Exam (elaborations)
NURS 5315 GI QUESTIONS AND ANSWERS
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NURS 5315 GI QUESTIONS AND ANSWERS
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Name: Score:58 Multiple choice questions
Definition 1 of 58
Bleeding in the jejunum, ileum, colon or rectum from inflammatory bowel disease, cancer,
diverticula or hemorrhoids. Hematochezia, or the presence of bright red blood in the stools,
suggest a lower GI bleed usually in the rectum, sigmoid colon or descending colon
Cholecystitis
Lower Gi organs
Lower GI bleed
Upper Gi bleed
Definition 2 of 58
Onset is 24 hours after birth. bilirubin levels>20 or indirect bilirubin>15. Risk factors include ABO
or RH incompatibility, prematurity, exclusive breast feeding, maternal age greater than 25,
male infant, delayed meconium passage and birth trauma. Most common cause is hemolytic
disease of the newborn
Ascites
Obsructive jaundice
Immune mediated hemolysis
Pathologic neonatal jaundice
,Definition 3 of 58
Is a break in the integrity of the mucosa of the esophagus, stomach or duodenum resulting in
exposure of the tissue to gastric acid. Risk factors include smoking, advanced age, NSAID use,
ETOH, chronic disease, acute pancreatitis, COPD, obesity, socioeconomic status, gastrinoma,
and infection with Helicobacter pylori. S&S: Epigastric pain is worse with eating, melena or
hematemesis
Pyloric Stenosis
Cholecystitis
Peptic Ulcer Disease
Crohn's Disease
Definition 4 of 58
due to ammonia accumulation. Ammonia causes the neurons to swell which leads to cerebral
edema and IICP. Triggers for this include: ETOH abuse, infection, GI bleed, portal vein
thrombosis, sedatives, volume depletion, constipation, electrolyte imbalances and diuretics.
Asterixis AKA liver flap is most common sign.
Peptic Ulcer Disease
Ascites
Jaundice
Hepatic Encephalopathy
Definition 5 of 58
Incubation-30 days. Transmission-Fecal oral route. Period of communicability-up to 1 week
after onset of jaundice. Chronic carrier-no. Age-children and young adults. Vaccine-yes.
Prevention-hand washing, and vaccine. IG availabe-yes. Household contacts treated
Hepatitis C
Hepatitis A
Hepatitis B
Hepatits E
,Definition 6 of 58
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
Gallstones S&S
Lower Gi Bleed
Definition 7 of 58
fissures, hemorrhoids, perirectal abscess, toxic megacolon, colon perforation, and colorectal
adenocarcinoma. Increased risk of VTE and microthrombi, and colon cancer
UC complications
Cholelithiasis
Meds for uc/crohns
Uc s&s
Definition 8 of 58
Diverticula are outpouchings of mucosa from the muscle layer of the intestine that protrude
into the intestinal lumen most commonly in the sigmoid colon. Diverticulosis is the presence of
diverticula in an asymptomatic person. Diverticulitis is an inflammation of diverticula and cause
LLQ pain. Results in abscess formation, rupture and peritonitis
Crohn's Disease
Jaundice
Small Bowel Obstruction
Diverticulosis/Diverticulitis
, Definition 9 of 58
abrupt post prandial pain, epifastric pain that radiates to the back and is worse when lying
down, n/v and if hemorrhaging occurs then persons will have signs of hypovolemic shock,
fever, hypocalcemia, jaundice and a lot of fluid loss
Uc s&s
Non-obstructive jaundice
Acute pancreatitis S&S
Autoimmune hepatitis
Definition 10 of 58
Presence of stones in the gallbladder. Risk factors include obesity, rapid weight loss, middle
age, female gender, oral contraceptives, native american ancestry, ileal disease, low HDLs,
malabsorption disorders and hypertriglyceridemia.
Crohn's Disease
Cholelithiasis
Acute Pancreatitis
Ascites
Definition 11 of 58
All positive C antibody test indicates a chronic hepatitis C infection
Hepatitis C screening
Abdominal aortic aneurysm screening
Hepatitis b
Fall Prevention screening
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