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5 Written questions

5 Matching questions

  1. Gastric Restrictive Lap. Roux-EN-Y Gastric Preop care
  2. colonoscopy
  3. Why perform a Pylorplasty
  4. Postprandial hypoglycemia
  5. Billroth I
  1. a BMI 35-40; Comorbid conditions/obesity related interfering with ADL; tired and failed non-surgical weight reduction; no alcohol or drug abuse; no underlying psychiatric issues concerning obesity
  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 the endoscopic examination of the large bowel and the distal part of the small bowel with a CCD camera or a fiber optic camera on a flexible tube passed through the anus
  4. d bolus of concentrated carbohydrate; hyperglycemia : excessive release of insulin
  5. e Excision of the pylorus with end-to-end anastomosis of the upper portion of the stomach and the duodenum.

5 Multiple choice questions

  1. begins concurrently or immediately succeeding a meal(15-30 minutes after eating. Symptoms include nausea, vomiting, bloating, cramping, diarrhea, dizziness and fatigue.
  2. is due to an excessive reflux of duodenal contents into the stomach it will damage gastric mucus
  3. 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
  4. Medically managed weight loss program; Nutrition counseling; Psychological screening; Stress test; EKG; Blood studies/ X-rays; Surgeon screening
  5. is a surgical connection between two structures. It usually means a connection that is created between tubular structures, such as blood vessels or loops of intestine.

5 True/False questions

  1. Complications of gastric surgery (3)Dumping Syndrome, Postprandial hypoglycemia, and Bile reflux gastritis


  2. Why is a Gastroduodenostomy (Billroth I) performedis a surgical procedure in which an anastomosis is created between the stomach and the proximal loop of the jejunum.


  3. Mechanical Causes of Intestinal Obstruction partial or completeOcclusion of the lumen of the intestinal tract; small intestine adhesions, neoplasm; large intestine carcinoma ( most common cause); Volvulus; Diverticular diseases; and Intussusception


  4. Post- operative care for Bowel diversion surgeryStoma: volume/consistency/ amt of drainage; pouch and skin care; Ileostomy: fluid and electrolyte drainage, usually high output; teaching


  5. Paralytic ileusis 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.