NRS 3025- GI EXAM QUESTIONS WITH
ACCURATE ANSWERS
GERD - ANSWER : upward flow of gastric contents through the lower
esophageal sphincter (LES) causing chronic irritation to esophageal lining
• Obesity • Hiatal hernias • Smoking • ETOH • Supine position • Triggering foods •
Caffeine • Chocolate • Citrus fruits and tomatoes • Large meals/high fat meals -
ANSWER causes/triggers of GERD
-barrets esophagus or esophageal strictures
-aspiration pneumonia and asthma-crackles or wheezing in lungs - ANSWER
what are complications of GERD
barrets esophagus - ANSWER a condition that occurs when the cells in the
epithelial tissue of the esophagus are damaged by chronic acid exposure and
new thick tissue forms in the esophagus and is considered precancerous
-a complication of GERD
chewable antacid for temp relief - ANSWER calcium carbonate, aluminum
hydroxide/mag hydroxide
histamine receptor agonists - ANSWER famotidine, cimetidine, ranitidine
proton pump inhibitor - ANSWER omeprazole, pantoprazole
-gerd
-barretts esophagus
-smoking
-ETOH
-chronic exposure to hot liquids - ANSWER risk factors of esophageal cancer
squamous cell and adenocarcinoma - ANSWER the two types of esophageal
cancer
-fullness in throat or substernal area
-regurgitation, hiccups, halitosis
-weight loss and constitutional symptoms - ANSWER manifestations of
esophageal cancer
EGD w biopsy, CT, ultrasound, genetic and molecular markers - ANSWER how is
esophageal cancer diagnosesd
, bloody to yellowish green - ANSWER whats the normal output from NGT suction
after surgical tx of esophageal cancer
peptic ulcer disease - ANSWER damage to mucosal lining of stomach or
duodenum
1. gastric
2. duodenal
3. stress - ANSWER what are the three types of peptic ulcers
h. pylori and NSAID use - ANSWER what are the two most common reasons for
peptic ulcer disease
less than 50 yo, corticosteroid use, chemotherapy and local radiation, caffeine,
tobacco, ETOH use, stress - ANSWER what are risk factors for peptic ulcers
-dyspepsia: sharp burning, gnawing, pressure/fullness
-heals and returns
-pain exacerbated by certain foods
-signs of hypovolemia or bleeding - ANSWER manifestations of peptic ulcer
disease
1. malnourished
2. normal secretion of acid
3. pain 30-60 min post meal or at night
4. rarely worsened by eating
5. hematemesis if bleeding occurs - ANSWER gastric ulcer
manifestations?
1. nourishment?
2. secretion of acid?
3. when does pain occur?
4. when is pain relieved?
5. what happens if bleeding occurs?
1. well nourished
2. over secretion of acid
3. pain occurs 90 min to 3 hrs post meals or at night
4. relieved by eating
5. melena if bleeding occurs - ANSWER duodenal ulcer
manifestations?
1. nourishment?
2. secretion of acid?
3. when does pain occur?
4. when is pain relieved?
5. what happens if bleeding occurs?
ACCURATE ANSWERS
GERD - ANSWER : upward flow of gastric contents through the lower
esophageal sphincter (LES) causing chronic irritation to esophageal lining
• Obesity • Hiatal hernias • Smoking • ETOH • Supine position • Triggering foods •
Caffeine • Chocolate • Citrus fruits and tomatoes • Large meals/high fat meals -
ANSWER causes/triggers of GERD
-barrets esophagus or esophageal strictures
-aspiration pneumonia and asthma-crackles or wheezing in lungs - ANSWER
what are complications of GERD
barrets esophagus - ANSWER a condition that occurs when the cells in the
epithelial tissue of the esophagus are damaged by chronic acid exposure and
new thick tissue forms in the esophagus and is considered precancerous
-a complication of GERD
chewable antacid for temp relief - ANSWER calcium carbonate, aluminum
hydroxide/mag hydroxide
histamine receptor agonists - ANSWER famotidine, cimetidine, ranitidine
proton pump inhibitor - ANSWER omeprazole, pantoprazole
-gerd
-barretts esophagus
-smoking
-ETOH
-chronic exposure to hot liquids - ANSWER risk factors of esophageal cancer
squamous cell and adenocarcinoma - ANSWER the two types of esophageal
cancer
-fullness in throat or substernal area
-regurgitation, hiccups, halitosis
-weight loss and constitutional symptoms - ANSWER manifestations of
esophageal cancer
EGD w biopsy, CT, ultrasound, genetic and molecular markers - ANSWER how is
esophageal cancer diagnosesd
, bloody to yellowish green - ANSWER whats the normal output from NGT suction
after surgical tx of esophageal cancer
peptic ulcer disease - ANSWER damage to mucosal lining of stomach or
duodenum
1. gastric
2. duodenal
3. stress - ANSWER what are the three types of peptic ulcers
h. pylori and NSAID use - ANSWER what are the two most common reasons for
peptic ulcer disease
less than 50 yo, corticosteroid use, chemotherapy and local radiation, caffeine,
tobacco, ETOH use, stress - ANSWER what are risk factors for peptic ulcers
-dyspepsia: sharp burning, gnawing, pressure/fullness
-heals and returns
-pain exacerbated by certain foods
-signs of hypovolemia or bleeding - ANSWER manifestations of peptic ulcer
disease
1. malnourished
2. normal secretion of acid
3. pain 30-60 min post meal or at night
4. rarely worsened by eating
5. hematemesis if bleeding occurs - ANSWER gastric ulcer
manifestations?
1. nourishment?
2. secretion of acid?
3. when does pain occur?
4. when is pain relieved?
5. what happens if bleeding occurs?
1. well nourished
2. over secretion of acid
3. pain occurs 90 min to 3 hrs post meals or at night
4. relieved by eating
5. melena if bleeding occurs - ANSWER duodenal ulcer
manifestations?
1. nourishment?
2. secretion of acid?
3. when does pain occur?
4. when is pain relieved?
5. what happens if bleeding occurs?
