NUR 2063 / NUR2063: Essentials of
Pathophysiology Exam 2 (Latest 2023) Rasmussen What is gastritis? - CORRECT ANSWER Inflammation of the stomach lining.The lining will be red and inflamed and irritated What are the causes of gastritis? - CORRECT ANSWER Ingestion of irritating substances such a alcohol, aspirin, NSAIDS, viruses and bacteria What is GERD? - CORRECT ANSWER the back flow of gastric contents into the esophagus through the lower esophageal sphincter. The inflammation occurs from the reflex of highly acidic stomach acid that comes up.What are the causes of GERD? - CORRECT ANSWER Any condition or agent that alters closure of the lower esophageal sphincter or increases in abdominal pressure, fatty food, caffeine, large amounts of alcohol, smoking, pregnancy and anatomical features like hiatal hernia 1 / 4
What are complications of GERD? - CORRECT ANSWER Barrett's esophagus where columnar tissue replaces normal squamous tissue in the distal esophagus that carries a high risk for cancer. Progression can lead to ulcers and scarring.Esophageal strictures, pulmonary symptoms such as cough, asthma and laryngitis from reflux in breathing passages.What are the signs and symptoms of peptic ulcer disease? - CORRECT ANSWER epigastric burning pain that is usually relieved by food or antacids (gastric ulcers present on empty stomach but can be after food, duodenal ulcers present 2-3 hours after food and is relieved by food). Can also be life threatening as GI bleeding can occur without warning and cause a drop in H/H and dark tarry stools and hematemesis.What is the role of H.pylori in peptic ulcer disease? - CORRECT ANSWER promotes both gastric and duodenal ulcer formation and thrives in acidic areas. It slows down ulcer healing and can reoccur frequently, and taking it away can help ulcers heal.What is pseudomembranous colitis?(C.diff) - CORRECT ANSWER acute inflammation and necrosis of large intestine. The intestinal lining cannot absorb well. 2 / 4
What is the cause of pseudomembranous colitis? - CORRECT ANSWER clostridium difficile, exposure to long term antibiotics that off set the e.coli and c.diff balance in intestine What are the manifestations of pseudomembranous colitis? - CORRECT ANSWER foul smelling/bloody stool, abdominal pain, fever, leukocytosis, sepsis, colonic perforation.How do we treat pseudomembranous colitis? - CORRECT ANSWER stop current antibiotics, treat ischemia and contributing conditions, give oral antibiotics like metronidazole or vancomycin, fecal transplant or colectomy if severe How do we prevent the spread of pseudomembranous colitis? - CORRECT ANSWER wearing appropriate PPE and washing hands with soap and water only 3 / 4
What are the signs and symptoms of appendicitis? - CORRECT ANSWER Periumbilical pain, RLQ pain, presence of a positive McBurneys point with pain, nausea, vomiting, fever, diarrhea, RLQ tenderness, systemic signs of infection How do we assess for appendicitis? - CORRECT ANSWER McBurney's point technique when pressing on the belly button and RLQ hip region and removing the pressure causes intense pain, indicates positive appendicitis What are the causes of bowel obstructions? - CORRECT ANSWER previous surgery of the intestines with adhesions, congenital abnormalities of the bowel, metastatic cancer of the intestinal tract or female reproductive organs, accumulation of fluid, gas, water and electrolytes in the bowel.What is a functional bowel obstruction? - CORRECT ANSWER a problem with the act of the bowel actually moving, such as things that inhibit movement from surgery, medications, opioids, low fiber diets that can slow motility or shut off the GI system from the SNS stimulation.
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