Gerd, Hernias, And Hiatal Hernia N180 Stokke

18 Questions | Total Attempts: 678

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Hernia Quizzes & Trivia

Questions and Answers
  • 1. 
    A weakened area of the abdominal wall where the intestines protrude is call a ____________________.
    • A. 

      Hiatal Hernia

    • B. 

      Hernia

    • C. 

      GERD

  • 2. 
    A weakened area of the diaphram where a portion of the stomach and lower esophagus protrude into the thoracic cavity is call a ____________________.
    • A. 

      Hiatal Hernia

    • B. 

      Hernia

    • C. 

      GERD

  • 3. 
    GERD can be defined as ____________________________.
    • A. 

      Heartburn

    • B. 

      A condition in which gastric contents retrograde flow into the esophagus.

    • C. 

      A condition in which stomach acid flows into the small intestine causing a break down in the tissue.

  • 4. 
    CHECK ALL THAT APPLY: Which of the following can cause GERD?
    • A. 

      Obesity

    • B. 

      Being underweight

    • C. 

      Pregnancy

    • D. 

      Decreased gastric volume

    • E. 

      Increased gastric volume

    • F. 

      Smoking

    • G. 

      Weakened abdominal muscles

    • H. 

      Increased abdominal pressure

    • I. 

      Nicotine, Caffeine, Chocolate, Alcohol, peppermint, spearmint

    • J. 

      Fatty foods

    • K. 

      Beta-blockers

    • L. 

      Calcium channel blockers

    • M. 

      Valium

    • N. 

      Heavy lifting

    • O. 

      Relaxation of the Lower Esophageal Sphincter

  • 5. 
    CHECK ALL THAT APPLY: Which of the following can cause a hernia?
    • A. 

      Obesity

    • B. 

      Being underweight

    • C. 

      Pregnancy

    • D. 

      Decreased gastric volume

    • E. 

      Increased gastric volume

    • F. 

      Smoking

    • G. 

      Weakened abdominal muscles

    • H. 

      Increased abdominal pressure

    • I. 

      Nicotine, Caffeine, Chocolate, Alcohol, peppermint, spearmint

    • J. 

      Fatty foods

    • K. 

      Beta-blockers

    • L. 

      Calcium channel blockers

    • M. 

      Valium

    • N. 

      Relaxation of the Lower Esophageal Sphincter

  • 6. 
    Which of the following would be an appropriate question for a nurse to ask a patient who has suffered GERD for years?
    • A. 

      Have you noticed a difference in your swallowing?

    • B. 

      Have you noticed a sweet or fruity odor when you urinate?

    • C. 

      Have you noticed an increase in your discomfort when you drink a glass of milk?

  • 7. 
    All of the following are symptoms of GERD EXCEPT:
    • A. 

      Wheezing at night

    • B. 

      Hoarse voice

    • C. 

      Bad taste in the mouth in the morning

    • D. 

      Increase in discomfort when sit upright

  • 8. 
    All of the following medications are appropriate treatments for GERD EXCEPT:
    • A. 

      Zantac

    • B. 

      Tagmet

    • C. 

      Prilosec

    • D. 

      Protonix

    • E. 

      All of the above

    • F. 

      None of the above

  • 9. 
    Which of the following is NOT an appropriate intervention for a hernia?
    • A. 

      Abdominal binder

    • B. 

      Surgical repair

    • C. 

      Valsalva Maneuver

    • D. 

      All of the above

    • E. 

      None of the above

  • 10. 
    True or False: A reducible hernia is a hernia that can be made smaller by means other than surgery (i.e. an abdominal binder).
    • A. 

      True

    • B. 

      False

  • 11. 
    True or False: If a hernia's blood supply has been reduced to the protruding bowel and it results in ischemia, obstruction, necrosis of tissues, and perforation, it is called an irreducible hernia.
    • A. 

      True

    • B. 

      False

  • 12. 
    Patient's with GERD often complain of pain in which area?
    • A. 

      Just below the ribcage

    • B. 

      Throat

    • C. 

      Substernal

    • D. 

      All of the above

    • E. 

      None of the above

  • 13. 
    ______________________, a symptom of GERD, is a disorder of the tube that carries food from the mouth to the stomach (esophagus), which affects the ability of the esophagus to move food toward the stomach.
    • A. 

      Dysphagia

    • B. 

      Achalasia

    • C. 

      Esophoria

  • 14. 
    ___________________ is a procedure in which the fundus of the stomach is wrapped completely around the esophagus to prevent movement into the thoracic cavity.
    • A. 

      Nissen fundoplication

    • B. 

      Hill repair

    • C. 

      Barrets fundoplication

    • D. 

      Nissen repair

    • E. 

      Hill fundoplication

    • F. 

      Barrets repair

  • 15. 
    ____________________ is a procedure in which the fundus of the stomach is wrapped halfway around the esophagus to prevent movement up into the thoracic cavity.
    • A. 

      Nissen fundoplication

    • B. 

      Hill repair

    • C. 

      Barrets fundoplication

    • D. 

      Nissen repair

    • E. 

      Hill fundoplication

    • F. 

      Barrets repair

  • 16. 
    _____________ is a syndrome in which a person cannot belch.
    • A. 

      Gas Retention Syndrome

    • B. 

      Hyperactive Lower Esophageal Sphincter Syndrome

    • C. 

      Gas Bloat Syndrome

  • 17. 
    CHECK ALL THAT APPLY: Which of the following are true of a sliding hiatal hernia? (Including facts and symptoms)
    • A. 

      LES and portion of the fundus move up into the thoracic cavity

    • B. 

      Fundus and the greater curvature of the stomach protrude into the thoracic cavity

    • C. 

      Heartburn

    • D. 

      Reflux

    • E. 

      LES is in the lower pressure system of the thoracic cavity

    • F. 

      LES stays in the abdomen (higher pressure system)

    • G. 

      Extreme fullness after a normal size meal

    • H. 

      Chest pain

    • I. 

      Dysphagia

    • J. 

      May be asymptomatic

    • K. 

      S/Sx get worse when laying down

    • L. 

      Breathlessness after a meal

    • M. 

      Typically no heartburn

  • 18. 
    CHECK ALL THAT APPLY: Which of the following are true of a rolling (paraesophageal) hiatal hernia? (Including facts and symptoms)
    • A. 

      LES and portion of the fundus move up into the thoracic cavity

    • B. 

      Fundus and the greater curvature of the stomach protrude into the thoracic cavity

    • C. 

      Heartburn

    • D. 

      Reflux

    • E. 

      LES is in the lower pressure system of the thoracic cavity

    • F. 

      LES stays in the abdomen (higher pressure system)

    • G. 

      Extreme fullness after a normal size meal

    • H. 

      Chest pain

    • I. 

      Dysphagia

    • J. 

      May be asymptomatic

    • K. 

      S/Sx get worse when laying down

    • L. 

      Breathlessness after a meal

    • M. 

      Typically no heartburn

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