Lecture 13 practice questions

Question 1

How long should a GERD pt stay upright for after a meal?
a) 30 mins
b) 1 hour
c) 2 hours
d) 3 hours

Answer 1

c) 2 hours

Question 2

A pt presenting with acute diverticulitis being treated outpatient should follow a diet low in what?
a) Fats
b) Protein
c) Carbs
d) Fiber

Answer 2

d) Fiber

Question 3

What is associated with decrease in hepatic fibrosis?
a) Black tea
b) Black coffee
c) Fiber
d) Protein

Answer 3

b) Black coffee

Question 4

Short bowel syndrome typically results of bowel resection with <_________ remaining
a) <100cm
b) <200cm
c) <300cm
d) <400cm

Answer 4

b) <200cm

Question 5

Which is incorrect about Short Bowel Syndrome?
a) All pts should avoid lactose and restrict sodium
b) May need to take MVI 2-3x/day
c) Supplement Calcium citrate 1000-1500mg 2-3x/day
d) Removal of terminal ileum can lead to B12 deficiency

Answer 5

a) All pts should avoid lactose and restrict sodium

(only if lactose intolerant & no need to avoid sodium)

Question 6

Which pts with short bowel syndrome should restrict fat?
a) If they have a colon
b) If they don’t have a colon

Answer 6

a) If they have a colon

Question 7

Which pts should have NO fluids with meals and limit processed foods?
a) Billroth 1 (Gastroduodenostomy)
b) Billroth 2 (Gastrojejunostomy)
c) Lap Band/ Gastric Sleeve
d) All of the above

Answer 7

c) Lap Band/ Gastric Sleeve
(the others only need to limit fluids w meals)

Question 8

Loss of CCK, pancreatic enzymes, and bile is the biggest concern with what?
a) Billroth 1 (Gastroduodenostomy)
b) Billroth 2 (Gastrojejunostomy)
c) Lap Band/ Gastric Sleeve

Answer 8

b) Billroth 2 (Gastrojejunostomy)

Question 9

Dumping syndrome is when a large volume of concentrated _______ is dumped into the duodenum
a) carbs
b) fats
c) protein
d) fiber

Answer 9

a) carbs; there’s no pyloric sphincter to stop CHOs

Tx = No fluids with meals, No high CHO foods, Low GI foods

Question 10

What levels are measured to diagnose SIBO? Select two
a) H2
b) Urea
c) Methane
d) Nitrogen

Answer 10

a) H2
c) Methane