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NURS 5315 GI MODULE 9, EXAM 5 QUESTIONS AND ANSWERS
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NURS 5315 GI MODULE 9, EXAM 5 QUESTIONS AND ANSWERS
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Name: Score:68 Multiple choice questions
Definition 1 of 68
Normally a transient condition d/t persistent or rising bilirubin that manifests during the first
week of life in healthy, full term infants and subsides after a couple of weeks. Caused by mild
unconjugated hyperbilirubinemia.
Gilbert's syndrome
Peptic ulcer disease
Infant cretinism
Physiologic neonatal jaundice
Definition 2 of 68
May not cause any S&S if they are small. Some can pass into the common bile duct and cause
an obstruction which will cause painful spasms and contraction of the bile duct in the RUQ
area called biliary colic. Pain is also felt in the back, right should or right scapula. N/V.
Small Bowel Obstruction
Crohn's Disease S&s
Alcoholic Cirrhosis
Gallstones S&S
Definition 3 of 68
Abnormally high blood pressure in the portal venous system caused by resistance to portal
blood flow. Commonly caused by fibrosis, obstruction from cirrhosis, thrombosis, or narrowing
of hepatic portal vein. Most common S&S is vomiting blood from bleeding esophageal varices.
Acute Pancreatitis
Ascites
Portal Hypertension
Jaundice
,Definition 4 of 68
Hepatitis B surface antigen +
Hepatitis B core antibody IgM +
Hepatitis B Surface Antibody -
means what
Acute Hepatitis B Infection
Chronic Hepatitis B infection
Acute Pancreatitis Diagnosis And Complications
Chronic hepatitis C infection
Definition 5 of 68
Caused by the presence of a nonabsorbable substance in the intestines. This pulls water by
osmosis into the intestinal lumen and results in large volume diarrhea. This is how mag citrate,
lactulose and miralax work. Causes include: excessive ingestion of nonabsorbable sugars, tube
feedings, dumping syndrome, malabsorption, pancreatic enzyme deficiency, bile salt
deficiency, small intestine bacterial overgrowth or celiac disease
Motility diarrhea
Ascites
Osmotic diarrhea
Pyloric stenosis
,Definition 6 of 68
Onset is 24 hours after birth; often d/t hemolytic disease of the newborn; seen in exclusive
breastfed infants, premature infants, ABO or RH incompatibility, maternal age greater than 25,
male infant, delayed meconium passage and birth trauma.
bilirubin levels >20 or indirect bilirubin >15.
Patho: increased bilirubin production, impaired hepatic uptake or excretion of unconjugated
bilirubin, or a delayed maturation of liver conjugating mechanisms
Pancreatic cancer
Motility diarrhea
Immune mediated hemolysis
Pathologic neonatal jaundice
Definition 7 of 68
Incidence increases with age and is more common in males and african americans. Risk factors:
ETOH use, family history, smoking, non O blood type, DM type 2, and chronic pancreatitis. K-
ras mutation, a proto-oncogene is most common genetic alteration.
Tumors arise from exocrine cells of pancreas ducts, called adenocarcinomas; tumors of the
head of pancreas grow quickly and can obstruct the portal veins and common bile duct
Ascites
Colon cancer
Motility diarrhea
Pancreatic cancer
, Definition 8 of 68
mouth,pharynx, esophagus, stomach, and duodenum
Upper GI organs
Upper Gi bleed
Lower Gi bleed
Cholelithiasis
Definition 9 of 68
inflammation of the gallbladder from obstruction in biliary tract. S&S: precipitated by a fatty
meal, GERD, positive murphy's sign and rebound tenderness. Lab abnormalities include
leukocytosis, increased alkaline phosphatase and direct bilirubin.
Appendicitis
Cholecystitis
Jaundice
Acute Pancreatitis
Definition 10 of 68
Characterized as the presence of diverticula in the large intestine. Risk factors include older
age, genetic predisposition, obesity, smoking, diet, lack of exercise, ASA and other NSAIDS,
altered DI microbiome and abnormal colonic peristalsis
Colon cancer
Appendicitis
Crohn's disease
Diverticular disease
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