What nursing intervention is appropriate for a patient with PUD who is experiencing nausea?
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Question 2 of 63
What is the purpose of a urea breath test in the context of PUD?
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Question 3 of 63
Plasma cells differ from other lymphocytes by having:
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Question 4 of 63
In gastric bypass surgery, the stomach is reduced to hold 1 ounce of food, instead of 3 pints. This surgery would drastically impact one's
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Question 5 of 63
Adventitia consists of:
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Question 6 of 63
The germinal centers of lymph nodules function as sites where:
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Question 7 of 63
Which of the following cells is most directly responsible for protecting the stomach mucosa from attack by acid and proteolytic enzymes?
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Question 8 of 63
A 68-year-old man with a history of diabetes, hypertension, and coronary artery disease (s/p coronary artery bypass graft two years ago) presents to the emergency room with fevers and left-sided abdominal pain. His physical examination reveals a temperature of $101.5^{\circ} \mathrm{F}$, pulse 96, and blood pressure of 135/80. His abdomen is soft with moderate left lower quadrant tenderness. There is no rebound or guarding. Bowel sounds are present. A CT scan is done which reveals inflammation around an area of the left colon. The next step in his workup/management should be
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Question 9 of 63
“Digestionâ€Â, alone, refers to the (very specific answer)
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Question 10 of 63
The human liver is composed of 4 lobes. Which is lobe is larger…
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Question 11 of 63
Microscopic finger-like projections of the intestinal mucosa are called intestinal:
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Question 12 of 63
Liver abnormalities definitely associated with Crohn's disease include all the following except:
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Question 13 of 63
A patient diagnosed with PUD is being discharged with a prescription for a proton pump inhibitor (PPI) and an antibiotic. What key instruction should the nurse provide regarding the antibiotic therapy?
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Question 14 of 63
In which region of the gastrointestinal tract are Peyer's patches most common?
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Question 15 of 63
Which of these is involved in the chemical digestion of protein?
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Question 16 of 63
What structure prevents food from entering the trachea?
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Question 17 of 63
The broad band of loose connective tissue beneath the mucosa that contains blood vessels, lymph and nerves is called the:
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Question 18 of 63
Undifferentiated, mitotically active epithelial cells which can replace or regenerate the epithelial lining of the small intestine are located:
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Question 19 of 63
The basal surface of hepatocytes is bathed by blood plasma as it flows freely through:
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Question 20 of 63
Which type of diet is most appropriate for a patient recovering from a bleeding peptic ulcer?
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Question 21 of 63
A 32-year-old woman presents with a 10-month history of an intermittent burning sensation in the epigastrium that is sometimes related to eating. She has heard about bacteria that can cause gastrointestinal (GI) symptoms. She has had no change in her weight and denies dysphagia. Her laboratory tests are normal. Which of the following would you recommend?
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Question 22 of 63
What structure is found between organ X and organ Y?
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Question 23 of 63
Structures of the small intestine that aid in the absorption of nutrients include
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Question 24 of 63
Which of the following best describes the pathophysiology of gastritis?
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Question 25 of 63
Which enzyme is most effective at pH 2.5?
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Question 26 of 63
Another name for the (Billroth II) procedure is a ________.
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Question 27 of 63
Which of the following is characteristic of serous (enzyme-secreting) cells?
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Question 28 of 63
Which of the following Vitamins is not stored in the Liver?
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Question 29 of 63
The curved, tubular portion of the stomach is the
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Question 30 of 63
A patient with a history of PUD presents with sudden, severe epigastric pain and a rigid abdomen. What is the priority nursing intervention?
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Question 31 of 63
What is absorption?
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Question 32 of 63
A 60-year-old African-American woman with a history of GERD and an extensive smoking and alcohol history presents complaining of dysphagia for the past two months. She also reports weight loss of 15 pounds over that span. A barium swallow is done and reveals narrowing of the mid-esophagus. An endoscopy is performed and is consistent with an esophageal tumor, so biopsies are taken and they reveal squamous cell carcinoma. Which of the following statements is correct?
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Question 33 of 63
Select all the medications a physician may order to treat a H. Pylori infection that is causing a peptic ulcer?
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Question 34 of 63
In normal, H&E stained material, the cytoplasm of hepatocytes appears:
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Question 35 of 63
The vessel which brings oxygenated, arterial blood from the heart into the liver, with branches in each portal area, is the:
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Question 36 of 63
The parotid gland is a:
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Question 37 of 63
Along most of the GI tract (except for the oral cavity and lower anal canal), the basal boundary of the mucosa is marked by:
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Question 38 of 63
You're educating a group of patients at an outpatient clinic about peptic ulcer formation. Which statement is correct about how peptic ulcers form?
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Question 39 of 63
Which of the following structures secrete hydrochloric acid?
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Question 40 of 63
A 46-year-old man with a history of cirrhosis is brought in by his wife because he has been acting strangely. On examination, he is disoriented, is ataxic, and has slurred speech. He is also hyperreflexic. His white blood cell count is normal. His hematocrit is $34 \%$. Coagulation times are elevated. His ammonia level is normal. Which of the following statements regarding his management is correct?
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Question 41 of 63
What is the typical first-line treatment for an H. pylori infection causing a peptic ulcer?
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Question 42 of 63
The correct pathway for urine to flow out of the human body is
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Question 43 of 63
A 55-year-old man presents complaining of frequent foul-smelling stools, excess gas, 10-pound weight loss, and unsteadiness of gait. His past history includes multiple prior episodes of small intestinal obstruction arising from adhesions from abdominal surgery for trauma. He still complains of occasional periumbilical pain after eating, and has generalized aches and pains and chronic soreness around his mouth. He takes a proton pump inhibitor for gastroesophageal reflux. Apart from his previous scars, his abdominal exam is normal. He has absent ankle jerks and he is unable to maintain an upright posture gait with his feet together once he closes his eyes. His investigations reveal stool fat levels of $15 \mathrm{~g} / 24$ hours. His labs are notable for macrocytic anemia, an elevated alkaline phosphatase, and a low serum albumin. CT of his abdomen reveals some mildly dilated small bowel loops. Which of the following statements are incorrect?
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Question 44 of 63
Which of the following membranes covers the stomach?
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Question 45 of 63
All of the following are primarily mucous-secreting glands EXCEPT:
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Question 46 of 63
The digestive system processes food into usable and unusable materials. The usable materials are sent to the body's cells as food. What happens to unusable materials?
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Question 47 of 63
In a human, the movement of glucose from the digestive tract to muscle cells is most directly a result of
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Question 48 of 63
Which of the following regions of the GI tract is characterized by numerous short tubular invaginations but no villi?
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Question 49 of 63
A patient with PUD is instructed to avoid certain foods to prevent symptom exacerbation. Which food should the patient be advised to avoid?
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Question 50 of 63
A 78-year-old woman presents to you after having a total body CT scan done at a local facility. She was told that she has a few gallstones in her gallbladder and should discuss this with her primary physician. An ultrasound was apparently also done, which revealed the presence of a few 1-cm gallstones but no ductal dilatation or gallbladder thickening. She denies any abdominal discomfort or pain. Her aspartate aminotransferase (AST), alanine aminotransferase (ALT), and alkaline phosphatase are normal. She is concerned because her mother died of complications from a 'gallbladder attack.' What course of action would you recommend in this patient?
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Question 51 of 63
During swallowing,
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Question 52 of 63
A patient with PUD is undergoing an upper GI endoscopy. The nurse is aware that this procedure is primarily used to:
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Question 53 of 63
Structure X represents a
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Question 54 of 63
Choose the best description of the jejunum.
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Question 55 of 63
When should patients take proton pump inhibitors?
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Question 56 of 63
Which components of the human diet contain the greatest amounts of sugars and starches?
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Question 57 of 63
Where does the majority of chemical digestion in the stomach occur?
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Question 58 of 63
Which two organ systems provide materials required for the human body to produce ATP?
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Question 59 of 63
Which organ produces enzymes which aid in the digestion of fats?
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Question 60 of 63
A patient is being discharged from hospital after an episode of unstable angina. Which ONE of the following medicines should be stopped prior to discharge from hospital?
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Question 61 of 63
A 65-year-old woman with a past medical history of asthma and hypertension has symptoms of stable angina precipitated by walking up steep slopes. What would be the most suitable first-line treatment for her symptoms?
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Question 62 of 63
A 35-year-old male patient presents with right upper quadrant pain, fever for the past 48 hours, preceded by new onset jaundice over the past few weeks. He states that he has had diarrhea on and off for several years but never had this investigated. A liver ultrasound is negative for gallstones or evidence of cholecystitis. His lab tests reveal total bilirubin 6.2, alkaline phosphatase 450, AST 150, ALT 120, albumin 2.6. The next diagnostic test of choice would be
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Question 63 of 63
The pancreas is an organ connected to the digestive tract of humans by a duct (tube) through which digestive enzymes flow. Why are these enzymes important to the digestive system?
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