NURS 5315: Exam 5 Concept
and Clinical Condition (GI
System) EXAM LATEST
QUESTIONS AND VERIFIED
ANSWERS 100%
GUARANTEED PASS
Charles has been celebrating graduating NP school by frequenting bars and drinking lots of
alcohol. He comes into the clinical because of presentation of coffee ground emesis, and melena
(black tarry stools). What type of GI bleed is he experiencing? - correct answer Upper GI Bleed
Upper GI bleed originate from what parts of the GI system? - correct answer Esophagus,
stomach, duodenum
What would cause an Upper GI bleed present as frank bright red blood in the vomit? - correct
answer Mallory-Weiss Tears (Tear of the esophagus)
Someone with inflammatory bowel disease, cancer, diverticula, or hemorrhoids are at risk for
what type of GI bleed? - correct answer Lower GI Bleed
Where does a Lower GI bleed originate from? - correct answer Jejunum, illeum, colon, rectum,
or anus
What bacteria is the primary cause for pericarditis ulcers? - correct answer H. Pylori
,What is hematochezia? - correct answer Bright red blood from rectum
Is hematochezia a result of an upper or lower GI bleed? - correct answer Lower GI Bleed
Diverticulitis can occur in the small and large intestine, True or False? - correct answer True, but
common in the Large intestine
What type of medication is strongly associated with peptic ulcers? - correct answer NSAIDS
Why does the excessive use of NSAIDS cause peptic ulcers? - correct answer NSAIDS inhibit the
enzyme cycloxygenase, this enzyme is responsible for the synthesis of inflammatory
prostaglandins. The loss of prostaglandins overtime leaves the gastric mucosa susceptible to
damage
Why does Zollinger-Ellison Syndrome cause peptic ulcer disease? - correct answer Zollinger-
Ellison Syndrome is due to a tumor called a gastrinoma. This neuroendorine tumor is found in
the duodenal wall and secretes abnormal amounts of Gastrin. Gastrin stimulates parietal cells to
secrete excess hydrochloride acid which allows ulcers to develop.
The pain of a Gastric Ulcer can be relieved by what type of medication? - correct answer
Antacid
Duodenal pain can be relieved by what item? - correct answer Food
Why are gastric ulcers associated with weight loss? - correct answer Gastric ulcers are
associated with weight loss because the pain that comes with the ulcer is triggered by eating
food.
Food-Pain Pattern
, Why are duodenal ulcers associated with weight gain? - correct answer Duodenal ulcers are
associated with weight gain because the pain that occurs is relieved by eating food
Pain-Food-Relief Pattern
Which ulcer is a mix between excess HCl- and Pepsin? - correct answer Duodenal Ulcer
A patient comes in with altered mental status from increased intracranial pressure. Their blood
pressure is 170/90 and they have a HR of 59 with irregular breathing, what type of ulcer are
they at risk for? - correct answer Cushing Ulcer
The patient comes in with severe burns, they have decreased plasma volume due to third
spacing. Which type of ulcer is the patient at risk for? - correct answer Curling Ulcers
Why do severe burns cause Curling Ulcer? - correct answer In burns there is reduce blood
supply and blood redistribution to the third space. This causes ischemia and loss of oxygen will
lead to cell necrosis. When the cells die the gastric mucosa breaks down.
Which inflammatory bowel disease affects only the mucosa and submucosa of the Large
Intestine? - correct answer Ulcerative Colitis
Ulcerative Colitis is autoimmune, why is this thought to be true? - correct answer Cytotoxic T
cells are often found in the epithelial lining the colon. The T cells may be destroying the walls of
the large intestine, leaving behind these eroded areas or ulcers
What is the name of the antibody that is associated with Ulcerative Colitis? - correct answer p-
ANCAS
and Clinical Condition (GI
System) EXAM LATEST
QUESTIONS AND VERIFIED
ANSWERS 100%
GUARANTEED PASS
Charles has been celebrating graduating NP school by frequenting bars and drinking lots of
alcohol. He comes into the clinical because of presentation of coffee ground emesis, and melena
(black tarry stools). What type of GI bleed is he experiencing? - correct answer Upper GI Bleed
Upper GI bleed originate from what parts of the GI system? - correct answer Esophagus,
stomach, duodenum
What would cause an Upper GI bleed present as frank bright red blood in the vomit? - correct
answer Mallory-Weiss Tears (Tear of the esophagus)
Someone with inflammatory bowel disease, cancer, diverticula, or hemorrhoids are at risk for
what type of GI bleed? - correct answer Lower GI Bleed
Where does a Lower GI bleed originate from? - correct answer Jejunum, illeum, colon, rectum,
or anus
What bacteria is the primary cause for pericarditis ulcers? - correct answer H. Pylori
,What is hematochezia? - correct answer Bright red blood from rectum
Is hematochezia a result of an upper or lower GI bleed? - correct answer Lower GI Bleed
Diverticulitis can occur in the small and large intestine, True or False? - correct answer True, but
common in the Large intestine
What type of medication is strongly associated with peptic ulcers? - correct answer NSAIDS
Why does the excessive use of NSAIDS cause peptic ulcers? - correct answer NSAIDS inhibit the
enzyme cycloxygenase, this enzyme is responsible for the synthesis of inflammatory
prostaglandins. The loss of prostaglandins overtime leaves the gastric mucosa susceptible to
damage
Why does Zollinger-Ellison Syndrome cause peptic ulcer disease? - correct answer Zollinger-
Ellison Syndrome is due to a tumor called a gastrinoma. This neuroendorine tumor is found in
the duodenal wall and secretes abnormal amounts of Gastrin. Gastrin stimulates parietal cells to
secrete excess hydrochloride acid which allows ulcers to develop.
The pain of a Gastric Ulcer can be relieved by what type of medication? - correct answer
Antacid
Duodenal pain can be relieved by what item? - correct answer Food
Why are gastric ulcers associated with weight loss? - correct answer Gastric ulcers are
associated with weight loss because the pain that comes with the ulcer is triggered by eating
food.
Food-Pain Pattern
, Why are duodenal ulcers associated with weight gain? - correct answer Duodenal ulcers are
associated with weight gain because the pain that occurs is relieved by eating food
Pain-Food-Relief Pattern
Which ulcer is a mix between excess HCl- and Pepsin? - correct answer Duodenal Ulcer
A patient comes in with altered mental status from increased intracranial pressure. Their blood
pressure is 170/90 and they have a HR of 59 with irregular breathing, what type of ulcer are
they at risk for? - correct answer Cushing Ulcer
The patient comes in with severe burns, they have decreased plasma volume due to third
spacing. Which type of ulcer is the patient at risk for? - correct answer Curling Ulcers
Why do severe burns cause Curling Ulcer? - correct answer In burns there is reduce blood
supply and blood redistribution to the third space. This causes ischemia and loss of oxygen will
lead to cell necrosis. When the cells die the gastric mucosa breaks down.
Which inflammatory bowel disease affects only the mucosa and submucosa of the Large
Intestine? - correct answer Ulcerative Colitis
Ulcerative Colitis is autoimmune, why is this thought to be true? - correct answer Cytotoxic T
cells are often found in the epithelial lining the colon. The T cells may be destroying the walls of
the large intestine, leaving behind these eroded areas or ulcers
What is the name of the antibody that is associated with Ulcerative Colitis? - correct answer p-
ANCAS
