Gastrointestinal Disorders Part 2
By:Mohamed Mamdouh
Gastrointestinal Disorders: Quiz Challenge
Test your knowledge on gastrointestinal disorders with this comprehensive quiz! Dive into various topics, including hernias, appendicitis, and the role of the digestive system in health.
Key Features:
- Multiple-choice questions covering key concepts.
- Detailed explanations to enhance learning.
- Perfect for students and healthcare professionals alike.
Organ pushes through an opening in the muscle or tissue
Appendicitis
Anorectal abscess
Hernia
Anal fistula
The most common type of hernia,intestones push through a weak spot in the lower abdominal wall
Hiatal Hernia
Inguinal hernia
Umbilical hernia
Ventral Hernia
Occurs when part of stomach protrudes up through the diaphragm in to chest cavity
Umbilical hernia
Ventral Hernia
Inguinal hernia
Hiatal Hernia
Can affect children and babies,occur when the intestines bule through the abdominal wall near the belly button
Umbilical hernia
Ventral Hernia
Inguinal hernia
Hiatal Hernia
Occur when tissue bulges through an opening in the muscles of abdomen
Umbilical hernia
Inguinal hernia
Ventral Hernia
Hiatal Hernia
The abdominal part of the oesophagus and cardia of stomach slides upwards through the diaphragmatic
Para oesophageal hernia
Sliding hiatus hernia
Abdominal hernia
Ventral hernia
Most common classification of hiatal hernia with 80%
Para oesophageal hernia
Sliding hiatus hernia
Abdominal hernia
Ventral hernia
Upward movement of the gastric fundus ,creates a bubble of stomach in the thorax
Para oesophageal hernia
Sliding hiatus hernia
Abdominal hernia
Ventral hernia
Occurs to lie alongside a normally positioned GOJ with 20 %
Sliding hiatus hernia
Para oesophageal hernia
Abdominal hernia
Ventral hernia
Which of the following is a true hernia with a peritoneal sac
Sliding hiatus hernia
Paraoesophageal hernia
Abdominal hernia
Inguinal hernia
Result in strangulation of the hernia and tissue becomes trapped and deprived of blood flow
A) paraoesophageal hernia
B) Sliding hiatus hernia
C) irreducible hernia
Both A ,C
Feeling of burning and tightness rising from the lower sternum to the throat
Fullness
Dysphagia
Heartburn
Eructation
Triggered by foods and by lying down or bending over
Fullness
Heartburn
Dysphagia
Eructation
Which of the following factors contribute development of hiatal hernia
Weakness of the muscles of the diaphragm
Excessive intra abdominal pressure
Obesity, pregnancy
All of the above
Hiatal hernia can be managed with
Drug therapy
Diet
Avoid increased intra abdominal pressure
All of the above
Which of the following medication is useful in hiatal hernia
A)Antibiotecs
B)Antacids
C)H2 receptor
All of the above
Both B,C
B
Which of the following medication increase the tone of LES
H2 receptor
Bethanechol chloride
Antibiotecs
Antacids
Stress management is a patient teaching in the following diseases
A)Hiatal hernia
B)irritable bowel syndrome
C)ulcerative colitis
Both A,B
Both A,C
slips back into the abdominal cavity with gentle pressure or when the patient lies on his or her back
Irreducible hernia
Reducible hernia
Paraoesophageal hernia
Sliding hiatus hernia
Cannot be manipulated back into place,may impair blood flow to the trapped loop of intestine
Irreducible hernia
Reducible hernia
Paraoesophageal hernia
Sliding hiatus hernia
Hernias are usually diagnosed when patient reports
Dysphagia
Fever
Smooth lumb on the abdomen
Well-being
Procedure used to repair the muscle defect by suturing
Hernioplasty
Emblectomy
Herniorrhaphy
Angioplasty
Procedure needed to strengthen the abdominal wall
Hernioplasty
Herniorrhaphy
Emblectomy
Angioplasty
A pad that is placed over the hernia and a belt that holds it in place. It provides support for the weak
Bandage
Truss
Belt
Wrap
Acute inflammation of the appendix, most common major surgical emergency
Ulcerative colitis
Appendicitis
Crohn's disease
Hernia
Which of the following causing Appendicitis
Mucosal ulceration
Stricture
Barium ingestion
All of the above
Protect the gut and play a role in the immune system
Virus in the blood
Bacteria in the appendix
Baceria in the blood
Viruses in the apeendix
If the appendix ruptures or perforates what is the most comon and dangerous complication
Viral infection
Ulcers
Peritonitis
All of the above
Which of the following is NOT Later symptoms in appendicits
Abdominal pain
Tachycardia
Constipation
Fever
Which of the following is used to diagnose appendicits
A) WBC
B)ultrasound and CT
C) x-ray
Both A,B
All of the above
Is the effective treatment procedure when no rupture occurred for appendicitis
Appendectomy
Hernioplasty
Herniorrhaphy
Emblectomy
Which of the following is NOT a pre-operative care for appendectomy
Place patient in fowler's postion
Never apply heat to the lower right abdomen
Remove NG tube and gradually resume oral foods and drinks
Nothing by mouth and administer analgesics
Which of the following should never be given for patient with suspected or known appendicits
A)cold pack
B)hot applications
C)laxatives,enemas
Both B ,C
When appendicitis is confirmed and surgery is scheduled what medication should be given to the patient
A) laxatives
B) antibiotic
C) opioid analgescs
Both A,B
Both B,C
All of the above
Which of the following positions is advised in appendicitis patient
Trendlburg
Prone position
Supine position
Semi-fowler
Painful condition in which a collection of pus develops near the anus and result of infection from small anal glands
Anal Fissure
Anorectal abscess
Anal Fistula
Hemorrhoids
The most common type of abscess is
Armpit abscess
Breast abscess
Perianal abscess
Skin abscess
Which of the following causes anal abscesses
Anal fissure that becomes infected
Sexually transmitted infections
Blocked anal glands.
All of the above
Detect the risk factors for anal abscesses
Environment
Colitis
Smoking
Crohn's disease
Age
Ulcerative colitis
Diverticulitis
Medication as prednisone
Sometimes is the only symptom of deep anal abscesses
Chills
Fever
Malaise
All of the above
The surgical management of anal abscesses is
Herniorrhaphy
Hernioplasty
Appendectomy
Surgical incision and drainage
Small tunnel that develops between the end of the bowel and the skin near the anus
Anal Fissure
Anorectal abscess
Anal Fistula
Hemorrhoids
Causing a collection of pus (abscess) in the nearby tissue
A) Anal Fissure
B) Anorectal abscess
C) Anal Fistula
Both B,C
Develop after an anal abscess. (If the abscess does not heal properly)
Anal Fissure
Anal Fistula
All of the above
Hemorrhoids
Which of the following causing Anal fistula
Crohn's disease
Diverticulitis infection
Hidradenitis suppurativa
Tuberculosis (TB) or HIV
All of the above
None of the above
Involves cutting open the whole length of the fistula so it heals into a flat scar.
Seton procedures
Endoscopic ablation
Anal fistulotomy
Laser surgery
Piece of surgical thread is placed in the fistula and left there for several weeks to help it heal
Endoscopic ablation
Seton procedures
Laser surgery
Anal fistulotomy
S put in the fistula.,An electrode is then passed through the endoscope and used to seal the fistula
Endoscopic ablation
Seton procedures
Laser surgery
Anal fistulotomy
Radially emitting laser fiber using a small laser beam to seal the fistula
Endoscopic ablation
Seton procedures
Anal fistulotomy
Laser surgery
The only non-surgical option for anal fistulas.
Endoscopic ablation
Seton procedures
Anal fistulotomy
Fibrin glue
Small cut or tear in the lining of the anus
Anal Fissure
Anal Fistula
Hemorrhoids
Anorectal abscess
Mention sign and symptoms of anal fissure
Headache
Skin tag
Sharp pain
Fever
Streaks of blood on stools
Burning or itching
Aspiration
Constipation
Which of the following cause anal fissure
Chronic constipation
Frequent diarrhea
Crohns's disease
Anal cancer
All of the above
Syphilis & Herpes,HIV
Which of the following is a management for anal fissure
sitz bath
Drinking more fluids
Applying a nitroglycerin ointment
Applying topical pain relievers
All of the above
Making a small incision in the anal sphincter to relax the muscle.
Anal fistulotomy
Hemorrhoidectomy
Sphincterotomy
Emblectomy
Swollen veins in the lower part of the anus and rectum.
Anal Fissure
Hemorrhoids
Anal fistula
Peptic ucler
Which of the following have a high chance to get hemorrhoids
A)pregnant women
B)adults 45 to 65
C) youth 20-25
Both A,B
Both A,C
Which of the following cause hemorrhoids
Constipation
Heavy ;efting
Pregnancy
All of the above
Are deep inside the rectum and not visible from outside
External hemorrhoids
Reducible hernia
Irreducible hernia
Internal hemorrhoid
Called a protruding or prolapsed hemorrhoid
External hemorrhoids
Reducible hernia
Irreducible hernia
Internal hemorrhoid
Under the skin around the anus and are therefore visible
External hemorrhoids
Reducible hernia
Internal hemorrhoid
Irreducible hernia
Which of the following Prevention of hemorrhoids
Avoiding over-straining
Physical inactivity
Going to the toilet when needed
Bed rest
Healthy body weight
Cough excersie
Non-pharmacological Interventions for hemorrhoids are
Ice packs
Sitz bath
Topical creams and ointments
Pads contain hazel
Which position should a hemorrhoids patient be to relieve pressure, edema, and prolapse
Fowler position
Sitting position
Recumbent position
Standing position
Pharmacological Intervention for hemorrhoids include
Analgesics
Topical creams and ointments
Sclerotherapy
Stapling
Surgical Options for hemorrhoids include
Sclerotherapy
Hemorrhoidectomy
Rubber band ligation
All of the above
Nonsurgical treatment options for hemorrhoids
A)Rubber band ligation
B)Sclerotherapy
C) Infrared photocoagulation
D) electrocoagulation
E)Stapling
All of the above
All of the above except E
Which of the following are complications of hemorrhoids
A)hemorrhage with anemia
B)rheumatic fever
C) prolapse and strangulation
Both A,C
All of the above
Nursing interventions for patients with hemorrhoids include
Take bulk laxatives, stool softeners
Monitor stool for consistency and blood.
Eat fiber-containing foods
All of the above
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