Vomiting in the morning suggests what? CORRECT ANS-+ Pregnancy
,Unit 4-CMN 568 Questions with Verified Answers 100%
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+ Uremia
+ ETOH intake
+ ↑ ICP
Vomiting after meals suggests what? CORRECT ANS-+ Bulimia
+ Peptic ulcer disease
+ Other psychogenic causes
(McPhee p 589, Shimp p 373)
Vomiting of undigested food 1-2 hours after a meal suggests what? CORRECT ANS-+
Gastroparesis
+ Small bowel obstruction
+ Gastric outlet obstruction
NOTE: Sucussion splash often heard on auscultation
,Unit 4-CMN 568 Questions with Verified Answers 100%
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(McPhee p 589, Shimp p 373)
4 causes of nausea and vomiting CORRECT ANS-1) Visceral afferent stimulation (seratonin
receptors)
2) Vestibular disorders (fibers ↑ in histamine and muscarinic receptors)
3) CNS disorders
4) Irritation of chemoreceptor trigger zone
(McPhee Table 15.1)
Ways to stimulate the chemoreceptor trigger zone and cause vomiting CORRECT ANS-1)
Chemo
2) Medications and drugs
3) Radiation therapy
4) Systemic disorders
CNS disorders that can cause vomiting CORRECT ANS-1) Migraine
, Unit 4-CMN 568 Questions with Verified Answers 100%
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2) ↑ ICP
3) Infections (e.g. meningitis, encephalitis)
4) Psychogenic
Vestibular disorders that can cause vomiting CORRECT ANS-Labyrinthitis, Meniere
syndrome, motion sickness
Define RETCHING CORRECT ANS-Strong, spasmodic, involuntary effort to vomit without
bringing up emesis.
(McPhee and Shimp)
Define REGURGITATION CORRECT ANS-Effortless return of gas or small amounts of food
from stomach (McPhee and Shimp)
Common causes of vomiting in infants CORRECT ANS-1) Any acute illness (esp
gastroenteritis)
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