5 Written Questions

1. Best to give with meals and at night to decrease vagal-induced histamine release
2. Avoid overeating
   Eat frequent, small meals
   Encourge soft foods
   Nutrional supplements (Ensure)
   Vit B12 supplements- remove intrinsic factor need B12
   Potential Tube Feeding
3. 1. Rapid onset of epigastric pain
   2. Dyspepsia
   3. N/V
   4. Anorexia
   5. Hematemesis (the vomiting of blood)
   6. Gastric hemorrhage
4. Buffer gastric acid and prevent the formation of pepsin
5. EGD
   Cytologic examination to confirm or rule out gastric cancer

5 Matching Questions

1. Surgical Management of Gastritis
2. When do you give Antisecretory agent
3. Name 2 Antacids
4. Prevention of gastritis
5. H2 Blockers do what

1. a Take 30-60 minutes before breakfast or dinner meal if night time symptoms occur
2. b 50%-80% inhibit gastric secretion
   Chronic use can lead to tolerance and rebound hypersecretion
3. c Maalox
   Mylanta
4. d Gastrectomy- partial or total of stomach
   Pyloroplasty- pylor sphinctor, enlarging it, food goes directly into small intestine
   Vagotomy- resection, cut vagel nerve
5. e Avoid excessive alcohol intake
   Use caution with use of NSAID, ASA, and Corticosteriods
   Avoid excessive intake of caffeinated beverages
   Avoid eating contaminated food/water
   Stop smoking
   Protection against exposure to toxic substances
   Seek medical treatment if symptoms occur

5 Multiple Choice Questions

1. Vitamin B12
   1. What do we give to prevent or treat pernicious anemia
   2. When do we take Antacids
   3. When do you give Antisecretory agent
   4. When do we give Mucosal barrier fortifer
2. 1. Thickened, reddened mucous membrane
   2. Prominent folds in the mucous membrane
   1. Prevention of gastritis
   2. Surgical Management of Gastritis
   3. Early manifestations of gastritis
   4. Pathophysiology of Gastritis
3. Cimetidine (Tagamet)
   Ranitidine (Zantac)
   Nizatidine (Axid)
   Famotidine (Pepcid)
   1. H2 receptor antagonists (BLOCK)
      AKA H2 Blockers
      The "Tidines"
   2. Proton-pump inhibitors
      Antisecretory agents (BLOCK)
      AKA "the Prazoles"
   3. Antacids (BUFFER) What do they do
   4. What types of antacids do we avoid in CHF patients
4. 1. NASAID- long term use
   2. ASA-long term use
   3. Alcohol
   4.Cytotoxic agents
   5. Caffeine
   6. Corticosteriods
   7. Radiation therapy
   8. Accidental/intentional ingestion of corrosive substances
   1. Acute causes of gastritis (other causes)
   2. Acute causes of gastritis (drugs)
   3. Types of Gastritis
   4. Acute causes of gastritis (bacteria, viral,
5. 1. Vague c/o epiastric pain relieved by food
   2. Intolerance to fatty or spicy foods
   3. N/V
   4. Anorexia
   5. Pernicious anemia
   1. Diagnostic tests for Gastritis
   2. Early manifestations of gastritis
   3. Signs and Symptoms of Acute Gastritis
   4. Signs and Symptoms of Chronic Gastritis

5 True/False Questions

1. When do we take Antacids → Maalox
   Mylanta

   True        False

2. Pathophysiology of Gastritis → 1. Break in the protective mucosal barrier
   2. Resulting injury: Histamine release, Vagal nerve stimulation
   3. Hydrochloric acid can diffuse back into the mucosa injuring small vessels
   4. Edema, hemorrhage, and erosion to the stomach lining occurs
   5. Further changes occur in the superficial epithelium

   True        False

3. Acute causes of gastritis (bacteria, viral, → 1. H. pylori
   2. Staphylococci
   3. Streptococci
   4. Escherichia coli
   5. Salomonella
   6. Herpes simplex
   7. Disseminated cytomegalovirus (CMV)

   True        False

4. Gastritis → Inflammation of the gastric mucosa

   True        False

5. Proton-pump inhibitors
   Antisecretory agents (BLOCK)
   AKA "the Prazoles" → Cimetidine (Tagamet)
   Ranitidine (Zantac)
   Nizatidine (Axid)
   Famotidine (Pepcid)

   True        False