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ParamedicEMT-GI Quiz

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Institution
ParamedicEMT
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ParamedicEMT

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, II of XV pages
Highlight the letter of the Answer that corresponds to the displayed Question.

1. Hepatitis S/S
A: rigid boardlike abd,sudden intense steady epigastric pain,RUQ, radiates to back, dimished bowel
B: acini cells produce enzymes involved in digestion,produces bicarbonate juice to buffer acidic juice from
C: Sudden onset of Malaise,muscle aches,weak,anorexia,N/V,weightloss, diarrhea,constipation,clay colored
D: -prox duodenum(small intestines)2-3xs more common that gastric ulcers,25-50yr,genetic-PAIN AT


2. Acute gastroenteritis causes
A: digestive,storage,Detox,production of bile 60-1000ml per day, carbohydrate metabolism, amino acid
B: involve inferior hemorrhoidal plexus, bleeds during defication
C: alcohol,ASA,NSAID, ingestion of chemicals, infections
D: breakdown of gastric or duodenal mucosal defence-caused by imbalance between production of


3. Bowel obstruction
A: RUQ pain, MURPHEYS SIGN(reffered pain to RT shoulder,colicky,pain after meal high in fat (increases
B: partial or complete-due to hernias,intussusception (overlaps) and volvulus (twisting on itself)
C: spread by fecal0oral,rarely causes hepatic inj,TX.immune globulin
D: allows entrance of bile from the liver to the intestines


4. Severe pancreatitis
A: -cholecystitis, hepatitis, pancreatitis, perforated ulcer,right renal pain
B: refractory hypotensive shock and bloos loss,jaundice,respiratory failure
C: perforation of organ
D: fever,DIFFUSE VISCERAL pain,peritonitis, shock, ecchymosis, decreased bowel sounds


5. Lower GI bleeding S/S
A: originates in a region other than where it is felt
B: Chronic,irreversable degenerative Dx of the liver,most common cause alcohol, viral hep B or C-slow
C: Cramp,N/V,stool changes,bright red blood , distention or ecchymosis
D: IV fluid 20cc/kg,Sengstaken-blkemore tube, sclerotherapy(thrombus forming frug into vein itself


6. Lower GI consist of
A: 1.stool passes sluggish,colon responds withmuscle spasms,by raising pressure causes herniation through
B: formation of gallstones-causes 90%of cases-2 types:
C: acini cells produce enzymes involved in digestion,produces bicarbonate juice to buffer acidic juice from
D: Jejunum,Ileum,large intestine, rectum,anus


7. Diverticulitis
A: -gastritis,esophagitis,pancreatitis,cholecystis, aortic aneurysm,myocardial ischemia
B: waterborne infection,chronic hep does not develop,mortlity high for pregos


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ParamedicEMT
Course
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