Med Surg. GI disorders UPDATED
ACTUAL Exam Questions and CORECT
Answers
GERD - CORRECT ANSWER -• Backward flow of stomach acid into the esophagus
o Heartburn (pyrosis) 20 mins to 2 hours after eating
o Regugitation : backwards up to the mouth
o Eructation: belching
Bernstein test - CORRECT ANSWER -NG tube insert hydrochloric acid and saline and
reproduce pain person is having
Barium shallow - CORRECT ANSWER -contrasts iodine (make sure you not allergic to
shellfish) you shallow Barium and x ray taken to see if you see narrowing
endoscopy - CORRECT ANSWER -direct visualization using a scope putting scope
inside.
barret esophagus - CORRECT ANSWER -esophagus cancer if GERD not treated
Acute Gastritis - CORRECT ANSWER -• Inflammation of the stomatch can lead to
alcoholism, smoking, stress, poisoning/ contamination, bacteria parasites
• s/s: fever, headache, epigastric pain, coating of tongue, loss of apetitie
Don give antidiarrheals such as imodium and lomital because it can slow down peristalsis
leaving bacteria inside
, when having acute gastritis pt. continues to vomit what do you do - CORRECT
ANSWER -give ng tube until symptoms subside so wont cause any more acid going up
while vomiting
PUD - CORRECT ANSWER -ulcerations result in imbalance of acid and pepsin too much
acid
-usually by h. pylori
usually common in elderly who takes a lot of NSAIDS
make sure you take food with NSAID to prevent ulcers
Diagnosis tests for acute gastritis - CORRECT ANSWER -stool, emesis for occult blood,
WBC, electrolytes, CBC
Symptoms of gastric and duodenal ulcers - CORRECT ANSWER -dyspepsia: upset
stomach
hematemesis: throwing up blood
melena: black stool
perforation! most lethal complication
perforation - CORRECT ANSWER -contents can enter the sterile field can cause
peritonitis causing systemic infection
peritonitis rarley has what symptoms - CORRECT ANSWER -fever in initial stage
peritonitis symptoms: - CORRECT ANSWER -sudden severe abdominal pain, rigid
abdomen, shallow rapid respiration, tachycardia with weak pulse, nausea and vomitting
ACTUAL Exam Questions and CORECT
Answers
GERD - CORRECT ANSWER -• Backward flow of stomach acid into the esophagus
o Heartburn (pyrosis) 20 mins to 2 hours after eating
o Regugitation : backwards up to the mouth
o Eructation: belching
Bernstein test - CORRECT ANSWER -NG tube insert hydrochloric acid and saline and
reproduce pain person is having
Barium shallow - CORRECT ANSWER -contrasts iodine (make sure you not allergic to
shellfish) you shallow Barium and x ray taken to see if you see narrowing
endoscopy - CORRECT ANSWER -direct visualization using a scope putting scope
inside.
barret esophagus - CORRECT ANSWER -esophagus cancer if GERD not treated
Acute Gastritis - CORRECT ANSWER -• Inflammation of the stomatch can lead to
alcoholism, smoking, stress, poisoning/ contamination, bacteria parasites
• s/s: fever, headache, epigastric pain, coating of tongue, loss of apetitie
Don give antidiarrheals such as imodium and lomital because it can slow down peristalsis
leaving bacteria inside
, when having acute gastritis pt. continues to vomit what do you do - CORRECT
ANSWER -give ng tube until symptoms subside so wont cause any more acid going up
while vomiting
PUD - CORRECT ANSWER -ulcerations result in imbalance of acid and pepsin too much
acid
-usually by h. pylori
usually common in elderly who takes a lot of NSAIDS
make sure you take food with NSAID to prevent ulcers
Diagnosis tests for acute gastritis - CORRECT ANSWER -stool, emesis for occult blood,
WBC, electrolytes, CBC
Symptoms of gastric and duodenal ulcers - CORRECT ANSWER -dyspepsia: upset
stomach
hematemesis: throwing up blood
melena: black stool
perforation! most lethal complication
perforation - CORRECT ANSWER -contents can enter the sterile field can cause
peritonitis causing systemic infection
peritonitis rarley has what symptoms - CORRECT ANSWER -fever in initial stage
peritonitis symptoms: - CORRECT ANSWER -sudden severe abdominal pain, rigid
abdomen, shallow rapid respiration, tachycardia with weak pulse, nausea and vomitting
