NSG 5003 Gastrointestional

• One of the many sequelae associated with cirrhosis is hepatic encephalopathy. It is a

cause by the inability of the liver to:

• detoxify ammonia
• synthesize glycogen
• produce bile

d) break down insulin:

Answer Detoxify ammonia

• Extrintestinal manifestation of Chron's disease
• heart failure
• pedal edema
• cholelithiasis

d) splenomegaly:

Answer Cholelithiasis

• Hemolytic disease of the newborn may lead to accumulation of unconjugated bilirubin

in the brain, which can cause kericterus. A characteristic of unconjugated bilirubin is that it:

• is considered direct bilirubin
• is soluble in water
• increased bile production

d) is lipid soluble:

Answer Is lipid souluble

• Which type of hernia involves a bulding of the stomach through the diaphragm and

into the chest

• inguinal hernia
• umbilical hernia
• hilatal hernia

d) epigastric hernia:

Answer Hitatal hernia

• Mechanical and chemical receptors in the GI tract that trigger nausea are communicated

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to the brain primarily by the:

• vestibulocochlear nerve
• trigeminal nerve
• vagal nerve

d) hypoglossal nerve:

Answer vagal nerve

6. Diarrhea is caused by an incomplete absorption of water from the:

• stomach
• jejunum
• ileuim

d) large intestine:

Answer Large intestine

• Which of the following is a diffuse hepatic process characterized by fibrosis and

conversion of the normal liver tissues into structurally abnormal nodules?

a) Hepatitis

b) Liver cancer

c) Liver cysts

d) Cirrhosis:

Answer Cirrhosis

• Which statement about Crohn's disease is true?

a) Crohn's disease affects the mucosal layer of the intestine only

b) Granuloma development is ot associated with Crohn's disease

c) Crohn's disease only affects the entire small intestine

d) Crohn's disease is characterized by mucosal ulceration and inflammation anywhere in

the gastrointestinal tract.:

Answer Crohn's disease is characterized by mucosal ulceration and inflammation anywhere in the gastroinstestional tract

• Which of the following is associated with the devlopment of conjugated

hyperbilibinemia?

a) Excessive production of bilirubin

b) Reduced hepatocyte uptake

c) Impaired conjugation of bilirubin

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d) Impaired bile flow:

Answer Impaired bile flow

• Which mechanism is NOT associated with the development of jaundice?
• excessive production of bilirubin
• increased hepatocyte uptake
• decreaed hepatocellular excretion

d) impaired bile flow:

Answer Increased hepatocyte uptake

• A hital hernia occurs when a defect in the diaphragm permits protrusion of the:

a) Transverse colon

b) Esophagus

c) Stomach

d) Small intestine:

Answer Stomach

• Which of the following is NOT an enzyme produced in the pancrease?

a) Amylase

b) Protease

c) Lipase

d) Pepsin:

Answer Pepsin

• A cluster of vascular tissue, smooth muscle, and connective tissue lining the anal

canal is known as:

a) Condyloma acuminatum

b) Rectal prolapse

c) Hemorrhoids

d) Proctitis:

Answer Hemorrhoids

• The most common cause of bilirubin overproduction, resultin in jaundice, is:

a) Hemolytic anemia

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b) Cirrhosis

c) Increased erthyrocyte production

d) Cholelithiasis:

Answer Hemolytic anemia

15. The most common site for diverticulosis to occur is the:

a) Jejunum

b) Small intestine

c) Sigmoid colon

d) Ileum:

Answer Sigmoid colon

16. The most common cause of infectious esophagitis is:

a) Helicobacter pylori

b) Staphlococcus aureus

c) Herpes simplex virus

d) Candida:

Answer Candida

• The back flow of gastric or duodenal contents into the esophagus is known as:

a) Gasteroesophageal reflux

b) Cholelithiasis

c) Esophageal spasm

d) Peptic ulcer disease:

Answer Gastroesophageal reflux

• The pancreatic enzyme amylase and lipase are inactivated when the pH is below:
• 5
• 6
• 7

d) 8:

Answer 5

• A patient with early satiety, small volume emesis, and bloating is most likely