Exam 14: Diseases of the Upper Gastrointestinal Tract

HK is a 60 yo M who has been diagnosed with achalasia.He has a history of Chagas disease and has been complaining of "food getting stuck in his throat." The registered dietitian consults with HK and finds that he has been afraid to eat due to his symptoms and has experienced a 13# unintentional weight loss. HT: 5'8" WT: 170# -The registered dietitian will recommend which type of diet after the above procedure?

(Multiple Choice)

4.7/5

(71)

Question 21

All of the following foods increase acid secretion except for _____

(Multiple Choice)

4.9/5

(78)

Question 22

The chief function of the esophagus is:

(Multiple Choice)

4.8/5

(87)

Question 23

Case Study

LK is a 40 yo F s/p gastric resection 2 weeks ago due to a perforated ulcer from complicated PUD. Prior to her surgery, she was experiencing severe pain and upset stomach. She is now complaining of persistent diarrhea after she eats.

HT: 5’4” WT: 170# UBW: 187#

Usual intake: Diet: NPO

AM juice and fruit

Snack toast with butter

Noon half a tuna sandwich

Snack granola bar, Gatorade

PM mashed potatoes with gravy

Snack ice cream

Labs:

Na: 151 Cl: 107 BUN: 8 Glucose: 140

K: 3.5 CO₂: 28 Cr: 1.1

-What is the likely cause of LK's persistent diarrhea?

(Multiple Choice)

4.8/5

(93)

Question 24

Cheilosis and glossitis are both inflammatory symptoms of the oral cavity that are associated with deficiencies of all of these vitamins except:

(Multiple Choice)

5.0/5

(79)

Question 25

Case Study

LK is a 40 yo F s/p gastric resection 2 weeks ago due to a perforated ulcer from complicated PUD. Prior to her surgery, she was experiencing severe pain and upset stomach. She is now complaining of persistent diarrhea after she eats.

HT: 5’4” WT: 170# UBW: 187#

Usual intake: Diet: NPO

AM juice and fruit

Snack toast with butter

Noon half a tuna sandwich

Snack granola bar, Gatorade

PM mashed potatoes with gravy

Snack ice cream

Labs:

Na: 151 Cl: 107 BUN: 8 Glucose: 140

K: 3.5 CO₂: 28 Cr: 1.1

-Calculate and describe LK's % weight loss

(Multiple Choice)

4.8/5

(90)

Question 26

Treatment of achalasia includes the use of _____, which is/are responsible for prolonging the relaxation of the LES

(Multiple Choice)

4.8/5

(78)

Question 27

Which of the following statements is false in regards to digestion in the stomach?

(Multiple Choice)

4.9/5

(71)

Question 28

Following removal of two-thirds of the stomach, the patient may report experiencing the "dumping syndrome" Typical symptoms of this condition would include:

(Multiple Choice)

4.8/5

(79)

Question 29

HK is a 60 yo M who has been diagnosed with achalasia.He has a history of Chagas disease and has been complaining of "food getting stuck in his throat." The registered dietitian consults with HK and finds that he has been afraid to eat due to his symptoms and has experienced a 13# unintentional weight loss. HT: 5'8" WT: 170# -What surgical procedure might the MD recommend for HK?

(Multiple Choice)

4.7/5

(85)

Question 30

All of the following foods decrease LES pressure except:

(Multiple Choice)

4.9/5

(78)

Question 31

Late dumping syndrome is caused by oversecretion of which hormone?

(Multiple Choice)

4.9/5

(84)

Question 32

The parasympathetic system innervates the GI system and sends impulses via the _____

(Multiple Choice)

5.0/5

(98)

Question 33

Which of the following sphincters is responsible for controlling the release of a bolus into the stomach?

(Multiple Choice)

4.9/5

(80)

Question 34

After food is chewed and mixed with saliva it then forms a:

(Multiple Choice)

4.8/5

(81)

Question 35

Postgastrectomy and post-vagotomy patients will have fewer problems with eating if they will make which of the following adjustments in their diet?

(Multiple Choice)

4.9/5

(74)

Question 36

Case Study

LK is a 40 yo F s/p gastric resection 2 weeks ago due to a perforated ulcer from complicated PUD. Prior to her surgery, she was experiencing severe pain and upset stomach. She is now complaining of persistent diarrhea after she eats.

HT: 5’4” WT: 170# UBW: 187#

Usual intake: Diet: NPO

AM juice and fruit

Snack toast with butter

Noon half a tuna sandwich

Snack granola bar, Gatorade

PM mashed potatoes with gravy

Snack ice cream

Labs:

Na: 151 Cl: 107 BUN: 8 Glucose: 140

K: 3.5 CO₂: 28 Cr: 1.1

-The registered dietitian may prescribe which vitamin due to the reduction in surface area of the stomach?

(Multiple Choice)

4.9/5

(79)

Question 37

Which portion of the stomach is involved in mixing foodstuffs?

(Multiple Choice)

4.8/5

(90)

Question 38

Case Study

LK is a 40 yo F s/p gastric resection 2 weeks ago due to a perforated ulcer from complicated PUD. Prior to her surgery, she was experiencing severe pain and upset stomach. She is now complaining of persistent diarrhea after she eats.

HT: 5’4” WT: 170# UBW: 187#

Usual intake: Diet: NPO

AM juice and fruit

Snack toast with butter

Noon half a tuna sandwich

Snack granola bar, Gatorade

PM mashed potatoes with gravy

Snack ice cream

Labs:

Na: 151 Cl: 107 BUN: 8 Glucose: 140

K: 3.5 CO₂: 28 Cr: 1.1

-The registered dietitian assesses LK's diet and determines that it is lower in _____ than is recommended for her condition

(Multiple Choice)

4.8/5

(90)

Question 39

Zollinger-Ellison syndrome is a condition of:

(Multiple Choice)

4.9/5

(66)

Question 40

All of the following foods increase acid secretion except for _____

The chief function of the esophagus is:

Cheilosis and glossitis are both inflammatory symptoms of the oral cavity that are associated with deficiencies of all of these vitamins except:

Treatment of achalasia includes the use of _____, which is/are responsible for prolonging the relaxation of the LES

Which of the following statements is false in regards to digestion in the stomach?

Following removal of two-thirds of the stomach, the patient may report experiencing the "dumping syndrome" Typical symptoms of this condition would include:

All of the following foods decrease LES pressure except:

Late dumping syndrome is caused by oversecretion of which hormone?

The parasympathetic system innervates the GI system and sends impulses via the _____

Which of the following sphincters is responsible for controlling the release of a bolus into the stomach?

After food is chewed and mixed with saliva it then forms a:

Postgastrectomy and post-vagotomy patients will have fewer problems with eating if they will make which of the following adjustments in their diet?

Which portion of the stomach is involved in mixing foodstuffs?

Zollinger-Ellison syndrome is a condition of:

Role of the Dietitian in the Health Care System

The Nutrition Care Process

Nutrition Assessment: Foundation of the Nutrition Care Process

Nutrition Intervention

Enteral and Parenteral Nutrition Support

Documentation of the Nutrition Care Process

Fluid and Electrolyte Balance

Acid-Base Balance

Cellular and Physiological Response to Injury:The Role of the Immune System

Nutritional Genomics

Pharmacology

Energy Balance and Body Weight

Diseases of the Cardiovascular System

Diseases of the Lower Gastrointestinal Tract

Diseases of the Liver, Gallbladder, and Exocrine Pancreas

Diseases of the Endocrine System

Diseases of the Renal System

Diseases of the Hematological System

Diseases and Disorders of the Neurological System

Diseases of the Respiratory System

Metabolic Stress and the Critically Ill

Neoplastic Disease

Hiv and Aids

Diseases of the Musculoskeletal System

Metabolic Disorders

Filters

LK is a 40 yo F s/p gastric resection 2 weeks ago due to a perforated ulcer from complicated PUD. Prior to her surgery, she was experiencing severe pain and upset stomach. She is now complaining of persistent diarrhea after she eats.
HT: 5’4” WT: 170# UBW: 187#
Usual intake:			Diet: NPO
AM	juice and fruit
Snack	toast with butter
Noon	half a tuna sandwich
Snack	granola bar, Gatorade
PM	mashed potatoes with gravy
Snack	ice cream
Labs:
Na: 151	Cl: 107	BUN: 8	Glucose: 140
K: 3.5	CO₂: 28	Cr: 1.1