Bio 212 Pre lecture Quiz 9 Gastrointestinal pathophysiology 1 What are the two types of hiatal hernia Axial sliding nonaxial paraesophageal 2 How is GERDS diagnosed History of reflux symptomology acid suppression trials esophagoscopy ambulatory esophageal pH monitoring 3 Differentiate between acute and chronic gastritis Acute mucosal inflammatory response most commonly associated with local irritants Chronic absence of grossly visible erosions and presence of chronic inflammatory changes usually leading to atrophy of glandular epithelium of stomach 4 Where are most peptic ulcers found Duodenal and gastric 5 How are peptic ulcers different than stress ulcers Peptic are found in gastric and duodenum while stress are found in fundic mucosa and are anywhere in stomach 6 What is irritable bowel syndrome A functional GI disorder characterized by persistent or recurring abdominal pains altered bowl function complaints of flatulence bloating nausea anorexia constipation diarrhea and anxiety or depression 7 Differentiate between Crohn Disease and Ulcerative Colitis Crohn Disease recurrent granulomatous type of inflammatory response that can affect and area of the GI tract Ulcerative Colitis inflammatory condition of the colon 8 What are the typical manifestations associated with appendicitis Pain in epigastric or periumbilical area nausea localized pain tenderness to lower right quadrant elevated WBC count palpation of abdomen 9 What are complications associated with intestinal obstruction Can lead to strangulation gangrenous changes perforation of bowel compromised mucosal blood flow 10 How is colorectal cancer screened for and diagnosed Digital rectal examination and fecal occult blood test x ray studies using barium flexible sigmoidoscopy and colonoscopy all looking for tumors
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