Pathophysiology - Final Exam > GI - PowerPoint/2 > Flashcards

GI - PowerPoint/2 Flashcards

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1
Q

h. pylori is what type of bacteria

A

curved gram negative rob

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2
Q

peptic ulcer disease is damage to the

A

mucosal barrier

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3
Q

rapid gastric emptying can cause

A

peptic ulcer

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4
Q

excessive glucocorticoid secretion or medication

A

peptic ulcer - damage to mucosal barrier

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5
Q

conditions that increase abdominal pressure can contribute to

A

development of reflux esophagitis

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6
Q

conditions that delay gastric emptying can contribute to

A

the development of relfux esophagitis

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7
Q

peptic ulcer - may result later because of the formation of scar tissue

A

obstruction

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8
Q

peptic ulcer dx tests

3

A
  1. fiberoptic endoscopy
  2. barium x ray
  3. endoscopic biopsy
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9
Q

ulcer erodes completely through the wall

A

perforation

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10
Q

peptic ulcer signs and symptoms

2

A
  1. epigastric burning

2. localized pain usually following stomach emptying

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11
Q

gastric ulcer - gastric secretion tends to be

A

normal or less than normal

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12
Q

gastric ulcers develop in what region

A

antral region

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13
Q

gastric secretion tends to be normal or less than normal

A

gastric ulcer

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14
Q

h. pylori synthesizes

A

urease

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15
Q

use of NSAIDs can cause which ulcer

A

duodenal

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16
Q

complications of peptic ulcer

3

A
  1. hemorrhage
  2. perforation
  3. obstruction
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17
Q

aspirin can cause

A

peptic ulcer - mucosal barrier

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18
Q

sx of chronic cough is to

A

GERD

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19
Q 
peptic ulcer - increase acid pepsin secretions
7
- increased x5
-interference
-rapid
A
  1. increased gastrin secretion
  2. increased vagal stimulation
  3. increased sensitivity to vagal stimuli
  4. increased number of acid pepsin secretory cells in stomach
  5. increased stimulation of acid pepsin secretion
  6. interference with normal feedback
  7. rapid gastric emptying
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20
Q

gastric ulcer main sx

A

food causes pain

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21
Q

results in chemical peritonitis

A

perforation of peptic ulcer

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22
Q

duodenal ulcer management

2

A
  1. relieving the causes and effects of hyperacidity

2. preventing complications

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23
Q

damage to mucosal barrier

A

peptic ulcer disease

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24
Q

GERD drug of choice

A

proton pump inhibitors

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25
GERD - resting tone of what is what
resting tone of LES tends to be lower than normal
26
peptic ulcer - perforation
ulcer erodes completely through the wall
27
GERD stands for
gastroesophageal reflux disease
28
alcohol can cause
peptic ulcer - mucosal barrier
29
peptic ulcer - hemorrhage is caused by
erosion of blood vessels
30
peptic ulcer perforation - what can enter the peritoneal cavity
chyme
31
epigastric burning is a sx of
peptic ulcer
32
may be the first sign of a peptic ulcer
hemorrhage
33
hypersecretion of stomach acid and pepsin can cause which ulcer
duodenal
34
relieved rapidly by ingestion of food or antacids
duodenal ulcers
35
food causes pain is to
gastric ulcer
36
atrophy of gastric mucosa is to
peptic ulcer
37
GERD
reflux of acid and pepsin from the stomach to the esophagus that causes esophagitis
38
peptic ulcer - atrophy of gastric mucosa
chronic gastritis
39
GERD causes reflux _____
esophagitis
40
peptic ulcer - ulcerogenic substances break down mucous layer 3
1. aspirin 2. NSAIDs 3. alcohol
41
increased stimulation of acid pepsin sections can be from | 3
1. alcohol 2. caffeine 3. certain foods
42
peptic ulcer - obstruction may result later because of
the formation of scar tissue
43
chyme can enter the peritoneal cavity is to
perforation from peptic ulcer
44
peptic ulcer - damage to mucosal barrier from inadequate blood supply can be caused by vasoconstriction can be caused by 6
1. stress 2. smoking 3. shock 4. circulatory impairment in older adults 5. scar tissue 6. anemia
45
common complication of peptic ulcer
hemorrhage
46
peptic ulcer tx | 3
1. combo of antimicrobial and proton pump inhibitor (h. pylori) 2. reduction of exacerbating factors
47
duodenal ulcers developmental factors include | 3
1. h. pylori infection 2. hypersecretion of stomach acid and pepsin 3. use of NSAIDs
48
drug of choice is proton pump inhibitors
GERD
49
conditions that do what can contribute to the development of reflux esophagitis 2
1. increase abdominal pressure | 2. delay gastric empyting
50
chronic gastritis can cause
peptic ulcer from damage to mucosal barrier
51
duodenal ulcer pain
intermittent pain in the epigastric area
52
sx of asthma attacks is to
GERD
53
sx of dysphagia is to
GERD
54
increased acid pepsin secretions can cause
peptic ulcer
55
resting tone of LES tends to be lower than normal which causes
GERD
56
peptic ulcer - perforation results in
chemical peritonitis
57
sx of heartburn is to
GERD
58
most common of the peptic ulcers
duodenal
59
``` peptic ulcer - damage to mucosal barrier can be caused by 4 -inadequate -excessive -substances -atrophy ```
1. inadequate blood supply 2. excessive glucocorticoid secretion or med use 3. ulcerogenic substances break down mucous layer 4. atrophy of gastric mucosa
60
sx of acid regurgitation is to
GERD
61
NSAIDs can cause
peptic ulcer - mucosal barrier
62
tx of gastric ulcers are similar to
duodenal ulcer tx
63
inadequate blood supply can cause
peptic ulcer disease - damage to mucosal barrier
64
gastric ulcer - primary defect is
an increased mucosal permeability to hydrogen ions
65
develop in the antral region
gastric ulcer
66
localized pain usually following stomach emptying is a sx of
peptic ulcer
67
sx of laryngitis is to
GERD
68
duodenal ulcer pain is relieved rapidly by
ingestion of food or antacids
69
sx of upper abdominal pain within 1 hour of eating is to
GERD
70
barium x ray is to
peptic ulcer
71
intermittent pain in the epigastric area
duodenal ulcer
72
fiberoptic endoscopy is to
peptic ulcer
73
the primary defect is an increased mucosal permeability to hydrogen ions
gastric ulcer
74
reflux of acid and pepsin from the stomach to the esophagus that causes esophagitis
GERD
75
h. pylori synthesize urease which does what
produces ammonia that damages the gastric mucosa
76
GERD manifestations include | 7
1. heartburn 2. acid regurgitation 3. dysphagia 4. chronic cough 5. asthma attacks 6. laryngitis 7. upper abdominal pain within 1 hour of eating
Pathophysiology - Final Exam
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