Discussion: Case Esophageal Reflux

Discussion: Case Esophageal Reflux

Discussion: Case Esophageal Reflux

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Week 8 quiz Question 1 For the patient experiencing esophageal reflux, the nurse would expect which sphincter to be malfunctioning? Question 2 The most common disorder associated with upper GI bleeding is: Question 3 A 27-year-old male presents with fever, GI bleeding, hepatomegaly, and transient joint pain. He reports that as a child he received blood transfusions following a motor vehicle accident. He also indicates he was vaccinated against hepatitis B. Which of the following types of hepatitis does the clinician think he most likely has? Question 4 A 55-year-old male died in a motor vehicle accident. Autopsy revealed an enlarged liver caused by fatty infiltration, testicular atrophy, and mild jaundice secondary to cirrhosis. The most likely cause of his condition is: Question 5 Acute pancreatitis often manifests with pain to which of the following regions? Question 6 The primary complication of enterocolitis associated with Hirschsprung disease is related to which finding? Question 7 The most common clinical manifestation of portal hypertension is _____ bleeding. Question 8 The exocrine portion of the pancreas contains: Question 9 The cardinal signs of small bowel obstruction are: Question 10 Reflux esophagitis is defined as a(n): Question 11 Marasmus is most common in children of which age group? Question 12 Manifestations associated with hepatic encephalopathy from chronic liver disease are the result of: Question 13 A 50-year-old male is experiencing reflux of chyme from the stomach. He is diagnosed with gastroesophageal reflux. This condition is caused by: Question 14 Kwashiorkor is a severe dietary deficiency of: Question 15 A 40-year-old male develops an intestinal obstruction related to protrusion of the intestine through the inguinal ring. This condition is referred to as: Question 16 A 6-month-old male infant is brought to the ER after the sudden development of abdominal pain, irritability, and vomiting followed by passing of “currant jelly” stool. Ultrasound reveals intestinal obstruction in which the ileum collapsed through the ileocecal valve and invaginated into the large intestine. This type of obstruction is referred to as: Question 17 A 2-month-old female with Down syndrome is diagnosed with Hirschsprung disease following family complaints of chronic constipation. The most likely cause of these symptoms is: Question 18 A 45-year-old male complains of heartburn after eating and difficulty swallowing. He probably has: Question 19 Prolonged diarrhea is more serious in children than adults because: Question 20 Which of the following symptoms would help a health care provider distinguish between ulcerative colitis and Crohn disease? Question 21 A 3-month-old female develops colicky pain, abdominal distention, and diarrhea after drinking cow’s milk. The best explanation for her symptoms is: Question 22 A 60-year-old male is diagnosed with cancer of the esophagus. Which of the following factors most likely contributed to his disease? Question 23 A 10-month-old is brought to the pediatrician by the mother who states the baby has been experiencing colicky pain followed by vomiting, sweating, nausea, and irritability. Testing reveals a condition in which one part of the intestine telescopes into another. From which type of intestinal obstruction is he suffering? Question 24 A 13-year-old female confides to her mother that she binge eats and induces vomiting to prevent weight gain. This disease is referred to as: Question 25 In alcoholic cirrhosis, hepatocellular damage is caused by: Question 26 A 16-year-old female presents with abdominal pain in the right lower quadrant. Physical examination reveals rebound tenderness and a low-grade fever. A possible diagnosis would be: Question 27 Where does the nurse expect the obstruction to be in a patient with extrahepatic portal hypertension? Question 28 A 40-year-old female presents complaining of pain near the midline in the epigastrium. Assuming the pain is caused by a stimulus acting on an abdominal organ, the pain felt is classified as: Question 29 The most common cause of chronic vascular insufficiency among the elderly is: Question 30 Which of the following characteristics is associated with an acute occlusion of mesenteric blood flow to the small intestine? Question 31 Cholecystitis is inflammation of the gallbladder wall usually caused by: Question 32 When an infant has increased bilirubin production and impaired hepatic excretion of bilirubin, what does the nurse suspect is occurring in the patient? Question 33 A 3-month-old female presents with intention tremors, dystonia, greenish-yellow rings in the cornea, and hepatomegaly. Tests reveal a defect on chromosome 13. Which of the following is the most likely diagnosis? Question 34 A 22-year-old male underwent brain surgery to remove a tumor. Following surgery, he experienced a peptic ulcer. His ulcer is referred to as a(n) _____ ulcer. Question 35 The nurse assessing the patient with biliary atresia would expect to find which primary clinical manifestation?

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