lOMoAR cPSD| 18211884
NURS 6501 DNRS-6501 Pathophysiology Module 5 2023
TERM LATEST QUIZ WITH ANSWERES BEST CHOICE
, lOMoAR cPSD| 18211884
NURS 6501S-20, DNRS-6501S-20, NURS 6501N-20, DNRS-6501-20-Advanced Pathophysiology Quiz – Module 5 Knowledge Check: 20 out of 20 Points
QUIZ 1
Scenario 1: Peptic Ulcer
A 65-year-old female comes to the clinic with a complaint of abdominal pain in the
epigastric area. The pain has been persistent for two weeks. The pain described as
burning, non-radiating and worse after meals. Denies N&V, weight loss or obvious
bleeding. She admits to frequent belching with bloating.
PMH: seasonal allergies with Chronic Sinusitis, positive for osteoarthritis,
Meds: Claritin 10 mg po daily, ibuprofen 400-600 mg po prn pain
Family Hx-non contributary
Social history: Separated recently pending divorce; stressful situation with trying to
manage two homes. Works as a Legal Assistant at a local law firm. She has 35 PPY of
smoking, drinks 1-2 glasses of wine a day, and 6-7 cups of coffee per day. She denies
illicit drug use, vaping or unprotected sexual encounters.
Breath test in the office revealed + urease.
The healthcare provider suspects the client has peptic ulcer disease.
QUIZs:
1. Explain what contributed to the development from this patient’s history of PUD?
In the given scenario, patient is prone for peptic ulcer disease because of
longterm use of NSAIDS, smoking, alcohol, increased caffeine and stress
.NSAIDS can thin the intestinal mucous layer. Prostaglandins protect the
stomach mucosa. Stomach mucus and bicarbonate production decreases
with NSAID use. As a result, the vulnerability to mucosal injury is increased.
The most common peptic ulcer symptoms are burning abdominal
pain,nausea, vomiting, and bloating. Eating acid-reducing foods or taking
acid-reducing medications can ease the pain, but it can recur. Smoking can
also causes peptic ulcers and slow gastric healing by causing mucosal cell
death. Cigarette smoke and its active ingredients affect the mucosal immune
system. Smokers seem more prone to H. pylori infection. Anti-infection
mechanisms in the stomach and duodenum can be compromised. Alcohol
can irritate and dissolve the stomach mucous lining, increasing stomach acid
production. Caffeine is a well known stimulant of gastric acid secretion.
Although coffee doesn't cause ulcers, drinking this might irritate your
stomach and worsen ulcer pain. Stress and spicy foods do not cause peptic
ulcers. However, they can make your symptoms worse.
QUIZ 2
NURS 6501 DNRS-6501 Pathophysiology Module 5 2023
TERM LATEST QUIZ WITH ANSWERES BEST CHOICE
, lOMoAR cPSD| 18211884
NURS 6501S-20, DNRS-6501S-20, NURS 6501N-20, DNRS-6501-20-Advanced Pathophysiology Quiz – Module 5 Knowledge Check: 20 out of 20 Points
QUIZ 1
Scenario 1: Peptic Ulcer
A 65-year-old female comes to the clinic with a complaint of abdominal pain in the
epigastric area. The pain has been persistent for two weeks. The pain described as
burning, non-radiating and worse after meals. Denies N&V, weight loss or obvious
bleeding. She admits to frequent belching with bloating.
PMH: seasonal allergies with Chronic Sinusitis, positive for osteoarthritis,
Meds: Claritin 10 mg po daily, ibuprofen 400-600 mg po prn pain
Family Hx-non contributary
Social history: Separated recently pending divorce; stressful situation with trying to
manage two homes. Works as a Legal Assistant at a local law firm. She has 35 PPY of
smoking, drinks 1-2 glasses of wine a day, and 6-7 cups of coffee per day. She denies
illicit drug use, vaping or unprotected sexual encounters.
Breath test in the office revealed + urease.
The healthcare provider suspects the client has peptic ulcer disease.
QUIZs:
1. Explain what contributed to the development from this patient’s history of PUD?
In the given scenario, patient is prone for peptic ulcer disease because of
longterm use of NSAIDS, smoking, alcohol, increased caffeine and stress
.NSAIDS can thin the intestinal mucous layer. Prostaglandins protect the
stomach mucosa. Stomach mucus and bicarbonate production decreases
with NSAID use. As a result, the vulnerability to mucosal injury is increased.
The most common peptic ulcer symptoms are burning abdominal
pain,nausea, vomiting, and bloating. Eating acid-reducing foods or taking
acid-reducing medications can ease the pain, but it can recur. Smoking can
also causes peptic ulcers and slow gastric healing by causing mucosal cell
death. Cigarette smoke and its active ingredients affect the mucosal immune
system. Smokers seem more prone to H. pylori infection. Anti-infection
mechanisms in the stomach and duodenum can be compromised. Alcohol
can irritate and dissolve the stomach mucous lining, increasing stomach acid
production. Caffeine is a well known stimulant of gastric acid secretion.
Although coffee doesn't cause ulcers, drinking this might irritate your
stomach and worsen ulcer pain. Stress and spicy foods do not cause peptic
ulcers. However, they can make your symptoms worse.
QUIZ 2
