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1. Chronic exposure of the esophageal wall to stomach acid that results in the d

ID: 241998 • Letter: 1

Question

1. Chronic exposure of the esophageal wall to stomach acid that results in the development of inflamed cells stomach or intestinal cells is referred to as: A. hiatal hemia B. Barret's esophagus C. Chron's disease Name four foods people with GERD should avoid. D. esophageal reflux 2. 3. Individuals with dumping syndrome should be encouraged to: D. Eat small, frequent meals Lie down after eating What is dumping syndrome? A. B. Drink liquids with meals C. Eat large meals 4. 5. What would be considered a biochemical measurement of nutritional status for a patient? What does it measure? 6. Which of the following might cause dysphagia? A. Trauma to the jaw B. Burns to the mouth C. Esophageal cancer D. Tooth abscess 7. Which enzyme is sometimes taken as a supplement to reduce intolerance to dairy products? 8. Which of the following foods does not contain gluten and is acceptable for patients with celiac disease to consume? D. Graham E. Beer A. Bran B. Spelt C.Rice 9. Who is most likely to suffer from GERD? B. An obese person C. A cigarette/cigar smoker D. Any of the above woman 10. Severe stress (level IIl ulceration) requires a patient to ingest how much protein? 11. Bed rest can result in all of the following EXCEPT . Impaired skinintegrity B. Increased muscle tone C. Decreasing bone calcium D Glucose intolerance is a condition that may occur after intestinal resection when there is insufficient absorptive capacity.

Explanation / Answer

1. Barrett's esophagus. It occurs due to chronic regurgitation of stomach acid into the esophageal wall (GERD) which results in replacing of tissue similar to that of the intestinal lining.

2.

3. Eat small frequent meals. Try to eat five or six small meals a day. Include of 1 ounce of meat and 1/4 cup of vegetables. chew well the food before swallowing. Stop taking food once the stomach feels full.

4. Dumping syndrome is the presence of GI symptoms which occurs as a result of gastric surgery. the stomach is bypassed through the jejunum so that the food moves from the stomach into the small intestine quickly.

5. Nutritional assessment of the patient include

6. C. Esophageal Cancer. It is a type of cancer which occurs due to alcohol, smoking, and GERD.

7. Enzyme Lactase supplement is recommended to reduce dairy intolerance. Liquid lactase supplement is also available.

8. C. Rice. The main treatment for celiac disease is to take the gluten-free diet. Some of the gluten-free diets are meat, fish, rice, fruit, and vegetables, lentils, and potatoes.

9. D. Any of the above.

Pregnant woman - The increased progesterone level which loosens the lower esophageal sphincter. The fetal growth will exert pressure on the stomach.

Obesity - The excess pressure on the stomach and the diaphragm causes gastric reflux.

Cigarette/cigar smoker aggravate the acid reflux.