Exam 17: Nutrition and Upper Gastrointestinal Disorders

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What condition is considered a cause of acute gastritis?

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What is the diet progression following bariatric surgery?

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A

Which risk factor is most closely associated with development of periodontal disease?

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E

People with _____ often complain of food "sticking" in the esophagus.

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Describe the nutritional concerns for a patient following bariatric surgery.

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In the dietary treatment of gastritis, it is important to eliminate irritating foods and beverages.

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M.L. is a 34-year-old male computer programmer with a BMI of 26 who is seeking dietary counseling. His dose of Prilosec was recently increased, and although he now suffers less often from heartburn symptoms, he is also leery of medical side effects and would like any and all suggestions to manage his GERD "naturally." Having had GERD for the past eight years and been on some form of antacid or antisecretory medication continuously during that time, M.L. knows what foods or factors cause symptoms, and is able to generally avoid them; hence, he has not had reflux esophagitis in over a year. A 24-hour diet history reveals M.L. ate these foods yesterday: Breakfast: Skipped Snack: Fresh pear; instant oatmeal made with water, eaten with brown sugar and two non-dairy creamers; skim milk Lunch: Lean turkey lunch meat on whole-grain bread with lettuce, tomato, and mustard; 100% grape juice diluted with water; snack pack of carrots, no dressing Snack: Sugar cookies; skim milk Dinner: Tempura (deep-fried, breaded) salmon; buttered rice; salad with lettuce and tomato; vinegar and oil dressing; water Snack, at bedtime: Ginger ale and ginger snap cookies M.L. should be made aware that use of antacids and antisecretory medication:

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Match each nutrition term with the appropriate definition.
stricture
a film of bacteria and bacterial by-products that accumulates on the tooth surface
esophageal dysphagia
a condition characterized by backward flow of the stomach's acidic contents into the esophagus
dyspepsia
an esophageal disorder characterized by weakened peristalsis and impaired relaxation of the lower esophageal sphincter
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stricture
a film of bacteria and bacterial by-products that accumulates on the tooth surface
esophageal dysphagia
a condition characterized by backward flow of the stomach's acidic contents into the esophagus
dyspepsia
an esophageal disorder characterized by weakened peristalsis and impaired relaxation of the lower esophageal sphincter
peptic ulcer
excessive bacterial colonization of the stomach and small intestine
gastritis
dry mouth caused by reduced salivary flow
gastroesophageal reflux disease (GERD)
abnormally low gastric acid secretions
Sjögren's syndrome
mineralized dental plaque, often associated with inflammation and progressive gum disease
oropharyngeal dysphagia
inflammation of the gums, characterized by redness, swelling, and bleeding
bariatric surgery
abnormal narrowing of a passageway; often due to inflammation, scarring, or a congenital abnormality
dental calculus
surgery that treats severe obesity
dental plaque
an open sore in the GI mucosa
gastric outlet obstruction
an autoimmune disease characterized by the destruction of secretory glands, resulting in dry mouth and dry eyes
periodontitis
symptoms of pain or discomfort in the upper abdominal area, often called "indigestion"
gingivitis
inflammation of stomach tissue
periodontal disease
inflammation or degeneration of the tissues that support the teeth
achalasia
difficulty passing food through the esophagus
bacterial overgrowth
difficulty transferring food from the mouth and pharynx to the esophagus to initiate the swallowing process
hypochlorhydria
inflammation in the esophagus resulting from the reflux of acidic stomach contents
reflux esophagitis
a blockage that prevents the normal emptying of stomach contents into the duodenum
xerostomia
disease that involves the connective tissues that support the teeth
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Hypochlorhydria may most likely result from what condition?

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List the symptoms of dumping syndrome and explain the sequence of events that results in these symptoms.

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Nutrition interventions to ease the symptoms of nausea include:

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What food should be limited in a post-gastrectomy diet unless tolerated by the patient?

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Following bariatric surgery, the gastric pouch may eventually stretch to hold about _____ of food.

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What substance has been reported to be a cause  of dyspepsia?

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Oropharyngeal dysphagia is common in elderly persons and frequently follows a stroke.

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Nursing Exam Review The nurse is working with a client who recently suffered from a stroke. The client complains of painful swallowing, nasal regurgitation during swallowing, and coughing during meals. The nurse recognizes these as symptoms of:

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Caries develops when the bacteria that reside in dental plaque metabolize dietary carbohydrates and produce acids that attack tooth enamel.

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Dental caries are caused by:

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Peptic ulcers are a major cause of _____, which occurs in up to 15 percent of ulcer cases.

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To avoid dehydration, the patient who has undergone bariatric surgery should:

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