WGU D115 OA Study Guide Unit 6
Which cells of the stomach secrete hydrochloric acid and intrinsic factor? -
✔️✔️Parietal cells
Pernicious anemia* (Vitamin B12 deficiency)
Which enzyme is responsible for cleaving fatty acids from phospholipids? -
✔️✔️Phospholipase
Which enzyme is responsible for breaking the end amino acids away from the ingested
protein? - ✔️✔️Carboxypeptidase
What type of fibers stimulate the salivary glands? - ✔️✔️Cholinergic fibers
What part of the esophagus is innervated by nerve fibers? - ✔️✔️The lower third
What artery provides blood to the stomach? - ✔️✔️Celiac artery
What hormone is responsible for the inhibition of stomach contraction? - ✔️✔️Secretin
Gastrin increases stomach contraction (aids in motility) and produces acid in the
antrum, duodenum, and pancreas by G-cells
What is true of unconjugated bilirubin? - ✔️✔️Unconjugated bilirubin is bilirubin bound
to albumin.
Also called "free bilirubin"
Define pepsin - ✔️✔️Produced in the stomach and breaks down proteins
Think P and P
Define Lipase - ✔️✔️Produced by the pancreas and breaks down triglycerides
Define amylase - ✔️✔️Produced in the mouth and breaks down starch
"Amy eats a starchy meal"
What are 3 characteristics of celiac disease? - ✔️✔️Anemia
, Diminished growth
Deficiences in fat-soluble vitamins
Is pyloric stenosis more common in male or female infants ? - ✔️✔️Males
A 74-year-old male complains of rectal bleeding for the past year. He has not change in
bowel habits and denies abdominal pain, weight loss, and rectal pain. He has seen
blood in the toilet water and when wiping approximately once every few weeks, but
lately the bleeding has increased. He had colonoscopy 5 year ago. The FNP should: -
✔️✔️Schedule a colonoscopy to look for colon polyps and/or cancer
An overweigh, middle-aged woman has right upper quadrant pain that radiates to her
right subscapular area and is severe and persistent. She is also experiencing anorexia,
nausea, and a fever. Her most recent meal was a double quarter-pound cheeseburger,
French fries, and a milkshake. The FNP examines the abdomen and percusses for CVA
tenderness. the abdomen is tender in the RUQ. Which of the following signs
corresponds with the correct diagnosis? - ✔️✔️Murphy's sign: the patient has
cholecystitis
McBurney's sign is related to appendicitis
CVA tenderness is related to UTIs
A sudden onset of diarrhea that consists of five to six loose stools a day and awakens
the pt at night with cramping, but without blood in the stools, would most likely be
caused by what? - ✔️✔️Infection
Clues for infection are awakening at night, cramping without blood, sudden onset
Those S/S are either infection or inflammation
The FNP is discussion Clostridium difficile infection with the family of a 68-year-old
female who lives with them and who was recently diagnosed with the infection. Which of
the following statements would be the most important for the family to understand? -
✔️✔️Pt needs to use a different bathroom than the rest of the family
Contact isolation
An older woman is noted to have iron-deficiency anemia. She has no pain or rectal
bleeding. What hx would raise suspicion of a gastric ulcer? - ✔️✔️An ankle sprain
requiring 800mg of ibuprofen 3 times a day for the last 6 weeks
Which cells of the stomach secrete hydrochloric acid and intrinsic factor? -
✔️✔️Parietal cells
Pernicious anemia* (Vitamin B12 deficiency)
Which enzyme is responsible for cleaving fatty acids from phospholipids? -
✔️✔️Phospholipase
Which enzyme is responsible for breaking the end amino acids away from the ingested
protein? - ✔️✔️Carboxypeptidase
What type of fibers stimulate the salivary glands? - ✔️✔️Cholinergic fibers
What part of the esophagus is innervated by nerve fibers? - ✔️✔️The lower third
What artery provides blood to the stomach? - ✔️✔️Celiac artery
What hormone is responsible for the inhibition of stomach contraction? - ✔️✔️Secretin
Gastrin increases stomach contraction (aids in motility) and produces acid in the
antrum, duodenum, and pancreas by G-cells
What is true of unconjugated bilirubin? - ✔️✔️Unconjugated bilirubin is bilirubin bound
to albumin.
Also called "free bilirubin"
Define pepsin - ✔️✔️Produced in the stomach and breaks down proteins
Think P and P
Define Lipase - ✔️✔️Produced by the pancreas and breaks down triglycerides
Define amylase - ✔️✔️Produced in the mouth and breaks down starch
"Amy eats a starchy meal"
What are 3 characteristics of celiac disease? - ✔️✔️Anemia
, Diminished growth
Deficiences in fat-soluble vitamins
Is pyloric stenosis more common in male or female infants ? - ✔️✔️Males
A 74-year-old male complains of rectal bleeding for the past year. He has not change in
bowel habits and denies abdominal pain, weight loss, and rectal pain. He has seen
blood in the toilet water and when wiping approximately once every few weeks, but
lately the bleeding has increased. He had colonoscopy 5 year ago. The FNP should: -
✔️✔️Schedule a colonoscopy to look for colon polyps and/or cancer
An overweigh, middle-aged woman has right upper quadrant pain that radiates to her
right subscapular area and is severe and persistent. She is also experiencing anorexia,
nausea, and a fever. Her most recent meal was a double quarter-pound cheeseburger,
French fries, and a milkshake. The FNP examines the abdomen and percusses for CVA
tenderness. the abdomen is tender in the RUQ. Which of the following signs
corresponds with the correct diagnosis? - ✔️✔️Murphy's sign: the patient has
cholecystitis
McBurney's sign is related to appendicitis
CVA tenderness is related to UTIs
A sudden onset of diarrhea that consists of five to six loose stools a day and awakens
the pt at night with cramping, but without blood in the stools, would most likely be
caused by what? - ✔️✔️Infection
Clues for infection are awakening at night, cramping without blood, sudden onset
Those S/S are either infection or inflammation
The FNP is discussion Clostridium difficile infection with the family of a 68-year-old
female who lives with them and who was recently diagnosed with the infection. Which of
the following statements would be the most important for the family to understand? -
✔️✔️Pt needs to use a different bathroom than the rest of the family
Contact isolation
An older woman is noted to have iron-deficiency anemia. She has no pain or rectal
bleeding. What hx would raise suspicion of a gastric ulcer? - ✔️✔️An ankle sprain
requiring 800mg of ibuprofen 3 times a day for the last 6 weeks
