WGU D115 OA STUDY GUIDE UNIT 6
QUESTIONS & ANSWERS(RATED A+)
What type of fibers stimulate the salivary glands? - ANSWERCholinergic fibers
What part of the esophagus is innervated by nerve fibers? - ANSWERThe lower third
What artery provides blood to the stomach? - ANSWERCeliac artery
What hormone is responsible for the inhibition of stomach contraction? -
ANSWERSecretin
Gastrin increases stomach contraction (aids in motility) and produces acid in the
antrum, duodenum, and pancreas by G-cells
Which cells of the stomach secrete hydrochloric acid and intrinsic factor? -
ANSWERParietal cells
Pernicious anemia* (Vitamin B12 deficiency)
Which enzyme is responsible for cleaving fatty acids from phospholipids? -
ANSWERPhospholipase
Which enzyme is responsible for breaking the end amino acids away from the ingested
protein? - ANSWERCarboxypeptidase
What is true of unconjugated bilirubin? - ANSWERUnconjugated bilirubin is bilirubin
bound to albumin.
Also called "free bilirubin"
Define pepsin - ANSWERProduced in the stomach and breaks down proteins
Think P and P
Define Lipase - ANSWERProduced by the pancreas and breaks down triglycerides
Define amylase - ANSWERProduced in the mouth and breaks down starch
"Amy eats a starchy meal"
What are 3 characteristics of celiac disease? - ANSWERAnemia
Diminished growth
, Deficiences in fat-soluble vitamins
Is pyloric stenosis more common in male or female infants ? - ANSWERMales
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: -
ANSWERSchedule 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? - ANSWERMurphy's sign: the patient has
cholecystitis
McBurney's sign is related to appendicitis
CVA tenderness is related to UTIs
Non-pharmacologic management of GERD includes which of the following? -
ANSWERWeight reduction
Sleep with HOB elevated
Avoid heavy meals
What is an organism associated with the etiology of PUD? - ANSWERH. Pylori
Responsible for most duodenal and gastric ulcers
A 65-year-old male presents to the FNP for evaluation of years of "heartburn" and
recent weight loss of 30lbs over the last month. He has been taking antacids and an
oral histamine 2 receptor antagonist for years "off and on". He has a 60 pack per year
smoking history and drinks alcohol daily. What differential diagnoses should the FNP
consider? - ANSWEREsophageal cancer
Long-term GERD without tx increases risk for barret esophagus and cancer
Rapid weight loss is concerning
QUESTIONS & ANSWERS(RATED A+)
What type of fibers stimulate the salivary glands? - ANSWERCholinergic fibers
What part of the esophagus is innervated by nerve fibers? - ANSWERThe lower third
What artery provides blood to the stomach? - ANSWERCeliac artery
What hormone is responsible for the inhibition of stomach contraction? -
ANSWERSecretin
Gastrin increases stomach contraction (aids in motility) and produces acid in the
antrum, duodenum, and pancreas by G-cells
Which cells of the stomach secrete hydrochloric acid and intrinsic factor? -
ANSWERParietal cells
Pernicious anemia* (Vitamin B12 deficiency)
Which enzyme is responsible for cleaving fatty acids from phospholipids? -
ANSWERPhospholipase
Which enzyme is responsible for breaking the end amino acids away from the ingested
protein? - ANSWERCarboxypeptidase
What is true of unconjugated bilirubin? - ANSWERUnconjugated bilirubin is bilirubin
bound to albumin.
Also called "free bilirubin"
Define pepsin - ANSWERProduced in the stomach and breaks down proteins
Think P and P
Define Lipase - ANSWERProduced by the pancreas and breaks down triglycerides
Define amylase - ANSWERProduced in the mouth and breaks down starch
"Amy eats a starchy meal"
What are 3 characteristics of celiac disease? - ANSWERAnemia
Diminished growth
, Deficiences in fat-soluble vitamins
Is pyloric stenosis more common in male or female infants ? - ANSWERMales
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: -
ANSWERSchedule 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? - ANSWERMurphy's sign: the patient has
cholecystitis
McBurney's sign is related to appendicitis
CVA tenderness is related to UTIs
Non-pharmacologic management of GERD includes which of the following? -
ANSWERWeight reduction
Sleep with HOB elevated
Avoid heavy meals
What is an organism associated with the etiology of PUD? - ANSWERH. Pylori
Responsible for most duodenal and gastric ulcers
A 65-year-old male presents to the FNP for evaluation of years of "heartburn" and
recent weight loss of 30lbs over the last month. He has been taking antacids and an
oral histamine 2 receptor antagonist for years "off and on". He has a 60 pack per year
smoking history and drinks alcohol daily. What differential diagnoses should the FNP
consider? - ANSWEREsophageal cancer
Long-term GERD without tx increases risk for barret esophagus and cancer
Rapid weight loss is concerning
