Exam 23: Upper Gastrointestinal Disorders

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Following bariatric surgery, what food would need to be avoided?

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Frequent reflux of highly acidic gastric fluids results in ____.

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Which condition would most likely be a cause of esophageal dysphagia?

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Interventions that can help eliminate distress from gastroesophageal reflux disease (GERD) include ____.

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Discuss the risk factors for periodontal disease and potential strategies for reducing risk.

(Essay)
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Ellen is suffering from abdominal bloating. Avoiding which practice will most likely resolve some of her symptoms?

(Multiple Choice)
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An individual with gastritis and hypochlorhydria is most at risk of deficiency for what nutrient?

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Sam has been diagnosed with esophageal dysphagia. This means that he has ____.

(Multiple Choice)
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In a partial gastrectomy, only part of the stomach is removed and the remaining portion is connected to the ____.

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Short Case Study Questions   A 73-year-old retired administrative assistant has had recurrent episodes of pneumonia with weight loss for the past 5 months. Her past medical history includes high cholesterol and diabetes. Currently, she is admitted to the hospital because of complications arising from a recent stroke. -On evaluation the patient is found to have chronic aspiration of food into her lungs. What may have caused the patient's diagnosis to be delayed?

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To avoid dumping syndrome after bariatric surgery, a patient should ____.

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Which beverage is most appropriate for a client with dysphagia with a diet order for nectar-like liquids?

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Describe the potential complications of gastritis and dietary recommendations for control of the condition.

(Essay)
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Short Case Study Questions   A 73-year-old retired administrative assistant has had recurrent episodes of pneumonia with weight loss for the past 5 months. Her past medical history includes high cholesterol and diabetes. Currently, she is admitted to the hospital because of complications arising from a recent stroke. -The patient is placed on a Level 2 Dysphagia Mechanically Altered diet for her swallowing problem. Which food would you expect her to have the most difficulty with?

(Multiple Choice)
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Match each word or phrase with the most appropriate definition or explanation.
chronic gastritis characterized by destruction of gastric mucosal tissue due to chronic inflammation
bariatric surgery
abnormal narrowing of a passageway
xerostomia
disease that affects the connective tissue structures that support the teeth
dental calculus
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chronic gastritis characterized by destruction of gastric mucosal tissue due to chronic inflammation
bariatric surgery
abnormal narrowing of a passageway
xerostomia
disease that affects the connective tissue structures that support the teeth
dental calculus
absence of gastric acid secretion
acute gastritis
autoimmune disease characterized by the destruction of secretory glands, especially those that produce saliva and tears
proton-pump inhibitors
symptoms that result from rapid stomach emptying: nausea, abdominal cramps, weakness, diarrhea, and hypoglycemia
hiatal hernia
mineralized dental plaque, often associated with inflammation and bleeding
dyspepsia
delayed gastric emptying, most often because of diabetes or neurological disorders
esophageal dysphagia
surgery in which diseased portions of the stomach are removed
stricture
surgery that treats obesity
gastrectomy
drugs that suppress acid secretion by inhibiting receptors on acid-producing cells
histamine-2 receptor blockers
bacteria that colonize the gastric mucosa; a major cause of gastritis and peptic ulcer disease
gastroparesis
inflammation of the gums, characterized by redness, swelling, and bleeding
oropharyngeal dysphagia
esophageal cells damaged by chronic reflux are replaced by cells that resemble those in the gastric or intestinal tissue
Sjögren's syndrome
an esophageal disorder characterized by weakened peristalsis and impaired relaxation by the lower esophageal sphincter
periodontal disease
dry mouth; due to a reduction in salivary secretions
Pernicious anemia
drugs that inhibit the enzyme that pumps hydrogen ions (protons) into the stomach
hypochlorhydria
upper portion of the stomach protrudes above the diaphragm
Helicobacter pylori
gastric tissue is acutely injured, often by the toxic effects of chemical substances or radiation treatment
Barrett's esophagus
vitamin B12 deficiency that results from lack of intrinsic factor
dumping syndrome
abnormally low gastric acid secretions
gingivitis
an inability to transfer food from the mouth and pharynx to the esophagus; usually due to a neurological or muscular disorder
peptic ulcer
an open sore in the gastrointestinal mucosa
achlorhydria
the feeling of "indigestion"; refers to pain, bloating, or discomfort in the upper abdominal area
achalasia
an inability to move a food bolus through the esophagus; usually due to an obstruction or a motility
atrophic gastritis
(Matching)
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What are symptoms associated with early dumping syndrome?

(Multiple Choice)
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Short Case Study Questions   A 73-year-old retired administrative assistant has had recurrent episodes of pneumonia with weight loss for the past 5 months. Her past medical history includes high cholesterol and diabetes. Currently, she is admitted to the hospital because of complications arising from a recent stroke. -A possible cause of the patient's condition is ____.

(Multiple Choice)
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Discuss the dietary interventions to help decrease nausea and vomiting.

(Essay)
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Dumping syndrome occurs when ____.

(Multiple Choice)
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A patient suffering from chronic nausea should eat ____.

(Multiple Choice)
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