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NSG 5003 Gastrointestional Exam-South
University (Answered) Guaranteed Pass
Hemolytic disease of the newborn may lead to accumulation of unconjugated bilirubin in the brain, which can cause kericterus. A characteristic of unconjugated bilirubin is that it: a) is considered direct bilirubin b) is soluble in water c) increased bile production d) is lipid soluble Is lipid souluble One of the many sequelae associated with cirrhosis is hepatic encephalopathy. It is a cause by the inability of the liver to: a) detoxify ammonia b) synthesize glycogen c) produce bile d) break down insulin Detoxify ammonia Extrintestinal manifestation of Chron's disease a) heart failure b) pedal edema c) cholelithiasis d) splenomegaly Cholelithiasis
Which type of hernia involves a bulding of the stomach through the diaphragm and into the chest a) inguinal hernia b) umbilical hernia c) hilatal hernia d) epigastric hernia Hitatal hernia Mechanical and chemical receptors in the GI tract that trigger nausea are communicated to the brain primarily by the: a) vestibulocochlear nerve b) trigeminal nerve c) vagal nerve d) hypoglossal nerve vagal nerve Diarrhea is caused by an incomplete absorption of water from the: a) stomach b) jejunum c) ileuim d) large intestine Large intestine Which of the following is a diffuse hepatic process characterized by fibrosis and conversion of the normal liver tissues into structurally abnormal nodules?
d) impaired bile flow Increased hepatocyte uptake A hital hernia occurs when a defect in the diaphragm permits protrusion of the: a) Transverse colon b) Esophagus c) Stomach d) Small intestine Stomach Which of the following is NOT an enzyme produced in the pancrease? a) Amylase b) Protease c) Lipase d) Pepsin Pepsin A cluster of vascular tissue, smooth muscle, and connective tissue lining the anal canal is known as: a) Condyloma acuminatum b) Rectal prolapse c) Hemorrhoids d) Proctitis Hemorrhoids The most common cause of bilirubin overproduction, resultin in jaundice, is:
a) Hemolytic anemia b) Cirrhosis c) Increased erthyrocyte production d) Cholelithiasis Hemolytic anemia The most common site for diverticulosis to occur is the: a) Jejunum b) Small intestine c) Sigmoid colon d) Ileum Sigmoid colon The most common cause of infectious esophagitis is: a) Helicobacter pylori b) Staphlococcus aureus c) Herpes simplex virus d) Candida Candida The back flow of gastric or duodenal contents into the esophagus is known as: a) Gasteroesophageal reflux b) Cholelithiasis c) Esophageal spasm d) Peptic ulcer disease Gastroesophageal reflux
c) Hiatal hernia d) Constipation Constipation A complication NOT commonly associated with Crohn's disease is: a) Anal fistula b) Intestinal obstruction c) Vitamin B12 deficiency d) Peritonitis Peritonitis The most common cause of constipation ordinating outside the colon is deficiency in: a) Fiber b) Calcium c) Protein d) Zinc Fiber In evaluating the patient with nausea, the differential diagnosis that would include a central nervous system cause is: a) Biliary obstruction b) Vertigo c) Viral gastroenteritis d) Gastroesophageal reflux Vertigo
Inflammation of the pear- shaped, muscular sac that stores bile is called: a) appendicitis b) Cholecystitis c) Pancreatitis d) Peptic ulcer disease Cholecystitis A 46 year old construction workers seeks evaluation of a protruding mass he noticed after lifting a heavy rock. He is now experiencing pain with coughing. The history and symptoms are suspicious for: a) Femeroal hernia b) inguinal hernia c) umbilical hernia d) hiatal hernia Inguinal hernia Acute inflammation and autodigestion in the pancrease lead to an elevation in: a) Liver enzymes and metabolic markers b) amylase and lipase levels c) alanine aminotransferase and aspartate aminotransfease d) lactuate and blood glucose Amylase and lipase enzymes A 50 year old man is being evaluated for complaints of an umbilical mass that can not be reduced by manipulation. The nurse practictioner suspects: a) Incarcerated hernia
A type of hernia is which the hernial sac protrudes directly through the abdominal wall in the region of Hesselbach triange is called a: a) umbilical hernia b) inguinal hernia c) femeral hernia d) Spigelian hernia inguinal hernia An incarcerated hernia in which blood supply to the entrapped bowel has been diminshed is a referred to as: a) Strangulated b) direct c) indirect d) reduicble Strangulated Diverticulosis is common where diets are low in: a) Protein b) Fiber c) Fat d) Carbohydrates Fiber Which of the following is common cause of mechanical small interstinal obstruction:
a) Infection b) Postoperative adhesion c) Tumors d) Foreign body Postoperative adhesion A 25 year old just had a colonscopy and was diagnosed with Crohn disease. Whice of the following are consistent with this diagnosis? a) a 50 year old postmenopausal woman with a history of high-risk human papilloma virus b) A 45 year old woman who is obese and whose menstrual patterns contains of periods of amenorrhea and are infequent c) a 40 year old woman who is overwight and has hypertention d) a 55 year old woman who smokes A 45 year old woman who is obese and whose menstrual patterns consists of periods of amenorrhea and are infrequent Which of the following is common cause of mechanical small instestine obstruction? a) Infection b) Postoperative adhesions c) Tumors d) Foreign body Postoperative adhesions A 25 year old just had a colonscopy and was diagnosed with Crohn's disease. Which of the following are consistent with this diagnosis? a) right lower quadrant cramping b) severe bloody diarrhea
