NURS 5315 GI Module 9, exam 5 Exam
2026 Questions and Answers
Upper GI organs - Correct answer-mouth,pharynx, esophagus, stomach, and
duodenum
Lower GI organs - Correct answer-small intestine, large intestine, rectum and anus
Hepatoportal circulation - Correct answer-hepatic artery receives oxygenated blood
from the inferior mesenteric, gastric, and cystic veins. The hepatic portal vein
receives deoxygenated blood from the inferior and superior mesenteric vein and
splenic vein and delivers nutrients that have been absorbed from the intestinal
system
Osmotic diarrhea - Correct answer-Caused by the presence of a nonabsorbable
substance in the intestines. This pulls water by osmosis into the intestinal lumen
and results in large volume diarrhea. This is how mag citrate, lactulose and miralax
work. Causes include: excessive ingestion of nonabsorbable sugars, tube feedings,
dumping syndrome, malabsorption, pancreatic enzyme deficiency, bile salt
deficiency, small intestine bacterial overgrowth or celiac disease
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,Secretory diarrhea - Correct answer-Results in large volume losses secondary to
infectious causes such as rotavirus, bacterial enterotoxins, or c-diff.
Motility diarrhea - Correct answer-AKA short bowel syndrome. Results from
resection of small intestine or surgical bypass of small intestine, IBS, diabetic
neuropathy, hyperthyroidism, and laxative abuse. Fatty stools and bloating are
common in malabsorption syndrome. Complications include: dehydration,
electrolyte imbalance, metabolic acidosis, weight loss and malabsorption.
Upper GI bleed - Correct answer-bleeding that occurs in the esophagus, stomach or
duodenum commonly caused by bleeding varices, peptic ulcers or Mallory-Weiss
tear(tearing of esophagus from stomach) Characterized by frank, bright red or
coffee ground emesis.
Lower GI bleed - Correct answer-Bleeding in the jejunum, ileum, colon or rectum
from inflammatory bowel disease, cancer, diverticula or hemorrhoids.
Hematochezia, or the presence of bright red blood in the stools, suggest what kind
of bleed
Peptic Ulcer Disease - Correct answer-Is a break in the integrity of the mucosa of
the esophagus, stomach or duodenum resulting in exposure of the tissue to gastric
acid. Risk factors include smoking, advanced age, NSAID use, ETOH, chronic
disease, acute pancreatitis, COPD, obesity, socioeconomic status, gastrinoma, and
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, infection with Helicobacter pylori. S&S: Epigastric pain is worse with eating,
melena or hematemesis
Duodenal ulcers - Correct answer-most common and tend to develop in younger
patients. S&S: epigastric pain that is relieved by food. Patients may have
melena(black and tarry stool) or hematemesis
Ulcerative colitis (UC) - Correct answer-Inflammatory disease of the large
instestine in persons 20-40y/o. Less common in people who smoke. Has periods of
remission and exacerbations. Characterized by inflammation and ulcerations that
remain superficial and in the small intestine.
UC S&S - Correct answer-recurrent diarrhea, bloody stools, febrile, polyarthritis,
uveitis, sclerosing cholangitis, erythema nodosum and pyoderma gangrenosum
UC complications - Correct answer-fissures, hemorrhoids, perirectal abscess, toxic
megacolon, colon perforation, and colorectal adenocarcinoma. Increased risk of
VTE and microthrombi, and colon cancer
Crohn's disease - Correct answer-Chronic inflammatory disorders that can affect
any portion of the GI tract but most often in the ileum and proximal colon. Affects
persons in their 20-30s and of jewish decent. CARD15/NOD2 gene mutation
commonly associated.
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2026 Questions and Answers
Upper GI organs - Correct answer-mouth,pharynx, esophagus, stomach, and
duodenum
Lower GI organs - Correct answer-small intestine, large intestine, rectum and anus
Hepatoportal circulation - Correct answer-hepatic artery receives oxygenated blood
from the inferior mesenteric, gastric, and cystic veins. The hepatic portal vein
receives deoxygenated blood from the inferior and superior mesenteric vein and
splenic vein and delivers nutrients that have been absorbed from the intestinal
system
Osmotic diarrhea - Correct answer-Caused by the presence of a nonabsorbable
substance in the intestines. This pulls water by osmosis into the intestinal lumen
and results in large volume diarrhea. This is how mag citrate, lactulose and miralax
work. Causes include: excessive ingestion of nonabsorbable sugars, tube feedings,
dumping syndrome, malabsorption, pancreatic enzyme deficiency, bile salt
deficiency, small intestine bacterial overgrowth or celiac disease
©COPYRIGHT 2025, ALL RIGHTS RESERVE 1
,Secretory diarrhea - Correct answer-Results in large volume losses secondary to
infectious causes such as rotavirus, bacterial enterotoxins, or c-diff.
Motility diarrhea - Correct answer-AKA short bowel syndrome. Results from
resection of small intestine or surgical bypass of small intestine, IBS, diabetic
neuropathy, hyperthyroidism, and laxative abuse. Fatty stools and bloating are
common in malabsorption syndrome. Complications include: dehydration,
electrolyte imbalance, metabolic acidosis, weight loss and malabsorption.
Upper GI bleed - Correct answer-bleeding that occurs in the esophagus, stomach or
duodenum commonly caused by bleeding varices, peptic ulcers or Mallory-Weiss
tear(tearing of esophagus from stomach) Characterized by frank, bright red or
coffee ground emesis.
Lower GI bleed - Correct answer-Bleeding in the jejunum, ileum, colon or rectum
from inflammatory bowel disease, cancer, diverticula or hemorrhoids.
Hematochezia, or the presence of bright red blood in the stools, suggest what kind
of bleed
Peptic Ulcer Disease - Correct answer-Is a break in the integrity of the mucosa of
the esophagus, stomach or duodenum resulting in exposure of the tissue to gastric
acid. Risk factors include smoking, advanced age, NSAID use, ETOH, chronic
disease, acute pancreatitis, COPD, obesity, socioeconomic status, gastrinoma, and
©COPYRIGHT 2025, ALL RIGHTS RESERVE 2
, infection with Helicobacter pylori. S&S: Epigastric pain is worse with eating,
melena or hematemesis
Duodenal ulcers - Correct answer-most common and tend to develop in younger
patients. S&S: epigastric pain that is relieved by food. Patients may have
melena(black and tarry stool) or hematemesis
Ulcerative colitis (UC) - Correct answer-Inflammatory disease of the large
instestine in persons 20-40y/o. Less common in people who smoke. Has periods of
remission and exacerbations. Characterized by inflammation and ulcerations that
remain superficial and in the small intestine.
UC S&S - Correct answer-recurrent diarrhea, bloody stools, febrile, polyarthritis,
uveitis, sclerosing cholangitis, erythema nodosum and pyoderma gangrenosum
UC complications - Correct answer-fissures, hemorrhoids, perirectal abscess, toxic
megacolon, colon perforation, and colorectal adenocarcinoma. Increased risk of
VTE and microthrombi, and colon cancer
Crohn's disease - Correct answer-Chronic inflammatory disorders that can affect
any portion of the GI tract but most often in the ileum and proximal colon. Affects
persons in their 20-30s and of jewish decent. CARD15/NOD2 gene mutation
commonly associated.
©COPYRIGHT 2025, ALL RIGHTS RESERVE 3
