Exam 15: Diseases of the Lower Gastrointestinal Tract

Case Study RD is a 29 yo F admitted with intractable diarrhea and abdominal pain.She has a PMH of Crohn's disease and has had two previous resections of the small bowel.She frequently has pain in the RLQ after eating.She claims the pain often gets so bad that she is afraid to eat and has been progressively consuming below her caloric needs.She currently takes Asacol and Lomotil to manage the symptoms of Crohn's disease.After undergoing a colonoscopy, an obstruction resulting from stricture in the terminal ileum was discovered.Emergency sgy was performed to remove the obstruction and a resection was done with the remaining intestine.RD's gastroenterologist recommends bowel rest and expects her to have a full recovery. HT: 5'4"      WT: 110#        UBW: 122# Diet: NPO      Meds: Asacol, Lomotil Alb.2.7          Pre-Alb.17 Na: 138        Cl: 98      BUN: 5 Glucose: 80 K: 3.6         CO₂: 25      Cr: 0.8 -Which of the following medications would require RD to be on a folate supplement due to their interaction?

The absorption of B12 can only occur in the:

Which of the following vitamins are endogenously produced within the colon?

A colostomy involves the removal of:

An abnormal amount of fat in the stool is a condition known as:

What is the purpose of the D-xylose test?

All of the following classes of drugs are used to treat IBS except:

Case Study RD is a 29 yo F admitted with intractable diarrhea and abdominal pain.She has a PMH of Crohn's disease and has had two previous resections of the small bowel.She frequently has pain in the RLQ after eating.She claims the pain often gets so bad that she is afraid to eat and has been progressively consuming below her caloric needs.She currently takes Asacol and Lomotil to manage the symptoms of Crohn's disease.After undergoing a colonoscopy, an obstruction resulting from stricture in the terminal ileum was discovered.Emergency sgy was performed to remove the obstruction and a resection was done with the remaining intestine.RD's gastroenterologist recommends bowel rest and expects her to have a full recovery. HT: 5'4"      WT: 110#        UBW: 122# Diet: NPO      Meds: Asacol, Lomotil Alb.2.7          Pre-Alb.17 Na: 138        Cl: 98      BUN: 5 Glucose: 80 K: 3.6         CO₂: 25      Cr: 0.8 -Because of RD's diarrhea, which of the following electrolytes becomes of concern?

Two important recommendations dietitians should enforce when encouraging fiber intake are:

BT is a 70 yo M admitted to the ER with dull abdominal pain and no passage of stools for 5 days.He reported that he is usually constipated but "now it had gotten really bad with a sensation of fullness over my stomach." He had previously been admitted to the hospital twice in 1 year with intestinal obstruction.A colonoscopy revealed diverticulitis of the transverse colon. Ht: 5' 11" (180 cm)      Wt: 179#    IBW: 172# -The registered dietitian should recommend how much fiber?

All of the following enzymes are responsible for protein digestion within the small intestine except:

The use of sulfasalazine for treatment of IBD interferes with the metabolism of which of the following vitamins or minerals?

Case Study RD is a 29 yo F admitted with intractable diarrhea and abdominal pain.She has a PMH of Crohn's disease and has had two previous resections of the small bowel.She frequently has pain in the RLQ after eating.She claims the pain often gets so bad that she is afraid to eat and has been progressively consuming below her caloric needs.She currently takes Asacol and Lomotil to manage the symptoms of Crohn's disease.After undergoing a colonoscopy, an obstruction resulting from stricture in the terminal ileum was discovered.Emergency sgy was performed to remove the obstruction and a resection was done with the remaining intestine.RD's gastroenterologist recommends bowel rest and expects her to have a full recovery. HT: 5'4"      WT: 110#        UBW: 122# Diet: NPO      Meds: Asacol, Lomotil Alb.2.7          Pre-Alb.17 Na: 138        Cl: 98      BUN: 5 Glucose: 80 K: 3.6         CO₂: 25      Cr: 0.8 -Due to RD's weight loss, what kcalorie intake is the most appropriate?

Which of the following supplements has been recommended for the treatment of constipation?

Case Study RD is a 29 yo F admitted with intractable diarrhea and abdominal pain.She has a PMH of Crohn's disease and has had two previous resections of the small bowel.She frequently has pain in the RLQ after eating.She claims the pain often gets so bad that she is afraid to eat and has been progressively consuming below her caloric needs.She currently takes Asacol and Lomotil to manage the symptoms of Crohn's disease.After undergoing a colonoscopy, an obstruction resulting from stricture in the terminal ileum was discovered.Emergency sgy was performed to remove the obstruction and a resection was done with the remaining intestine.RD's gastroenterologist recommends bowel rest and expects her to have a full recovery. HT: 5'4"      WT: 110#        UBW: 122# Diet: NPO      Meds: Asacol, Lomotil Alb.2.7          Pre-Alb.17 Na: 138        Cl: 98      BUN: 5 Glucose: 80 K: 3.6         CO₂: 25      Cr: 0.8 -What is a common complication of Crohn's that may require surgery?

Which of the following statements is not true about Crohn's disease?

Case Study RD is a 29 yo F admitted with intractable diarrhea and abdominal pain.She has a PMH of Crohn's disease and has had two previous resections of the small bowel.She frequently has pain in the RLQ after eating.She claims the pain often gets so bad that she is afraid to eat and has been progressively consuming below her caloric needs.She currently takes Asacol and Lomotil to manage the symptoms of Crohn's disease.After undergoing a colonoscopy, an obstruction resulting from stricture in the terminal ileum was discovered.Emergency sgy was performed to remove the obstruction and a resection was done with the remaining intestine.RD's gastroenterologist recommends bowel rest and expects her to have a full recovery. HT: 5'4"      WT: 110#        UBW: 122# Diet: NPO      Meds: Asacol, Lomotil Alb.2.7          Pre-Alb.17 Na: 138        Cl: 98      BUN: 5 Glucose: 80 K: 3.6         CO₂: 25      Cr: 0.8 -How would you estimate RD's protein needs?

Diverticulosis probably originates because of

Your patient has been admitted to the hospital with an exacerbation of Crohn's disease The physician has prescribed corticosteroids to control the inflammation Which of the following is not a complication of this medication?

Individuals with celiac disease should not be exposed to _____ as it will result in damage to the intestinal mucosa