Exam 23: Upper Gastrointestinal Disorders

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Discuss the relationship between oral health and diabetes mellitus, atherosclerosis, and respiratory illnesses. ​

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Dental diseases may have adverse effects on health beyond their effects on teeth. The bacteria that reside on dental tissues can enter the bloodstream and travel to other tissues; therefore, they may be able to trigger immune responses or cause infections elsewhere in the body. The inflammatory process induced by periodontal pathogens may increase levels of cytokines and other mediators that accelerate the progression of atherosclerosis. In addition, periodontal bacteria may enter the bloodstream and contribute to the processes of arterial plaque formation or blood clotting. The chronic inflammation caused by periodontal disease can exacerbate insulin resistance and provoke events leading to type 2 diabetes. Severe periodontal disease has also been linked to poor glycemic control in persons with diabetes. Clinical studies suggest a link between pneumonia and poor oral health. In addition, dental treatment and improvements in oral health have been associated with significant reductions in respiratory diseases in institutionalized older adults.

James Hammond is a 37-year-old business executive. He travels worldwide and has a very stressful schedule. He self-diagnosed an episode of food poisoning. However, after 5 days of nausea, vomiting, and blood in his stool, he visits his physician and is diagnosed with gastritis. Which beverage should Mr. Hammond consume while being treated for gastritis?

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D

What suggestion would most likely help to manage xerostomia?

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A

What is a symptom of early dumping syndrome?

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Match each word or phrase with the most appropriate definition or explanation.
Premises:
absence of gastric acid secretion
Responses:
gastroparesis
Barrett's esophagus
gastric outlet obstruction
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Premises:
Responses:
absence of gastric acid secretion
gastroparesis
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What increases risk of GERD by increasing pressure in the stomach?

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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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Match each word or phrase with the most appropriate definition or explanation.
Premises:
surgery in which diseased portions of the stomach are removed
Responses:
gastroparesis
Barrett's esophagus
dyspepsia
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Premises:
Responses:
surgery in which diseased portions of the stomach are removed
gastroparesis
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Discuss the dietary interventions to help decrease nausea and vomiting. ​

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

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What food should be avoided in Level 3 of the National Dysphagia Diet?

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Which beverage is recommended on a postgastrectomy diet?

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The postgastrectomy diet includes ____.

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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. ​

(Multiple Choice)
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Match each word or phrase with the most appropriate definition or explanation.
Premises:
disease that affects the connective tissue structures that support the teeth
Responses:
Barrett's esophagus
histamine-2 receptor blockers
oropharyngeal dysphagia
Correct Answer:
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Premises:
Responses:
disease that affects the connective tissue structures that support the teeth
Barrett's esophagus
(Matching)
4.8/5
(74)

James Hammond is a 37-year-old business executive. He travels worldwide and has a very stressful schedule. He self-diagnosed an episode of food poisoning. However, after 5 days of nausea, vomiting, and blood in his stool, he visits his physician and is diagnosed with gastritis. Mr. Hammond is prescribed antibiotics. Based on that, which is most likely to be the primary cause of his gastritis?

(Multiple Choice)
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Match each word or phrase with the most appropriate definition or explanation.
Premises:
an inability to move a food bolus through the esophagus; usually due to an obstruction or a motility
Responses:
hypochlorhydria
hiatal hernia
acute gastritis
Correct Answer:
Verified
Premises:
Responses:
an inability to move a food bolus through the esophagus; usually due to an obstruction or a motility
hypochlorhydria
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Cassandra Lyons is a 73-year-old retired administrative assistant. She has had recurrent episodes of pneumonia with weight loss for the past 5 months. Her past medical history includes high cholesterol and diabetes. Once again she is admitted to the hospital. Possible causes of Cassandra's condition include ____.

(Multiple Choice)
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Match each word or phrase with the most appropriate definition or explanation.
Premises:
delayed gastric emptying, most often because of diabetes or neurological disorders
Responses:
oropharyngeal dysphagia
hypochlorhydria
hiatal hernia
Correct Answer:
Verified
Premises:
Responses:
delayed gastric emptying, most often because of diabetes or neurological disorders
oropharyngeal dysphagia
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Which nutrient is often needed in supplemental amounts after gastric surgeries?

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