Upper GI E2

  1. What is gastric emptying study?
    • Uses Marker (TC99), in cooked egg and toast, to see how long it takes from stomach to small intestine
    • if stomach is too slow of emptying food, it'll give stomach pain and vomiting
  2. Fill in: prolonged vomiting can cause damage inside of _____
  3. What is a mallory-weiss tear?
    tear in essophagus d/t vomiting or ESLD
  4. Coffee ground colored emesis comes from:

    a. blood in stomach
    b. blood from esophagus
  5. Bright red blood emesis comes from:

    a. blood in stomach
    b. blood from esophagus
  6. Compazine and Phenergan are examples of what kind of drugs?

  7. Reglan is a:

  8. How do prokinetics help g/i? what is a rare s/e?
    • Helps food pass into small intestine
    • s/e: extra parymidal symptom
  9. Zofran is a:

  10. What are oral risks for DM patients?
    higher risk for yeast infection or thrush
  11. This term means "smoker's patch" a white patch in mouth

    a. Leukoplakia
    b. Erythroplakia
  12. This term means a red velvety patch on tongue

    a. Laukoplakia
    b. Erythroplakia
  13. A patient is showing these symptoms that are considered late: dysphagia, neck mass, slurred speech, increased salivation, tooth and ear aches. What kind of oral cancer is this?
  14. a patient after radical neck surgery will be on parenteral fluids for ____ days then what kind of feeding?
    1-2 days then NG, PEG or intestinal tube
  15. Why do you see distention with a patient with tube feeding?
    could mean tube feeding is going too quickly
  16. This disease is when gastric secretes into the esophagus
  17. These are predisposing factors of what GI disease:

    Food relaxing sphincter of esophagus, ETOH, smoking, meds, stress, obesity
  18. This dz is often dx with people who have long term GERD
    Berrett's esophagus
  19. Esophagitis and upper airway spasms are complications of this
  20. T or F: dental erosion can occur from GERD
  21. A patient with gerd is treated with this to decrease acid secretion:

    B. Pepside: H2 blocker
  22. A patient with GERD is given this to inhibit production of HCl:

    D. Prilosec: PPI
  23. A patient with GERD is given this to coat the stomach to adhere to ulcer surfaces:

    D. Carafate: Protectant
  24. A patient with GERD is given this to increase gastric motility and empty it to reduce reflux:

    A. Reglan: Prokinetic
  25. How can alcohol effect the lining of the stomach?
    It goes through stomach lining and inflames it causing gastritis.
  26. How can these drug types help with GERD:

    1. H2 Blockers (Pepcid, zantac)
    2. PPI (prilosec, protonix)
    3. Protectant (Carafate)
    4. Prokinetic (Reglan)
    • 1. decrease acid secretion
    • 2. Inhibit production of HCl
    • 3. Coats stomach to help prevent ulcers
    • 4. Increase gastric motility and emptying to reduce reflex
  27. What is the most important thing to look at when looking at shock d/t a GI bleed when looking at I/O?
    Color and amount of urine
  28. Why is perforation the most lethal complication of ulcers?
    Blood leaks into the GI, resp shallow and rapid, increases HR, weak pulse, BS absent, n/v as blood pools in stomach
  29. What is a fiberoptic endoscopy used to locate?
  30. List drugs that are used to treat an H. Pylori infection in the stomach. (2 abx)
    What will these abx be combined with to reduce stomach accid?
    • Amoxicillin 
    • Biaxin
    • combined with prilosec
  31. Match type of surgery:

    1. Partial gastrectomy with removal of stomach of gastric stump to Duodenum. ___
    2. Partial gastrectomy with removal of stomach of gastric stump to Jejunum. ___

    a. Billroth 1
    b. Billroth II
    c. Vagotomy
    d. Pyloroplasty
    • 1. a
    • 2. b
  32. What is this term: Decreases GI motility, and decreases HCL and Gastrin hormone secretion

  33. What is this term: Enlarges this sphincter which facilitates passage of contents from stomach:

  34. Vagotomy and Pyloroplasty will both (increase/decrease) gastric emptying
Card Set
Upper GI E2
reading and lecture