GI Tract & Digestive Health Quiz

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Med-surgical GI topics challenge

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Danielle Kendricks

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GI Tract & Digestive Health Quiz


GI Tract & Digestive Health QuizVersión en línea Med-surgical GI topics challenge por Danielle Kendricks 1 1. Which GI layer is responsible for peristalsis? a Submucosa b Muscularis c Mucosa d Serosa 2 2. Which structure normally prevents aspiration during swallowing? a Vocal cords b LES c Epiglottis d UES 3 3. Loss of intrinsic factor causes deficiency in which nutrient? a Iron b Folate c Vitamin K d Vitamin B12 4 4. Damage to parietal cells decreases production of what? a Mucus b Pepsinogen c Amylase d Hydrochloric acid 5 5. Which condition results from gastric tissue herniating through the diaphragm? a GERD b Hiatal hernia c Gastritis d Barrett’s esophagus 6 6. White plaques on the tongue that scrape off easily indicate which condition? a HSV-1 b Oral candidiasis c Leukoplakia d Aphthous ulcer 7 7. Tingling on the lip followed by clustered vesicles indicates which diagnosis? a HSV-1 b Periodontal disease c Oral cancer d Aphthous ulcers 8 8. A red-flag sign of possible oral cancer? a Ulcer lasting more than 2 weeks b Gingival bleeding c White plaques that scrape off d Painful lip vesicles 9 9. Which is a risk factor for oral candidiasis? a Vitamin deficiency b Inhaled corticosteroids c UV exposure d Male sex 10 10. How should dentures be cared for? a Sleep with dentures in place b Clean and soak dentures daily c Brush dentures once weekly d Avoid soaking dentures in water 11 11. Which symptom most strongly suggests GERD over cardiac pain lying flat? a Diaphoresis b Nausea with exertion c Pain radiating to left arm d Pain occurs when lying flat 12 12. Which lifestyle helps GERD management? a Large meals b Eating within 1 hour of bedtime c Avoid drinking water with meals d Elevating the head of bed 6-9 inches 13 13. Gold standard diagnostic test for GERD? a Esophageal manometry b Barium swallow c EGD d Ambulatory pH monitoring 14 14. First-line medication for GERD symptom control? a Corticosteroids b Opioids c PPIs d Anticholinergics 15 15. Long-term complication from chronic GERD? a Barrett’s esophagus b Gallstones c Appendicitis d Candidiasis 16 16. Hiatal hernia: priority assessment for worsening symptoms? a Strangulation/obstruction b Glycemic control c Viral infection d Dental erosion 17 17. Finding common with hiatal hernia? a Pain relieved by eating b Chronic cough c Pain only at night d Hematemesis only 18 18. Key lifestyle for hiatal hernia management? a High-fat diet b Avoid tight clothing c Restrict fluids d Lying down after meals 19 19. Common surgical correction for hiatal hernia? a Colectomy b Whipple c Nissen fundoplication d PEG placement 20 20. Major risk with paraesophageal hernia? a Dehydration b Strangulation c Gluten intolerance d Viral infection 21 21. Hallmark symptom of gastroparesis? a Bloody stools b Pain relieved by antacids c Vomiting undigested food hours after meals d Difficulty swallowing liquids 22 22. Appropriate meal pattern for gastroparesis? a Small, low-fat meals b High-fiber meals c High-protein, high-fat diet d Three large meals 23 23. Short-term medication used for gastroparesis (<12 weeks)? a Acyclovir b Metoclopramide c Famotidine d Omeprazole 24 24. Complication associated with gastroparesis? a Hypertension b Oral cancer c Bezoar formation d Kidney failure 25 25. Gold-standard diagnostic test for gastroparesis? a Ultrasound b Gastric emptying scintigraphy c EGD d Manometry 26 26. Suspected gastritis symptom? a Pain relieved by eating b Regurgitation with sour taste c Epigastric pain and bloating d Vesicles on lips 27 27. Priority question for suspected gastritis? a Do you use NSAIDs regularly? b Do you drink enough water? c Do you smoke marijuana? d How often do you exercise? 28 28. Pathogen commonly linked with chronic gastritis? a EBV b Candida c MRSA d H. pylori 29 29. Test confirming H. pylori during EGD? a Barium swallow b CT scan c X-ray d Rapid urease test 30 30. Gastritis can progress to which condition? a Appendicitis b Diabetes c Cholecystitis d Peptic ulcer disease 31 31. Strongest risk factor for duodenal ulcers? a Hypertension b Inhaled steroids c H. pylori d Low-fiber diet 32 32. Gastric ulcer pain is typically? a Improved with alcohol b Worse at night only c Worse after meals d Relieved by eating 33 33. Finding indicating possible upper GI bleed? a Melena b Bright red stool c Soft yellow stool d Clay-colored stool 34 34. Sign needing immediate report for perforation? a Bloating b Mild nausea c Heartburn d Sudden severe abdominal pain 35 35. Triple therapy for H. pylori includes? a One antiviral + H2 blocker b PPI only c Two antibiotics + a PPI d One antibiotic + antacid 36 36. Before placing an NG tube, you must assess? a Hemoglobin b Nares patency and gag reflex c Pedal pulses d Vision 37 37. Gold standard to confirm initial NG tube placement? a Gastric pH b Air bolus c Aspiration appearance d X-ray 38 38. During enteral feeding, head of bed should be kept at? a 0 degrees b 30-45 degrees c 15 degrees d 90 degrees 39 39. Gastric residuals are used to? a Confirm tube placement b Diagnose obstruction c Assess feeding tolerance d Measure electrolytes 40 40. A mispositioned NG tube complication? a Dehydration b Kidney failure c Aspiration pneumonia d Oral thrush Feedback 1 Peristalsis is produced by the muscularis, which has circular and longitudinal muscle layers. 2 The epiglottis covers the airway during swallowing to prevent aspiration. 3 Intrinsic factor is needed to absorb vitamin B12; without it, pernicious anemia can occur. 4 Parietal cells secrete HCl and intrinsic factor. 5 Hiatal hernia occurs when stomach tissue herniates through the diaphragm. 6 Oral candidiasis presents with white removable plaques. 7 Clustered vesicles on lips are classic for herpes simplex virus type 1. 8 A non-healing ulcer (>2 weeks) warrants cancer evaluation. 9 Inhaled steroids predispose to oral candidiasis. 10 Daily cleaning and soaking maintains denture hygiene. 11 GERD commonly worsens when lying flat. 12 Head elevation reduces reflux at night. 13 Long-term pH monitoring is highly sensitive for GERD. 14 Proton pump inhibitors are the mainstay for GERD relief. 15 Chronic GERD can lead to Barrett’s esophagus. 16 Acute strangulation or obstruction is an emergency. 17 Chronic cough can accompany hiatal hernias. 18 Tight clothing can worsen reflux symptoms. 19 Nissen fundoplication tightens the LES to prevent reflux. 20 Paraesophageal hernias risk strangulation. 21 Delayed gastric emptying leads to vomiting undigested food. 22 Small, low-fat meals aid gastric emptying. 23 Metoclopramide promotes gastric motility. 24 Bezoars can form from retained undigested material. 25 Gastric emptying scan assesses delay in emptying. 26 Epigastric discomfort and bloating suggest gastritis. 27 NSAID use is a key gastritis risk factor. 28 Helicobacter pylori is a common gastritis cause. 29 Rapid urease test detects H. pylori during endoscopy. 30 Gastritis can evolve into PUD. 31 H. pylori is a key cause of duodenal ulcers. 32 Gastric ulcers often pain after eating. 33 Melena suggests upper GI bleeding. 34 Acute perforation presents with sudden severe pain. 35 Standard triple therapy combines two antibiotics with a PPI. 36 Nares patency and gag reflex are essential for tube placement. 37 Chest/abdomen X-ray confirms correct NG placement. 38 Elevate to about 30-45 degrees to reduce aspiration. 39 Residual volumes help judge feeding tolerance. 40 Misplacement can lead to aspiration pneumonia.

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GI Tract & Digestive Health QuizVersión en línea

por Danielle Kendricks

1. Which GI layer is responsible for peristalsis?

2. Which structure normally prevents aspiration during swallowing?

3. Loss of intrinsic factor causes deficiency in which nutrient?

4. Damage to parietal cells decreases production of what?

5. Which condition results from gastric tissue herniating through the diaphragm?

6. White plaques on the tongue that scrape off easily indicate which condition?

7. Tingling on the lip followed by clustered vesicles indicates which diagnosis?

8. A red-flag sign of possible oral cancer?

9. Which is a risk factor for oral candidiasis?

10. How should dentures be cared for?

11. Which symptom most strongly suggests GERD over cardiac pain lying flat?

12. Which lifestyle helps GERD management?

13. Gold standard diagnostic test for GERD?

14. First-line medication for GERD symptom control?

15. Long-term complication from chronic GERD?

16. Hiatal hernia: priority assessment for worsening symptoms?

17. Finding common with hiatal hernia?

18. Key lifestyle for hiatal hernia management?

19. Common surgical correction for hiatal hernia?

20. Major risk with paraesophageal hernia?

21. Hallmark symptom of gastroparesis?

22. Appropriate meal pattern for gastroparesis?

23. Short-term medication used for gastroparesis (<12 weeks)?

24. Complication associated with gastroparesis?

25. Gold-standard diagnostic test for gastroparesis?

26. Suspected gastritis symptom?

27. Priority question for suspected gastritis?

28. Pathogen commonly linked with chronic gastritis?

29. Test confirming H. pylori during EGD?

30. Gastritis can progress to which condition?

31. Strongest risk factor for duodenal ulcers?

32. Gastric ulcer pain is typically?

33. Finding indicating possible upper GI bleed?

34. Sign needing immediate report for perforation?

35. Triple therapy for H. pylori includes?

36. Before placing an NG tube, you must assess?

37. Gold standard to confirm initial NG tube placement?

38. During enteral feeding, head of bed should be kept at?

39. Gastric residuals are used to?

40. A mispositioned NG tube complication?