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GI Tract & Digestive Health Quiz

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Med-surgical GI topics challenge

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GI Tract & Digestive Health Quiz
 

GI Tract & Digestive Health QuizOnline version

Med-surgical GI topics challenge

by Danielle Kendricks
1

1. Which GI layer is responsible for peristalsis?

2

2. Which structure normally prevents aspiration during swallowing?

3

3. Loss of intrinsic factor causes deficiency in which nutrient?

4

4. Damage to parietal cells decreases production of what?

5

5. Which condition results from gastric tissue herniating through the diaphragm?

6

6. White plaques on the tongue that scrape off easily indicate which condition?

7

7. Tingling on the lip followed by clustered vesicles indicates which diagnosis?

8

8. A red-flag sign of possible oral cancer?

9

9. Which is a risk factor for oral candidiasis?

10

10. How should dentures be cared for?

11

11. Which symptom most strongly suggests GERD over cardiac pain lying flat?

12

12. Which lifestyle helps GERD management?

13

13. Gold standard diagnostic test for GERD?

14

14. First-line medication for GERD symptom control?

15

15. Long-term complication from chronic GERD?

16

16. Hiatal hernia: priority assessment for worsening symptoms?

17

17. Finding common with hiatal hernia?

18

18. Key lifestyle for hiatal hernia management?

19

19. Common surgical correction for hiatal hernia?

20

20. Major risk with paraesophageal hernia?

21

21. Hallmark symptom of gastroparesis?

22

22. Appropriate meal pattern for gastroparesis?

23

23. Short-term medication used for gastroparesis (<12 weeks)?

24

24. Complication associated with gastroparesis?

25

25. Gold-standard diagnostic test for gastroparesis?

26

26. Suspected gastritis symptom?

27

27. Priority question for suspected gastritis?

28

28. Pathogen commonly linked with chronic gastritis?

29

29. Test confirming H. pylori during EGD?

30

30. Gastritis can progress to which condition?

31

31. Strongest risk factor for duodenal ulcers?

32

32. Gastric ulcer pain is typically?

33

33. Finding indicating possible upper GI bleed?

34

34. Sign needing immediate report for perforation?

35

35. Triple therapy for H. pylori includes?

36

36. Before placing an NG tube, you must assess?

37

37. Gold standard to confirm initial NG tube placement?

38

38. During enteral feeding, head of bed should be kept at?

39

39. Gastric residuals are used to?

40

40. A mispositioned NG tube complication?

Feedback

Peristalsis is produced by the muscularis, which has circular and longitudinal muscle layers.

The epiglottis covers the airway during swallowing to prevent aspiration.

Intrinsic factor is needed to absorb vitamin B12; without it, pernicious anemia can occur.

Parietal cells secrete HCl and intrinsic factor.

Hiatal hernia occurs when stomach tissue herniates through the diaphragm.

Oral candidiasis presents with white removable plaques.

Clustered vesicles on lips are classic for herpes simplex virus type 1.

A non-healing ulcer (>2 weeks) warrants cancer evaluation.

Inhaled steroids predispose to oral candidiasis.

Daily cleaning and soaking maintains denture hygiene.

GERD commonly worsens when lying flat.

Head elevation reduces reflux at night.

Long-term pH monitoring is highly sensitive for GERD.

Proton pump inhibitors are the mainstay for GERD relief.

Chronic GERD can lead to Barrett’s esophagus.

Acute strangulation or obstruction is an emergency.

Chronic cough can accompany hiatal hernias.

Tight clothing can worsen reflux symptoms.

Nissen fundoplication tightens the LES to prevent reflux.

Paraesophageal hernias risk strangulation.

Delayed gastric emptying leads to vomiting undigested food.

Small, low-fat meals aid gastric emptying.

Metoclopramide promotes gastric motility.

Bezoars can form from retained undigested material.

Gastric emptying scan assesses delay in emptying.

Epigastric discomfort and bloating suggest gastritis.

NSAID use is a key gastritis risk factor.

Helicobacter pylori is a common gastritis cause.

Rapid urease test detects H. pylori during endoscopy.

Gastritis can evolve into PUD.

H. pylori is a key cause of duodenal ulcers.

Gastric ulcers often pain after eating.

Melena suggests upper GI bleeding.

Acute perforation presents with sudden severe pain.

Standard triple therapy combines two antibiotics with a PPI.

Nares patency and gag reflex are essential for tube placement.

Chest/abdomen X-ray confirms correct NG placement.

Elevate to about 30-45 degrees to reduce aspiration.

Residual volumes help judge feeding tolerance.

Misplacement can lead to aspiration pneumonia.

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