SATA: Which areas of the GI tract are susceptible to Peptic Ulcer Disease (PUD)?

Acute Peptic Ulcer Disease is classified by:

Chronic Peptic Ulcer Disease is characterized by ______ of the muscular wall with formation of fibrous tissue, present continuously for many months or intermittently throughout lifetime.

Gastric ulcers are more prevalent in ______ older than 50 years.

Which of the following are risk factors for gastric ulcers?

Duodenal ulcers are most prevalent in which age group?

The etiology of duodenal ulcers is most commonly ______.

High-risk conditions associated with duodenal ulcers include which of the following?

Which bacteria is commonly associated with peptic ulcer disease (PUD)?

CagA-positive strains of Helicobacter pylori are found in what percentage of gastric and duodenal ulcers?

What are the modes of transmission for Helicobacter pylori?

Helicobacter pylori bacteria produce which enzyme that increases gastric section and tissue damage?

Which medication class is especially associated with medication-induced injury in PUD, particularly when combined with corticosteroids or anticoagulants?

Which of the following are lifestyle factors that can contribute to PUD?

Psychologic distress and depression can delay ulcer healing.

Which of the following is NOT a factor in the pathophysiology of PUD?

What happens after the breakdown of the gastric mucosal barrier in PUD pathophysiology?

Destruction of mucosal cells in PUD leads to increased release of which substances?

Further mucosal erosion in PUD can cause destruction of blood vessels and what complication?

Increased vasodilation and capillary permeability in PUD is caused by which substance?

Ulceration in PUD is primarily caused by which substances?

Loss of plasma proteins into the gastric lumen in PUD leads to what condition?

Which of the following is a symptom of epigastric discomfort in Peptic Ulcer Disease (PUD)?

Perforation is the FIRST symptom in SOME patients with Peptic Ulcer Disease (PUD).

Fill in the blank: Burning or cramplike pain in midepigastric or back, 2-5 hours after meal is a symptom of ________ ulcer.

Which of the following symptoms are common to both types of Peptic Ulcer Disease (PUD)?

Peptic Ulcer Disease (PUD) may be silent in older adults and patients taking NSAIDs.

What is the most accurate diagnostic method for Peptic Ulcer Disease (PUD)?

Which of the following is the gold standard for diagnosing H. pylori?

SATA: Select non-invasive tests for diagnosing H. pylori in Peptic Ulcer Disease (PUD).

Drug therapy is a KEY part of treatment for Peptic Ulcer Disease (PUD).

Fill in the blank: To reduce gastric acid secretion in PUD, ______ are used.

Which of the following is used to eliminate H. pylori in PUD treatment?

Choose the BEST answer: Patient education for PUD should include teaching about drugs and reporting recurrence of pain or ______ in vomitus or stool.

How many days of PCN with PPI are recommended for antibiotic therapy to eradicate H. pylori?

If a patient is allergic to PCN, which antibiotic is used for H. pylori eradication?

Proton pump inhibitors are more effective than H2 blockers and are used in conjunction with antibiotics to treat which infection?

Which cytoprotective drug therapy protects the esophagus, stomach, and duodenum in PUD treatment?

Which of the following should be avoided in nutrition therapy for PUD?

Fill in the blank: Surgical therapies for PUD are ______ unless the patient is unresponsive to medical management or cancer concerns exist.

What are the three major complications of PUD?

What is the most common GI emergency situation requiring surgical intervention?

What is the most lethal emergency situation with surgical intervention?

Fill in the blank: GI contents spill into the _______ cavity during a perforation.

Which of the following is NOT a symptom of perforation?

If untreated, bacterial peritonitis occurs in how many hours after perforation?

What is the immediate focus in treating perforation?

Fill in the blank: The treatment for gastric outlet obstruction is to decompress with _______.

Which of the following is NOT a goal of care for PUD?

Choose the BEST answer: Acute care for PUD includes NPO, NGT, IV fluids, VS, and monitoring for ______ and I/Os.

What is the recommended intake for a patient with PUD-induced bowel perforation?

For patients post gastric outlet obstruction, if their gastric residual volume is less than ____ml after being clamped for _____ hours, begin oral intake and progress to solids.

Which of the following is a geriatric consideration for PUD?

Fill in the blank: Frequent use of _______ (i.e. for arthritis) is a geriatric consideration for PUD.

The first symptom of PUD in geriatric patients may be GI bleed or decreased Hct.

What conditions can gastric surgery treat?

Partial gastrectomy refers to:

Gastroduodenostomy, also known as Billroth 1, involves:

Gastrojejunostomy, also known as Billroth 2, involves:

What is the procedure called when the entire stomach is removed and the esophagus is anastomosed to the jejunum?

Vagotomy is performed to:

Pyloroplasty involves the ________ of the pyloric sphincter.

Which of the following is a postoperative complication of gastric surgery?

Dumping syndrome occurs when gastric chyme enters the small intestine as a large ________ bolus.

Which of the following is NOT a symptom of dumping syndrome?

What is a variant of dumping syndrome that occurs after eating and is characterized by uncontrolled high carbohydrate bolus entering the small intestine?

Which of the following is NOT a symptom of postprandial hypoglycemia?

Bile reflux gastritis can occur after which of the following?

What medication can be administered before or with meals to bind bile salts in bile reflux gastritis?

SATA: Patient teaching about procedure and postop expectations of GI surgery includes:

IV fluids should be transitioned to oral solids in the postoperative care of gastric surgery patients.

Which of the following is NOT a respiratory complication to monitor for after gastric surgery?

SATA: Name some complications to monitor for in obese patients after gastric surgery.

What are the symptoms of an anastomosis leak after gastric surgery?

What is required to prevent sepsis and death in the case of an anastomosis leak?

What should be monitored for to detect bleeding after gastric surgery?

SATA: What is the purpose of NGT for decompression (suction) after gastric surgery?

How long is bloody drainage expected after gastric surgery, and what amount should be reported as excess?

What should be done to avoid rupture of sutures and leakage into the peritoneal cavity after gastric surgery?

Drainage should darken and change to what color in 36-48 hours after gastric surgery?

Which vitamins and minerals are important for wound healing after gastric surgery?

Patients with pernicious anemia who undergo gastric surgery must take cobalamin, multivitamins with folate, calcium, vitamin D, and iron for _________.

Fill in the blank: In the first few weeks after surgery, meals should be soft, bland, low fiber, high complex carbohydrates, and high ________.

Which of the following should be avoided WITH meals after stomach size reduction?

Fill in the blank: To avoid hypoglycemia after stomach surgery, limit ________ with meals, and include moderate protein and fat.

Which of the following is NOT recommended in the first few weeks after stomach size reduction?

Fill in the blank: Gastritis is the inflammation of ________.

In gastritis, the breakdown of the gastric mucosal barrier allows ____ and ____ to diffuse back into the mucosa.

Binge drinking of alcohol can lead to chronic gastritis.

What can sometimes be the ONLY symptom of gastritis?

Gastritis can cause pernicious anemia due to loss of _______.

SATA: Select all of the different types of upper GI bleeds.

What is the MOST COMMON cause of UGI bleeds?

What is the primary diagnostic tool for discovering the source of a GI bleed?

A massive GI bleed is classified as greater than ______ ml blood loss or _____% intravascular blood volume loss.

A patient with a GI bleed that stops suddenly on it's own no longer requires treatment.

Endoscopic therapy is considered first line management for GI bleeds. How soon after the onset of the bleed does this therapy need to be performed to most accurately determine the next steps of treatment?

Antacids should ONLY be given for GI bleeds ______ the acute phase.

SATA: Select the following treatments for UGI bleeds.

It is imperative that the nurse assess the patient's ___________ before providing blood transfusions.

What type of venous access is required on a patient with a severe UGI bleed?

What kind of diet should a patient with an active UGI bleed be placed on?

A patient with a severe UGI bleed presents with tachycardia, weak pulses, hypotension, and prolonged capillary refill. What is this patient experiencing?

SATA: Select some possible causes of gastritis.