1. A major complication of persistent gastroesophageal reflux is:
A) strictures.
2. Acute gastritis refers to a transient inflammation of the gastric mucosa that is most commonly associated with:
D) alcohol intake.
3. The Helicobacter pylori protobacteria cause peptic ulceration by producing:
B) toxins
4. A hallmark of irritable bowel syndrome is abdominal pain:
A) relieved by defecation.
5. Inflammatory bowel diseases are accompanied by systemic manifestations that include:
A) autoimmune anemia.
6. Crohn's type of inflammatory bowel disease is characterized by:
A) granulomatous lesions.
7. Unlike the Crohn type of inflammatory bowel disease, the ulcerative colitis type is characterized by:
D) pseudopolyps.
8. Diverticulitis, a complication of diverticulosis, is manifested by acute:
D) lower left quadrant pain.
9. Major causes of mechanical bowel obstruction include:
D) postoperative adhesions.
10. As a protective measure to keep abdominal inflammation and infection localized, the peritoneum:
B) secretes fibrous exudate.
11. Which of the following signs and symptoms most clearly suggests the need for endoscopy to rule out esophageal cancer?
B) Dysphagia in an individual with no history of neurologic disease
12. A 60-year-old male patient has presented to his primary care provider to follow up with his ongoing treatment for peptic ulcer disease. What is the most likely goal of this patient's pharmacologic treatment?
A) Inhibiting gastric acid production
13. Which of the following individuals most likely faces the greatest risk of developing Clostridium difficile colitis?
B) A 79-year-old hospital patient who is being treated with broad-spectrum antibiotics
14. A 66-year-old woman has been diagnosed with diverticular disease based on her recent complaints and the results of a computed tomography (CT) scan. Which of the patient's following statements demonstrates an accurate understanding of this diagnosis?
D) I suppose I should try to eat more fiber and become a bit more active.
15. An ultrasound has confirmed appendicitis as the cause of a 20-year-old man's sudden abdominal pain. Which of the following etiologic processes is implicated in the development of appendicitis?
A) Obstruction of the intestinal lumen
16. Which of the following characteristics differentiates inflammatory diarrhea from the noninflammatory type?
D) Infection of intestinal cells
17. Which of the following patients should the nurse observe most closely for the signs and symptoms of paralytic ileus?
A) A patient who is postoperative day 1 following gall bladder surgery
18. Which of the following meals is most likely to exacerbate an individual's celiac disease?
A) Spaghetti with meatballs and garlic bread
19. Which of the following statements is true of colorectal cancer?
C) Most cases are quite advanced before symptoms become apparent.
20. Following the analysis of a recent barium enema and colonoscopy with biopsy, a patient has been diagnosed with colorectal cancer. Which of the following treatment modalities will be the mainstay of this patient's treatment?
D) Surgery