Chap 29

Question 1

1. Following consumption of an offending substance, the presence of GI bleeding, belching, epigastric pain, and vomiting suggest
   a. A gastric ulcer
   b. Gastroespohageal reflux
   c. Dyspepsia
   d. Acute gastritis

Answer 1

D

Question 2

2. Upper GI pain with no definite etiology is termed:
   a. Dyspepsia
   b. Gastritis
   c. Dysphagia
   d. Gastroenteritis

Answer 2

A

Question 3

3. Which of the following is NOT a cause of gastroenteritis?
   a. Viral infection
   b. Bacterial infection
   c. Excessive alcohol consumption
   d. Emotional stress

Answer 3

C

Question 4

4. The management of gastroenteritis includes which of the following?
   a. Avoiding factors that bring on anxiety and stress
   b. Avoiding dehydration
   c. Taking sulfasalazine
   d. Taking an antimotility drug
   e. Al of the above
   f. A, B, C
   g. A, B, D
   h. A, C, D
   i. B, C, D
   j. None of the above

Answer 4

G

Question 5

5. Abdominal pain with alternating constipation and diarrhea, heartburn, abdominal distention, back pain, and weakness are characteristics of:
   a. Crohn disease
   b. Irritable bowel syndrome
   c. Ulcerative colitis
   d. Colitis

Answer 5

B

Question 6

6. Which of the following is a sign or symptom of Crohn disease?
   a. Colicky or steady abdominal; pain in the right lower quadrant
   b. Lack of appetite
   c. Hematemesis
   d. Diarrhea
   e. All of the above
   f. A, B, C
   g. A, B, D
   h. A, C, D
   i. B, C, D
   j. None of the above

Answer 6

G

Question 7

7. Recurrent bloody diarrhea is the classic symptom of:
   a. Ulcerative colitis
   b. Crohn disease
   c. Irritable bowel syndrome
   d. Gastroenteritis

Answer 7

A

Question 8

8. Exercise-induced shunting can lead to which of the following?
   a. Gastritis
   b. Intestinal bleeding
   c. Esophageal mobility
   d. Prompt gastric emptying
   e. All of the above
   f. A, B, C
   g. A, B, D
   h. A, C, D
   i. B, C, D
   j. None of the above

Answer 8

F

Question 9

9. Conditions that force contents of the abdomen superiorly, such as obesity, pregnancy, and running, are often associated with which of the following conditions?
   a. Gastroesophageal reflux
   b. Peptic ulcers
   c. Dysphagia
   d. Gastritis

Answer 9

A

Question 10

10. Which of the following would NOT be part of a diet modification plan for someone who has a peptic ulcer?
    a. Decrease consumption of alcohol
    b. Decrease the use of caffeine
    c. Decrease the use of tobacco products
    d. Decrease clear fluid consumption

Answer 10

D

Question 11

11. Antidiarrheal medications perform which of the following actions?
    a. Increase intestinal movement
    b. Modify intestinal bacteria
    c. Decrease lower GI discomfort
    d. Increase fluid absorption
    e. All of the above
    f. A, B, C
    g. A, B, D
    h. A, C, D
    i. B, C, D
    j. None of the above

Answer 11

I

Question 12

12. Peptic ulcers normally occur in the:
    a. Proximal esophagus
    b. Small intestine
    c. Stomach
    d. Duodenum
    e. All of the above
    f. A, B, C
    g. A, B, D
    h. A, C, D
    i. B, C, D
    j. None of the above

Answer 12

H

Question 13

13. Which of the following would NOT be suggested in the management of constipation?
    a. Bran cereal
    b. Fruits
    c. Increase fluid intake
    d. Decrease exercise

Answer 13

D

Question 14

14. Common OTC stool softeners include which of the following:
    a. Dulcolax
    b. Metamucil
    c. Imodium
    d. Senokot
    e. All of the above
    f. A, B, C
    g. A, B, D
    h. A, C, D
    i. B, C, D
    j. None of the above

Answer 14

G

Question 15

15. Which of the following increases the incidence of hemorrhoids?
    a. Peptic ulcers
    b. Gastritis
    c. Dyspepsia
    d. Constipation

Answer 15

D

Question 16

16. Prior to running in the 100-m state finals, an athlete suddenly develops dry mouth, dyspepsia, abdominal cramping, and heartburn. What is the athlete most likely experiencing?
    a. Gastritis
    b. Anxiety reaction
    c. Food positioning
    d. Gastroesophageal reflux

Answer 16

B

Question 17

17. An athlete is experiencing emesis. What should you do for this athlete?
    a. Give the athlete an antihistamine
    b. Summon EMS
    c. Give the athlete a container in which to vomit
    d. Give the athlete a decongestant

Answer 17

C

Question 18

18. Each of the following would be part of the management of gastroesophageal reflux EXCEPT:
    a. Use of antacids 4 hours prior to exercise
    b. Use of antidiarrheals 4 hours prior to exercise
    c. Timing of meals prior to exercise
    d. Diet modification

Answer 18

B

Question 19

19. Which of the following would NOT reduce the discomfort from diarrhea?
    a. Drinking boiled milk
    b. Eating bland food
    c. Eating a low-fiber diet 24 to 36 hours before practice
    d. Reducing fluid intake before and during exercise

Answer 19

D

Question 20

20. Which of the following are considered rectal preparations?
    a. Tucks Pad
    b. Proctofoam
    c. Tronolane
    d. Citrucel
    e. All of the above
    f. A, B, C
    g. A, B, D
    h. A, C, D
    i. B, C, D
    j. None of the above

Answer 20

F

Question 21

21. ________ are often used to treat dyspepsia.

Answer 21

a. Antacids

Question 22

22. An athlete who has suffered from diarrhea should be closely monitored for______

Answer 22

a. Dehydration

Question 23

23. Preparation-H and Tucks Pads are used in the treatment of _________

Answer 23

a. hemorrhoids

Question 24

24. The propulsive reflex in colon that stimulates defecation is known as _______

Answer 24

a. gastrocolic reflex

Question 25

25. When gastric juice, an extremely acidic substance, regurgitates into the esophagus, it is called __________

Answer 25

a. gastroesophageal reflux disease (GERD)

Question 26

26. A diagnosis of constipation occurs when a patient experiences _______ or fewer bowel movements each week

Answer 26

a. Two

Question 27

27. True or False: The incidence of gastroenteritis is rare among adolescents and young adults.

Answer 27

F

Question 28

28. True or False: When bleeding is associated with gastritis, antacids may be contraindicated.

Answer 28

T

Question 29

29. True or False: Crohn disease involves an inflammation through all the layers of the intestinal wall resulting in a characteristic thickening of the wall and narrowing of the intestinal lumen.

Answer 29

T

Question 30

30. True or False: Gastroenteritis is self-limiting and usually clears in 2 to 3 days.

Answer 30

T

Question 31

31. True or False: Gastroesophageal reflux is associated with upper GI pain and heartburn.

Answer 31

T

Question 32

32. True or False: Anxiety and stress can lead to decreased acid secretion in the stomach.

Answer 32

T

Question 33

33. True or False: Vomiting is often preceded by a dry mouth and nausea.

Answer 33

F

Question 34

34. True or False: Irritable bowel syndrome is self-limiting and does not require referral to a physician.

Answer 34

F

Question 35

35. True or False: The signs and symptoms of food poisoning can appear 1 to 6 hours after ingestion of food and last for 1 to 3 days.

Answer 35

T

Question 36

36. True or False: The management for food poisoning includes having the individual induce vomiting.

Answer 36

F

Question 37

37. True or False: Many upper GI conditions are caused by irritation due to stress.

Answer 37

T

Question 38

38. True or False: Peptic ulcers usually occur at the upper end of the digestive tract.

Answer 38

F

Question 39

39. True or False: The most common cause of food poisoning is contaminated food.

Answer 39

T

Question 40

40. True or False: Decreased intestinal motility increases the risk of “runner’s” diarrhea

Answer 40

F

Question 41

41. True or False: Dysphagia is the medical term for indigestion.

Answer 41

F

Question 42

42. True or False: Antacids can help reduce the acidity associated with a gastric ulcer.

Answer 42

T

Question 43

43. True or False: Symptoms of gastritis can include a loss of appetite, a full feeling in the stomach, or vague epigastric pain.

Answer 43

T

Question 44

44. True or False: Exercise to promote good abdominal muscle tone can be a means of reducing the inflammation of hemorrhoids.

Answer 44

T

Question 45

45. What treatment would you suggest to a triathlete who is experiencing chronic diarrhea while running?

Answer 45

a. The treatment includes taking antidiarrheal medication; eliminating foods that trigger bowel irritation; improving hydration before and after exercise; limiting intake of foods that contain sorbitol; referring the athlete to a physician if the condition continues.

Question 46

46. An athlete reports mild indigestion, nausea, flatulence, and a sour stomach. What condition should be suspected? What is the treatment for this condition? Is return to competition advisable?

Answer 46

a. Gastroenteritis should be suspected. The treatment involves eliminating irritating foods from the diet; avoiding factors that bring on stress and anxiety; avoiding dehydration. The condition is self-limiting. Return to competition is limited only by hydration status, infective nature of the problem, and complexity of the symptoms.