Upper GI disorder

What is the major diagnostic test for peptic ulcers?

• Adominal X-ray

• Barium swallow

• Computed tomography (CT) scan of the abdomen

• OGD

What is the combination of the triple therapy for gastritis has the highest eradication rates if the patient is well tolerated?

• PPI standard dose + Methronidazole 400mg+ Klacid 500mg, all twice daily for 7 days up to 14 days

• PPI standard dose + Amoxicillin 1 gram + Metronidazole 400mg, all twice daily for 7 days up to 14 days

• PPI standard dose + Amoxicillin 1 gram + Klacid 500mg, all twice daily for 7 days up to 14 days

• PPI standard dose + Bismuth 240mg+ Metronidazole 400mg, all twice daily for 7 days up to 14 days

A client presents to the clinic for a follow-up appointment after diagnostic tests show he has gastroesophageal reflux disease. Which instruction should the nurse provide?

• “Lie down and rest after each meal.”

• “Avoid fatty food and chocolate.”

• “Eat more fruits and vegetables.”

• “Eat three meals a day.”

The nurse caring for a client with esophagus cancer, which of the following will not be the treatment of that client?

• Gastrectomy

• Esophagus dilation

• Stent insertion

• Radiation

Mr Ko is confirmed to have peptic ulcer disease related to Helicobacter pylori.  A triple drug therapy is prescribed.  The nurse explains to him that the drugs in the triple therapy include:

• Amoxil + pantoloc + klacid

• Amoxil + pantoloc + triact

• Pantoloc + triact + klacid

• Klacid + amoxil + triact

Mr. Ho went to a clinic for investigation yesterday.  He complained of sore throat with regurgitation of sour material into the mouth and heartburn which usually occurs after meals in recent few weeks.  What is the suspected diagnosis for Mr. Ho?

• Acute gastritis

• Duodenal ulcer

• Stomach cancer

• Gastroesophageal reflux disease

Which is the most common cause of peptic ulcer disease of the following?

• Hyperglycemia

• NSAID’s

• Family history of PUD

• Social drinker

Which is the most common complication of Peptic ulcer disease?

• Malignancy

• Gastric outlet obstruction

• Penetration

• Haemorrhage

A client is hospitalized for gastric ulcer related to Helicobacter pylori. Which of the following data would the nurse expect to obtain during health history taking for the client?

• Nausea after meal

• Nausea relieved after meal

• Pain after meal

• Pain relieved after meal

A nurse is monitoring a client for the signs of dumping syndrome. Which of the following should the nurse look for?

• Absence of bowel sound and constipation

• Increased blood pressure and chest pain

• Sweating and dizziness

• Tachypnoea and cyanosis