NURS 5315 GI MODULE 9, EXAM 5 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

NURS 5315 GI MODULE 9, EXAM 5
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
UpperKGIKorgansK-KANSWERKmouth,pharynx,Kesophagus,Kstomach,KandKduodenum



LowerKGIKorgansK-KANSWERKsmallKintestine,KlargeKintestine,KrectumKandKanus



HepatoportalKcirculationK-
KANSWERKhepaticKarteryKreceivesKoxygenatedKbloodKfromKtheKinferiorKmesenteric,Kgastric,KandKcysticKveins

.KTheKhepaticKportalKveinKreceivesKdeoxygenatedKbloodKfromKtheKinferiorKandKsuperiorKmesentericKveinKan
dKsplenicKveinKandKdeliversKnutrientsKthatKhaveKbeenKabsorbedKfromKtheKintestinalKsystem



OsmoticKdiarrheaK-
KANSWERKCausedKbyKtheKpresenceKofKaKnonabsorbableKsubstanceKinKtheKintestines.KThisKpullsKwaterKbyKos

mosisKintoKtheKintestinalKlumenKandKresultsKinKlargeKvolumeKdiarrhea.KThisKisKhowKmagKcitrate,KlactuloseKa
ndKmiralaxKwork.KCausesKinclude:KexcessiveKingestionKofKnonabsorbableKsugars,KtubeKfeedings,KdumpingKs
yndrome,Kmalabsorption,KpancreaticKenzymeKdeficiency,KbileKsaltKdeficiency,KsmallKintestineKbacterialKover
growthKorKceliacKdisease



SecretoryKdiarrheaK-
KANSWERKResultsKinKlargeKvolumeKlossesKsecondaryKtoKinfectiousKcausesKsuchKasKrotavirus,KbacterialKenter

otoxins,KorKc-diff.



MotilityKdiarrheaK-
KANSWERKAKAKshortKbowelKsyndrome.KResultsKfromKresectionKofKsmallKintestineKorKsurgicalKbypassKofKsmal

lKintestine,KIBS,KdiabeticKneuropathy,Khyperthyroidism,KandKlaxativeKabuse.KFattyKstoolsKandKbloatingKareKc
ommonKinKmalabsorptionKsyndrome.KComplicationsKinclude:Kdehydration,KelectrolyteKimbalance,Kmetabol
icKacidosis,KweightKlossKandKmalabsorption.



UpperKGIKbleedK-
KANSWERKbleedingKthatKoccursKinKtheKesophagus,KstomachKorKduodenumKcommonlyKcausedKbyKbleedingKv

arices,KpepticKulcersKorKMallory-
WeissKtear(tearingKofKesophagusKfromKstomach)KCharacterizedKbyKfrank,KbrightKredKorKcoffeeKgroundKemes
is.

, LowerKGIKbleedK-
KANSWERKBleedingKinKtheKjejunum,Kileum,KcolonKorKrectumKfromKinflammatoryKbowelKdisease,Kcancer,Kdiv

erticulaKorKhemorrhoids.KHematochezia,KorKtheKpresenceKofKbrightKredKbloodKinKtheKstools,KsuggestKwhatKk
indKofKbleed



PepticKUlcerKDiseaseK-
KANSWERKIsKaKbreakKinKtheKintegrityKofKtheKmucosaKofKtheKesophagus,KstomachKorKduodenumKresultingKinK

exposureKofKtheKtissueKtoKgastricKacid.KRiskKfactorsKincludeKsmoking,KadvancedKage,KNSAIDKuse,KETOH,Kchro
nicKdisease,KacuteKpancreatitis,KCOPD,Kobesity,KsocioeconomicKstatus,Kgastrinoma,KandKinfectionKwithKHeli
cobacterKpylori.KS&S:KEpigastricKpainKisKworseKwithKeating,KmelenaKorKhematemesis



DuodenalKulcersK-
KANSWERKmostKcommonKandKtendKtoKdevelopKinKyoungerKpatients.KS&S:KepigastricKpainKthatKisKrelievedKby

Kfood.KPatientsKmayKhaveKmelena(blackKandKtarryKstool)KorKhematemesis




UlcerativeKcolitisK(UC)K-KANSWERKInflammatoryKdiseaseKofKtheKlargeKinstestineKinKpersonsK20-
40y/o.KLessKcommonKinKpeopleKwhoKsmoke.KHasKperiodsKofKremissionKandKexacerbations.KCharacterizedKb
yKinflammationKandKulcerationsKthatKremainKsuperficialKandKinKtheKsmallKintestine.



UCKS&SK-
KANSWERKrecurrentKdiarrhea,KbloodyKstools,Kfebrile,Kpolyarthritis,Kuveitis,KsclerosingKcholangitis,Kerythem

aKnodosumKandKpyodermaKgangrenosum



UCKcomplicationsK-
KANSWERKfissures,Khemorrhoids,KperirectalKabscess,KtoxicKmegacolon,KcolonKperforation,KandKcolorectalKa

denocarcinoma.KIncreasedKriskKofKVTEKandKmicrothrombi,KandKcolonKcancer



Crohn'sKdiseaseK-
KANSWERKChronicKinflammatoryKdisordersKthatKcanKaffectKanyKportionKofKtheKGIKtractKbutKmostKoftenKinKth

eKileumKandKproximalKcolon.KAffectsKpersonsKinKtheirK20-
30sKandKofKjewishKdecent.KCARD15/NOD2KgeneKmutationKcommonlyKassociated.



Crohn'sKdiseaseKriskKfactorsK-
KANSWERKsmoking,KfamilyKhistory,KJewishKdecent,KageKlessKthanK40,KslightKpredominanceKinKwomenKandKal

teredKgutKmicrobiome.