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5 Written questions

5 Matching questions

  1. Paralytic ileus
  2. Why perform a Pylorplasty
  3. Gastrojejunostomy(GJ) (Billroth II)
  4. Dumping syndrome (rapid gastric emptying, )
  5. Intestinal pseudoobstruction
  1. a occurs when the undigested contents of your stomach are transported or "dumped" into your small intestine too rapidly. Reservoir reduced, large hypotonic bolus draws fluid into bowel, Lumen distends (stimulates intestinal motility
  2. b the only effective treatment for pyloric stenosis. It may also be used to treat certain patients with peptic ulcers or other types of gastric disease that cause a blockage of the stomach opening.
  3. c is decreased ability of the intestine to push food through, and often causes dilation of various parts of the bowel. It can be a primary condition (idiopathic or inherited) or caused by another disease (secondary). The clinical and radiological findings are often similar to true intestinal obstruction.
  4. d is a surgical procedure in which an anastomosis is created between the stomach and the proximal loop of the jejunum.
  5. e is the occurrence of intestinal blockage in the absence of an actual physical obstruction. This type of blockage is caused by a malfunction in the nerves and muscles in the intestine that impairs digestive movement.

5 Multiple choice questions

  1. Bowel prep
  2. is a partial or full surgical removal of the stomach
  3. chance for malnutrition
  4. fluids, gas and intestinal contents accumulates proximal to the intestinal obstruction. distension; distal bowel may collapse. Edema, congestion and rupture of bowel- retention of fluid in intestinal and peritoneum; reduction in circulation blood volume, shock; electrolyte fluids retain in bowel- high obstruction- metabolic alkolosis, small bowel- dehydration, large bowel- most GI fluids already absorbed
  5. surgical formation of an artificial opening between the stomach and the small intestine, usually at the jejunum. The operation is performed with a gastrectomy to route food from the remainder of the stomach into the small intestine or alone to treat a perforating ulcer of the duodenum.

5 True/False questions

  1. Bile reflux gastritisis a surgical procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach, following the major curve of the stomach. The open edges are then attached together with surgical staples sutures, or both) to leave the stomach shaped more like a tube, or a sleeve, with a banana shape. The procedure permanently reduces the size of the stomach. The procedure is performed laparoscopic and is not reversible.

          

  2. Gastric Restrictive Lap. Roux-EN-Y Gastric Candidate Evaluation PreopMedically managed weight loss program; Nutrition counseling; Psychological screening; Stress test; EKG; Blood studies/ X-rays; Surgeon screening

          

  3. Colostomy,diverts the ileum to a stoma. Semisolid waste flows out of the stoma and collects in an ostomy pouch, which must be emptied several times a day. An ileostomy bypasses the colon, rectum, and anus and has the fewest complications.

          

  4. colonoscopyis similar to an ileostomy, but the colon—not the ileum—is diverted to a stoma. As with an ileostomy, stool collects in an ostomy pouch.

          

  5. Possible reasons for bowel diversion surgery.Stoma: volume/consistency/ amt of drainage; pouch and skin care; Ileostomy: fluid and electrolyte drainage, usually high output; teaching