
/the
/belly
/button /and /RLQ /hip /region /and /removing /the /pressure /causes /intense /pain, /indicates
/positive /appendicitis
What /are /the /causes /of /bowel /obstructions? /- /(correct /answer) /-
previous
/surgery
/of
/the
/intestines
/with
/adhesions,
/congenital
/abnormalities
/of
/the
/bowel,
/metastatic
/cancer
/of
/the
/intestinal
/tract /or /female /reproductive /organs, /accumulation /of /fluid, /gas, /water /and /electrolytes
/in /the /bowel.
What /is /a /functional /bowel /obstruction? /- /(correct /answer) /-
a
/problem
/with
/the
/act
/of
/the
/bowel
/actually
/moving,
/such
/as
/things
/that
/inhibit
/movement /from /surgery, /medications, /opioids, /low /fiber /diets /that /can /slow /motility /or
/shut /off /the /GI /system /from /the /SNS /stimulation.