NUR 339 Exam 2 Questions and Correct
Answers/ Latest Update / Already Graded
Role of gastric secretions
Ans: Protection of pyloric mucosa
Pyloric glands secretion
Ans: Mucus and gastrin
Gastric mucosal barrier
Ans: Tight junction in epithelial cell to prevent acid
penetration, covered with hydrophobic lipid layer
Substances crossing hydrophobic lipid layer
Ans: Alcohol and aspirin
Pancreatic secretion aiding digestion
Ans: Trypsin (breakdown dietary proteins), pancreatic amylase
(breaks down starch/lipases/triglycerides)
Gallbladder function in digestion
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Ans: Stores and concentrates bile (breaks down fats), secretes
bile through bile duct into duodenum (stimulated by entrance
of food)
Bile's essential role
Ans: Fat digestion and absorption (emulsifies)
Most common disorder of the esophagus
Ans: GERD (gastroesophageal reflux disease)
Cause of GERD
Ans: Weak lower esophageal sphincter and increased
intraabdominal pressure
Manifestations of GERD
Ans: Regurgitation (especially after meals), heartburn, pain or
burning in retrosternal area (may radiate to shoulder or back),
wheezing, cough, hoarseness
Medications for GERD
Ans: Antacids, H2 blocking agents, Proton pump inhibitors
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Diagnosis of GERD
Ans: Hx of symptoms, xrays and scopes
GERD patient teaching
Ans: Avoid large meals, do not lie down after eating, avoid
bending, weight reduction, avoid aggravating foods, sleep with
head elevated
Clinical manifestations of peptic ulcer disease (PUD)
Ans: Burning, gnawing, cramplike pain in epigastric area (can
radiate to back or shoulder), pain relieved with foods or
antacids
Complications of PUD
Ans: Hemorrhage, perforation, hematemesis, melena (black
tarry stools - blood from upper GI tract)
Diagnostic tests for PUD
Ans: Scopes and biopsy for H. pylori, barium, xrays, labs of
hematocrit and hemoglobin
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