WGU D115 OA Study Guide Unit 6 What type of fibers stimulate the salivary glands? - ANSWER Cholinergic fibers What part of the esophagus is innervated by nerve fibers? - ANSWER The lower third What artery provides blood to the stomach? - ANSWER Celiac artery What hormone is responsible for the inhibition of stomach contraction? - ANSWER Secretin Gastrin increases stomach contraction (aids in motility) and produces acid in the antrum, duodenum, and pancreas by G-cells Which cells of the stomach secrete hydrochloric acid and intrinsic factor? - ANSWER Parietal cells Pernicious anemia* (Vitamin B12 deficiency) Which enzyme is responsible for cleaving fatty acids from phospholipids? - ANSWER Phospholipase 1 / 3
Which enzyme is responsible for breaking the end amino acids away from the ingested protein? - ANSWER Carboxypeptidase What is true of unconjugated bilirubin? - ANSWER Unconjugated bilirubin is bilirubin bound to albumin.Also called "free bilirubin" Define pepsin - ANSWER Produced in the stomach and breaks down proteins Think P and P Define Lipase - ANSWER Produced by the pancreas and breaks down triglycerides Define amylase - ANSWER Produced in the mouth and breaks down starch "Amy eats a starchy meal" What are 3 characteristics of celiac disease? - ANSWER Anemia Diminished growth 2 / 3
Deficiences in fat-soluble vitamins Is pyloric stenosis more common in male or female infants ? - ANSWER Males A 74-year-old male complains of rectal bleeding for the past year. He has not change in bowel habits and denies abdominal pain, weight loss, and rectal pain. He has seen blood in the toilet water and when wiping approximately once every few weeks, but lately the bleeding has increased. He had colonoscopy 5 year ago. The FNP should: - ANSWER Schedule a colonoscopy to look for colon polyps and/or cancer An overweigh, middle-aged woman has right upper quadrant pain that radiates to her right subscapular area and is severe and persistent. She is also experiencing anorexia, nausea, and a fever. Her most recent meal was a double quarter-pound cheeseburger, French fries, and a milkshake. The FNP examines the abdomen and percusses for CVA tenderness. the abdomen is tender in the RUQ. Which of the following signs corresponds with the correct diagnosis? - ANSWER
Murphy's sign: the patient has cholecystitis
McBurney's sign is related to appendicitis CVA tenderness is related to UTIs A sudden onset of diarrhea that consists of five to six loose stools a day and awakens the pt at night with cramping, but without blood in the stools, would most likely be caused by what? - ANSWER Infection Clues for infection are awakening at night, cramping without blood, sudden onset Those S/S are either infection or inflammation
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