Exam 23: Upper Gastrointestinal Disorders

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An example of a strategy used by dietitians to encourage patients on mechanically altered diets to eat is to ____.

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Discuss the complications of dysphagia and explain how dietary interventions can help with dysphagia management.

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Health practitioners should be alert to the various complications that may accompany dysphagia. If the condition restricts food consumption, weight loss and malnutrition may develop. Individuals who cannot swallow liquids are at increased risk of dehydration. If aspiration occurs, it may cause choking, airway obstruction, or respiratory infections, including pneumonia. If a person lacks a normal cough reflex, aspiration is more difficult to diagnose and may go unnoticed. To compensate for swallowing difficulties, a person with dysphagia may need to consume foods and beverages that have been physically modified so that they are easier to swallow. Because a wide variety of defects can cause dysphagia, finding the best diet is often a challenge. Furthermore, a person's swallowing ability can fluctuate over time, so the dietary plan needs frequent reassessment. The National Dysphagia Diet, developed in 2002 by a panel of dietitians, speech and language therapists, and a food scientist, has helped to standardize the nutrition care of dysphagia patients. After the appropriate dietary level is selected, the diet must be adjusted to suit the person's swallowing abilities and tolerances. In many cases, the most appropriate foods may be determined only by trial and error. A consultation with a swallowing expert, such as a speech and language therapist, is often necessary.

Which beverage is recommended on a postgastrectomy diet?

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One of the primary goals of nutrition after gastrectomy is to ____.

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An obese individual is considered to be a candidate for bariatric surgery if he or she has a body mass index (BMI) greater than ____, regardless of whether there are any secondary obesity-associated health problems.

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Which food might be included on a Level 1 National Dysphagia Diet menu?

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Short Case Study Questions   James Hammond is a 37-year-old business executive. He travels worldwide and has a very stressful schedule. He has been having chronic pain in his stomach for a month. After a recent trip he visits his physician after 5 days of nausea, vomiting, and blood in his stool and is diagnosed with severe gastritis. -Which beverage should Mr. Hammond consume while being treated for gastritis?

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Which of the following would most likely help to manage xerostomia?

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Long-term complications following bariatric surgery include ____.

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Short Case Study Questions   James Hammond is a 37-year-old business executive. He travels worldwide and has a very stressful schedule. He has been having chronic pain in his stomach for a month. After a recent trip he visits his physician after 5 days of nausea, vomiting, and blood in his stool and is diagnosed with severe gastritis. -The doctor writes a prescription order for a(n) _______ supplement because of Mr. Hammond's blood loss.

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What is a potential side effect associated with antacids?

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The backward flow of acidic contents from the stomach into the esophagus is referred to as ____.

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One of the most common complications from dysphagia is ____.

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The function of the lower esophageal sphincter is to ____.

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Which increases the risk of GERD by increasing pressure in the stomach?

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As plaque invades the space below the gumline of the teeth, ____ can damage the tissues that hold the tooth in place.

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Short Case Study Questions   James Hammond is a 37-year-old business executive. He travels worldwide and has a very stressful schedule. He has been having chronic pain in his stomach for a month. After a recent trip he visits his physician after 5 days of nausea, vomiting, and blood in his stool and is diagnosed with severe gastritis. -Mr) Hammond is prescribed a 2-week regimen of antibiotics and proton-pump inhibitors (PPIs). Based on this information, which is most likely to be the primary cause of his gastritis?

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Short Case Study Questions   James Hammond is a 37-year-old business executive. He travels worldwide and has a very stressful schedule. He has been having chronic pain in his stomach for a month. After a recent trip he visits his physician after 5 days of nausea, vomiting, and blood in his stool and is diagnosed with severe gastritis. -Mr. Hammond is placed on ____ for 24 to 48 hours to rest the stomach.

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Amy is recovering from gastric bypass surgery and needs to learn new dietary habits. What intervention can best help Amy to promote weight loss and healing after surgery?

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When evaluating dysphagia, peristalsis and sphincter pressure are measured by ____.

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