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Gastrointestinal System Quiz -IV

This page was last updated on April 7, 2011

1. A patient admitted with dehydration can have the following finding during the assessment:

A. Bradycardia

B. Changes in mental status

C. Bilateral crackles in the lungs

D. Elevated blood pressure

ANSWER KEY

 

2. A patient who is taking dicyclomine hydrochloride for irritable bowel syndrome should take the medicine

A. with food and mealtimes

B. after the meals

C. early morning and before going to bed

D. 30 minutes before each meal

ANSWER KEY

3. Pain associated with acute pancreatitis has which of the following characteristic

A. Pain in lower abdomen radiating to groin

B. Pain around stomach radiating to back

C. Pain around abdomen radiating to lower middle abdomen

D. Pain in lower abdomen radiating to hip

ANSWER KEY

4. Dumbing syndrome following subtotal gastrectomy has the following symptoms

A. Hiccoughs and diarrhoea

B. Fatigue and abdominal pain

C. Constipation and fever

D. Diaphoresis and diarrhoea

ANSWER KEY

5. Which of the following instructions is appropriate for a patient who has undergone gastrectomy to prevent dumping syndrome?  

A. Increase fluid intake particularly at mealtime

B. Maintain high-carbohydrate diet

C. Maintain low-Fowler’s position if possible

D. Ambulate for at least following meals

ANSWER KEY

6. Which of the following listed characteristics is an early sign of portal hypertension?

A. Flat neck veins

B. Hypotension

C. Weak pulse

D. Crackles on auscultation of the lungs

ANSWER KEY

7.   Which of the following is an early sign of hepatic encephalopathy in a patient with cirrhosis of the liver?

A. Restlessness

B. Asterixis

C. Decreased serum amonia levels

D. Complaints of fatigue

ANSWER KEY

38. Oral administration of neomycin is indicated in patients with portal systemic encephalopathy for:

A. Prevent infection

b. Destroy normal bacteria found in the bowel

C. Prevent restlessness in the patient

D. Prevent fluid retention and ascitis

ANSWER KEY

9. Lactulose is prescribed for patients with hepatic encephalopathy to:

A. to increase red blood count

B. to decrease the serum amonia level

C. to increase the protein level

D. to decrease the white blood cell count

ANSWER KEY

10. Hyperglycemia in hyperglycemic hyperosmolar non-ketotic syndrome results from:

A. increased use of glucose

B. Overproduction of glucose

C. increased production of glucose

D. increased osmotic movement of water

ANSWER KEY

ANSWER KEY

31. B

32.D

33. B

34. D

35. C

36. D

37. B

38. B

39. B

40.

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