EXAM TEST BANK| NURS5315 ADVANCED
PATHOPHYSIOLOGY EXAM 5 REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ GRADED A+ (MOST RECENT!!)
What (4) organs do the Celiac artery feed oxygenated blood to? -
ANSWER - Liver
Stomach
Spleen
Pancreas
What (3) organs do the Superior Mesenteric artery feed oxygenated
blood to? - ANSWER - Pancreas
Small intestine
Large intestine
What two arteries give blood to the Colon? - ANSWER - Superior and
inferior Mesenteric Artery
Blood flows through the gut to the hepatic circulation through which
vein? - ANSWER - Hepatic Portal Vein
Which vein receive blood from digestive organ capillaries and delivers it
to liver capillaries? - ANSWER - Hepatic Portal Vein
pg. 1
,The hepatic portal vein receives deoxygenated blood from which (3)
veins? - ANSWER - Inferior mesenteric
Superior mesenteric
Splenic vein
Blood flows through what part of the liver where reticula endothelial
cells removed toxins, bacteria, and metabolic waste products? -
ANSWER - Liver sinusoids
A decreased in absorptive capacity of villi and the translocation of gut
bacterial flora occurs during what detrimental period? - ANSWER -
When there is low perfusion
How does gut bacteria translocate into the bloodstream during periods of
low perfusion? - ANSWER - During periods of low perfusion, the villi
can die and go through necrosis. Compromised intestinal barrier may
allow gut bacteria to migrate from the intestine to the bloodstream
Decreased motility in the large intestine and rectum can lead to what GI
issue? - ANSWER - Constipation
Normal rate of stool passage, but difficulty with stool evacuation is
which Primary Constipation? - ANSWER - Functional Transit
Constipation
Which Primary Constipation etiology is described as impaired colonic
activity with symptoms of infrequent bowel movements, straining to
defecate, mild abdominal distention, and palpable stool in the sigmoid
colon? - ANSWER - Slow Transit Constipation (STC)
pg. 2
,Martha just gave birth to her first child vaginally. She is having trouble
with anal sphincter relaxation, what Primary Constipation etiology is she
has risk for? - ANSWER - Pelvic Floor Dysfunction
Which Primary Constipation etiology is characterized by chronic
constipation and abdominal pain? - ANSWER - Constipation
predominant Irritable Bowel Syndrome
Dana ate some bad seafood and had 3 loose liquidity stools within 24
hours, what GI condition is she experiencing? - ANSWER - Diarrhea
When nutrients are not absorbed into the intestinal lumen and the
substances pull in water, what type of Diarrhea is this? - ANSWER -
Osmotic Diarrhea
When there is increased water and electrolyte secretion in addition to
decreased absorption, what type of diarrhea is this? - ANSWER -
Secretory Diarrhea
Ingestion of laxatives, tube feedings, dumping syndrome, malabsorption
syndrome, pancreatic enzyme deficiency, bile salt deficiency, small
intestine bacterial overgrowth and celiac disease can put someone at risk
for what type of diarrhea? - ANSWER - Osmotic Diarrhea
Diarrhea that occurs from small intestines resection, irritable bowel
syndrome, diabetic neuropathy hyperthyroidism, or laxative abuse is
called? - ANSWER - Motility diarrhea (Short Bowel Syndrome)
pg. 3
, Charles has been celebrating graduating NP school by frequenting bars
and drinking lots of alcohol. He comes into the clinical because of
presentation of coffee ground emesis, and melena (black tarry stools).
What type of GI bleed is he experiencing? - ANSWER - Upper GI Bleed
Upper GI bleed originate from what parts of the GI system? - ANSWER
- Esophagus, stomach, duodenum
What would cause an Upper GI bleed present as frank bright red blood
in the vomit? - ANSWER - Mallory-Weiss Tears (Tear of the esophagus)
Someone with inflammatory bowel disease, cancer, diverticula, or
hemorrhoids are at risk for what type of GI bleed? - ANSWER - Lower
GI Bleed
Where does a Lower GI bleed originate from? - ANSWER - Jejunum,
illeum, colon, rectum, or anus
What bacteria is the primary cause for pericarditis ulcers? - ANSWER -
H. Pylori
What type of medication is strongly associated with peptic ulcers? -
ANSWER - NSAIDS
A patient comes in with altered mental status from increased intracranial
pressure. Their blood pressure is 170/90 and they have a HR of 59 with
irregular breathing, what type of ulcer are they at risk for? - ANSWER -
Cushing Ulcer
pg. 4