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NUR 339 ( LATEST 2024 / 2025 ) UGI | (ACTUAL EXAM ) QUESTIONS AND ANSWERS (SOLVED)
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NUR 339 ( LATEST 2024 / 2025 ) UGI | (ACTUAL EXAM ) QUESTIONS AND ANSWERS (SOLVED)
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NUR 339 UGI1. Dysphagia
Answer
difficulty swallowing
-can occur anywhere along the esophagus
causes
Answer
CNS lesions, esophageal strictures, cancer
2. hiatal hernia
Answer
opening in diaphragm where esophagus passes becomes enlarge
-stomach is pushed up into lower thorax
3. type 1 hiatal hernia
Answer
sliding
stomach and esophagus in slides in and out of thorax often associated with GERD
4. Type 2 paraesophageal hiatal hernia
Answer
all or part of stomach pushes up bedside the esophagus
5. heartburn
asymptomatic or intermittent
large hernia, may lead to food intolerance N/V
hemorrhage , obstruction more common with type two
, hiatal hernia signs and symptoms w
6. xray EGD
chest CT
barium swallow
Answer
diagnosis of hiatal hernia
7. SIT UP AFTER EATING, HOB UP AT NIGHT
small frequent meals
(if severe, surgery)
Answer
treatment hiatal hernia
8. GERD
Answer
most common disorder of esophagus
-weak lower esophageal sphincter and increased intrabdominal pressure-- reflux of stomach
contents into esophagus--mucosal injury
9. cigarette smoking fluids
foods
Answer
high fats, chocolate, caffeine recumbent posture
Answer
GERD risk factors
10. hx and pt complaints
Answer
x-rays/scopes
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