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NURS 5315 GI MODULE 9, EXAM 5 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NURS 5315 GI MODULE 9, EXAM 5 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NURS 5315 GI MODULE 9, EXAM 5QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
UpperKGIKorgansK-KANSWERKmouth,pharynx,Kesophagus,Kstomach,KandKduodenum
LowerKGIKorgansK-KANSWERKsmallKintestine,KlargeKintestine,KrectumKandKanus
HepatoportalKcirculationK-
KANSWERKhepaticKarteryKreceivesKoxygenatedKbloodKfromKtheKinferiorKmesenteric,Kgastric,KandKcysticKveins
.KTheKhepaticKportalKveinKreceivesKdeoxygenatedKbloodKfromKtheKinferiorKandKsuperiorKmesentericKveinKan
dKsplenicKveinKandKdeliversKnutrientsKthatKhaveKbeenKabsorbedKfromKtheKintestinalKsystem
OsmoticKdiarrheaK-
KANSWERKCausedKbyKtheKpresenceKofKaKnonabsorbableKsubstanceKinKtheKintestines.KThisKpullsKwaterKbyKos
mosisKintoKtheKintestinalKlumenKandKresultsKinKlargeKvolumeKdiarrhea.KThisKisKhowKmagKcitrate,KlactuloseKa
ndKmiralaxKwork.KCausesKinclude:KexcessiveKingestionKofKnonabsorbableKsugars,KtubeKfeedings,KdumpingKs
yndrome,Kmalabsorption,KpancreaticKenzymeKdeficiency,KbileKsaltKdeficiency,KsmallKintestineKbacterialKover
growthKorKceliacKdisease
SecretoryKdiarrheaK-
KANSWERKResultsKinKlargeKvolumeKlossesKsecondaryKtoKinfectiousKcausesKsuchKasKrotavirus,KbacterialKenter
otoxins,KorKc-diff.
MotilityKdiarrheaK-
KANSWERKAKAKshortKbowelKsyndrome.KResultsKfromKresectionKofKsmallKintestineKorKsurgicalKbypassKofKsmal
lKintestine,KIBS,KdiabeticKneuropathy,Khyperthyroidism,KandKlaxativeKabuse.KFattyKstoolsKandKbloatingKareKc
ommonKinKmalabsorptionKsyndrome.KComplicationsKinclude:Kdehydration,KelectrolyteKimbalance,Kmetabol
icKacidosis,KweightKlossKandKmalabsorption.
UpperKGIKbleedK-
KANSWERKbleedingKthatKoccursKinKtheKesophagus,KstomachKorKduodenumKcommonlyKcausedKbyKbleedingKv
arices,KpepticKulcersKorKMallory-
WeissKtear(tearingKofKesophagusKfromKstomach)KCharacterizedKbyKfrank,KbrightKredKorKcoffeeKgroundKemes
is.
, LowerKGIKbleedK-
KANSWERKBleedingKinKtheKjejunum,Kileum,KcolonKorKrectumKfromKinflammatoryKbowelKdisease,Kcancer,Kdiv
erticulaKorKhemorrhoids.KHematochezia,KorKtheKpresenceKofKbrightKredKbloodKinKtheKstools,KsuggestKwhatKk
indKofKbleed
PepticKUlcerKDiseaseK-
KANSWERKIsKaKbreakKinKtheKintegrityKofKtheKmucosaKofKtheKesophagus,KstomachKorKduodenumKresultingKinK
exposureKofKtheKtissueKtoKgastricKacid.KRiskKfactorsKincludeKsmoking,KadvancedKage,KNSAIDKuse,KETOH,Kchro
nicKdisease,KacuteKpancreatitis,KCOPD,Kobesity,KsocioeconomicKstatus,Kgastrinoma,KandKinfectionKwithKHeli
cobacterKpylori.KS&S:KEpigastricKpainKisKworseKwithKeating,KmelenaKorKhematemesis
DuodenalKulcersK-
KANSWERKmostKcommonKandKtendKtoKdevelopKinKyoungerKpatients.KS&S:KepigastricKpainKthatKisKrelievedKby
Kfood.KPatientsKmayKhaveKmelena(blackKandKtarryKstool)KorKhematemesis
UlcerativeKcolitisK(UC)K-KANSWERKInflammatoryKdiseaseKofKtheKlargeKinstestineKinKpersonsK20-
40y/o.KLessKcommonKinKpeopleKwhoKsmoke.KHasKperiodsKofKremissionKandKexacerbations.KCharacterizedKb
yKinflammationKandKulcerationsKthatKremainKsuperficialKandKinKtheKsmallKintestine.
UCKS&SK-
KANSWERKrecurrentKdiarrhea,KbloodyKstools,Kfebrile,Kpolyarthritis,Kuveitis,KsclerosingKcholangitis,Kerythem
aKnodosumKandKpyodermaKgangrenosum
UCKcomplicationsK-
KANSWERKfissures,Khemorrhoids,KperirectalKabscess,KtoxicKmegacolon,KcolonKperforation,KandKcolorectalKa
denocarcinoma.KIncreasedKriskKofKVTEKandKmicrothrombi,KandKcolonKcancer
Crohn'sKdiseaseK-
KANSWERKChronicKinflammatoryKdisordersKthatKcanKaffectKanyKportionKofKtheKGIKtractKbutKmostKoftenKinKth
eKileumKandKproximalKcolon.KAffectsKpersonsKinKtheirK20-
30sKandKofKjewishKdecent.KCARD15/NOD2KgeneKmutationKcommonlyKassociated.
Crohn'sKdiseaseKriskKfactorsK-
KANSWERKsmoking,KfamilyKhistory,KJewishKdecent,KageKlessKthanK40,KslightKpredominanceKinKwomenKandKal
teredKgutKmicrobiome.
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