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Questions and Answers
What is the approximate length of the esophagus?
What is the approximate length of the esophagus?
What is the correct order of the digestive system, starting with the mouth?
What is the correct order of the digestive system, starting with the mouth?
What is the name of the opening in the diaphragm that the esophagus passes through?
What is the name of the opening in the diaphragm that the esophagus passes through?
Which of the following is NOT a function of the stomach?
Which of the following is NOT a function of the stomach?
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What is the approximate capacity of the stomach?
What is the approximate capacity of the stomach?
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What is the name of the circular smooth muscle that forms the pyloric sphincter?
What is the name of the circular smooth muscle that forms the pyloric sphincter?
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Which of the following is NOT one of the four anatomic regions of the stomach?
Which of the following is NOT one of the four anatomic regions of the stomach?
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What is the name of the partially digested food that is propelled into the small intestine?
What is the name of the partially digested food that is propelled into the small intestine?
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Which of the following correctly describes the role of the ileocecal valve?
Which of the following correctly describes the role of the ileocecal valve?
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What is the primary function of the small intestine?
What is the primary function of the small intestine?
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Which of the following is NOT a section of the small intestine?
Which of the following is NOT a section of the small intestine?
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Which of these is NOT a common symptom associated with gastrointestinal dysfunction?
Which of these is NOT a common symptom associated with gastrointestinal dysfunction?
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What is the function of the common bile duct (CBD)?
What is the function of the common bile duct (CBD)?
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What is the most common symptom of patients with GI dysfunction?
What is the most common symptom of patients with GI dysfunction?
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What is the role of the appendix?
What is the role of the appendix?
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What is the defining characteristic of dyspepsia?
What is the defining characteristic of dyspepsia?
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Which of these describes the process by which nutrients enter the bloodstream through the intestinal walls?
Which of these describes the process by which nutrients enter the bloodstream through the intestinal walls?
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Which type of food often causes the most discomfort in patients with dyspepsia?
Which type of food often causes the most discomfort in patients with dyspepsia?
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What is the term used to describe the expulsion of gas from the rectum?
What is the term used to describe the expulsion of gas from the rectum?
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Where does the common bile duct empty into the duodenum?
Where does the common bile duct empty into the duodenum?
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What does the presence of bright red or coffee ground-like vomitus indicate?
What does the presence of bright red or coffee ground-like vomitus indicate?
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What is the term for the forceful emptying of stomach and intestinal contents through the mouth?
What is the term for the forceful emptying of stomach and intestinal contents through the mouth?
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What is the term used to describe the expulsion of gas from the stomach through the mouth?
What is the term used to describe the expulsion of gas from the stomach through the mouth?
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Which of these is NOT a possible component of emesis (vomit)?
Which of these is NOT a possible component of emesis (vomit)?
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What is the term for the vague, uncomfortable sensation of sickness or "queasiness"?
What is the term for the vague, uncomfortable sensation of sickness or "queasiness"?
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Which imaging study is a type of scan that uses radioactive isotopes to identify displaced structures, changes in organ size, and the presence of abnormalities?
Which imaging study is a type of scan that uses radioactive isotopes to identify displaced structures, changes in organ size, and the presence of abnormalities?
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What is the purpose of a Positron Emission Tomography (PET) scan in terms of tissue and organ analysis?
What is the purpose of a Positron Emission Tomography (PET) scan in terms of tissue and organ analysis?
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Which of the following procedures involves a visual inspection of the lower colon and rectum?
Which of the following procedures involves a visual inspection of the lower colon and rectum?
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Which of the following procedures is used to assess the rate at which food is emptied from the stomach and moves through the colon?
Which of the following procedures is used to assess the rate at which food is emptied from the stomach and moves through the colon?
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What is the primary purpose of an Upper GI Fibroscopy or Esophagogastroduodenoscopy (EGD)?
What is the primary purpose of an Upper GI Fibroscopy or Esophagogastroduodenoscopy (EGD)?
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What is the name of the procedure that involves examining the lower gastrointestinal tract?
What is the name of the procedure that involves examining the lower gastrointestinal tract?
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Which of these procedures is performed through an opening created in the abdomen?
Which of these procedures is performed through an opening created in the abdomen?
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What is the purpose of midazolam during upper GI endoscopy?
What is the purpose of midazolam during upper GI endoscopy?
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Which drug is administered to reduce secretions during upper GI endoscopy?
Which drug is administered to reduce secretions during upper GI endoscopy?
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What is the purpose of administering glucagon during upper GI endoscopy?
What is the purpose of administering glucagon during upper GI endoscopy?
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What type of procedure is gastroscopy?
What type of procedure is gastroscopy?
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What is the minimum NPO time required before an upper GI endoscopy?
What is the minimum NPO time required before an upper GI endoscopy?
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What does Manometry Test evaluate?
What does Manometry Test evaluate?
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What is the purpose of enteroclysis?
What is the purpose of enteroclysis?
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What is the primary nursing responsibility before an enteroclysis procedure?
What is the primary nursing responsibility before an enteroclysis procedure?
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What does the term "low residue" refer to?
What does the term "low residue" refer to?
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What is the role of barium sulfate in enteroclysis?
What is the role of barium sulfate in enteroclysis?
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Which of the following imaging studies is used to evaluate the abdomen and assess for bleeding?
Which of the following imaging studies is used to evaluate the abdomen and assess for bleeding?
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What is the purpose of a barium enema?
What is the purpose of a barium enema?
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What is a common nursing intervention prior to a lower gastrointestinal study?
What is a common nursing intervention prior to a lower gastrointestinal study?
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What is the purpose of a CT scan in relation to abdominal imaging?
What is the purpose of a CT scan in relation to abdominal imaging?
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Flashcards
Length of the Digestive Tract
Length of the Digestive Tract
The human digestive tract is approximately 7 to 7.9 m (23 to 26 feet) long.
Esophagus
Esophagus
A hollow muscular tube that connects the mouth to the stomach.
Stomach Location
Stomach Location
The stomach is located in the left upper portion of the abdomen under the left lobe of the liver.
Capacity of the Stomach
Capacity of the Stomach
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Pylorus
Pylorus
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Four Anatomic Regions of the Stomach
Four Anatomic Regions of the Stomach
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Small Intestine
Small Intestine
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Function of the Stomach
Function of the Stomach
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Pyloric Sphincter
Pyloric Sphincter
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Duodenum
Duodenum
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Jejunum
Jejunum
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Diaphragmatic Hiatus
Diaphragmatic Hiatus
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Ileum
Ileum
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Ileocecal Valve
Ileocecal Valve
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Appendix
Appendix
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Common Bile Duct (CBD)
Common Bile Duct (CBD)
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Enteroclysis
Enteroclysis
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Radiopaque liquid
Radiopaque liquid
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Nursing Responsibility for Enteroclysis
Nursing Responsibility for Enteroclysis
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Lower GI Tract Study
Lower GI Tract Study
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Barium enema
Barium enema
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Patient preparation for Lower GI Study
Patient preparation for Lower GI Study
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Computed Tomography (CT)
Computed Tomography (CT)
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Magnetic Resonance Imaging (MRI)
Magnetic Resonance Imaging (MRI)
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Common GI Symptoms
Common GI Symptoms
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Abdominal Pain
Abdominal Pain
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Dyspepsia
Dyspepsia
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Intestinal Gas
Intestinal Gas
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Nausea
Nausea
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Vomiting
Vomiting
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Mallory-Weiss Tear
Mallory-Weiss Tear
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Hematemeisis
Hematemeisis
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Bilious Vomiting
Bilious Vomiting
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Fecal Incontinence
Fecal Incontinence
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PET Scan
PET Scan
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Scintigraphy
Scintigraphy
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Upper GI Fibroscopy
Upper GI Fibroscopy
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Colonoscopy
Colonoscopy
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Gastrointestinal Motility Studies
Gastrointestinal Motility Studies
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Small-bowel enteroscopy
Small-bowel enteroscopy
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Endoscopy through an ostomy
Endoscopy through an ostomy
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Gastrocopy
Gastrocopy
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Anoscopy
Anoscopy
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Proctoscopy
Proctoscopy
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NPO before endoscopy
NPO before endoscopy
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Midazolam
Midazolam
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Atropine use in endoscopy
Atropine use in endoscopy
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Study Notes
Digestive and Gastrointestinal Function
- The gastrointestinal (GI) tract is a pathway extending from the mouth to the anus, approximately 7 to 7.9 meters (23 to 26 feet) in length.
- It includes the esophagus, stomach, small intestine, large intestine, and rectum.
Anatomic and Physiologic Overview
- Esophagus: Located in the mediastinum, anterior to the spine and posterior to the trachea and heart, it measures approximately 25 cm (10 inches) in length. It passes through the diaphragm (esophageal hiatus).
- Stomach: Located in the upper left portion of the abdomen, it is a hollow muscular organ with a capacity of approximately 1500 mL. Its function includes storing food, secreting digestive fluids, and propelling partially digested food (chyme) into the small intestine. It has four regions: cardia (entrance), fundus, body, and pylorus (outlet). The pyloric sphincter controls the exit between the stomach and small intestine.
- Small Intestine: The longest segment of the GI tract, it is about 70 m (230 feet) long. It has three sections: duodenum (closest to the stomach), jejunum (middle section), and ileum (distal section) The ileum connects to the large intestine via the ileocecal valve.
- Large Intestine: Includes the ascending, transverse, and descending segments. It forms waste into poop, stores it, and excretes it. It also includes the sigmoid colon, rectum, and anus.
- Appendix: Also known as the vermiform appendix, it's attached to the cecum and has little or no physiologic function.
Common Bile Duct (CBD)
- Empties into the duodenum at the ampulla of Vater.
- Allows for the passage of bile and pancreatic secretions.
Small Intestine Function
- Absorption: Nutrients enter the bloodstream through intestinal walls.
- Segmentation contractions: Mix intestinal contents using back-and-forth movement.
- Intestinal peristalsis: Moves contents towards the colon.
- Villi: Increase surface area for absorption.
Colonic Function
- Waste material enters the large intestine where its composition is altered.
- Colonic secretions (electrolyte and mucus solutions) are added to the mass.
- Gut microbes complete waste breakdown.
Waste Products of Digestion
- Fecal matter is about 75% fluid, 25% solid material, and brown in color.
- Odor originates from chemicals produced by intestinal bacteria (including methane, hydrogen sulfide, and ammonia).
Assessment of Digestive and Gastrointestinal Function
- Health history: Focuses on common symptoms like abdominal pain, dyspepsia (indigestion), gas, nausea, vomiting, diarrhea, constipation, fecal incontinence, jaundice to gather a complete history.
- Pain: Often the presenting problem in patients presenting with gastrointestinal concerns.
- Dyspepsia: Upper abdominal discomfort associated with eating is commonly referred to as indigestion.
- Intestinal Gas: Can create conditions like belching and flatulence.
- Nausea and Vomiting: Symptoms of discomfort and forceful emptying of stomach contents.
- Bowel Habits and Stool Characteristics: Crucial to check for changes in bowel frequency, stool consistency, and color (which can indicate potential bleeding sources).
- Physical Assessment techniques: Examination of oral cavity, and a thorough abdominal inspection, auscultation, percussion, and palpation—all vital in accurate assessment of gastrointestinal conditions.
Imaging Studies
- Upper GI: A fluoroscopy technique using contrast to visualize the upper GI tract.
- Lower GI: A barium enema that detects polyps, tumors, or other lesions in the large intestine, and shows anatomic abnormalities.
- Abdominal Ultrasound: Used for examining structures within the abdomen like the enlarged gallbladder, pancreas, and visualizing gallstones or ectopic pregnancies, and appendicitis.
- Endoscopic Ultrasound: A specialized procedure to diagnose and visualize GI tract disorders.
- Computed Tomography and Magnetic Resonance Imaging: Are cross-sectional imaging methods to check different soft tissues, including organs, blood vessels, and masses in the abdomen.
- Positron Emission Tomography: Detects metabolic and biochemical function.
- Scintigraphy: Uses radioactive isotopes to visualize displacements and changes in organ size, and also for finding neoplasms or cysts).
- Gastrointestinal Motility Studies: Assess gastric emptying and colonic transit time.
Endoscopic Procedures
- Upper GI Fibroscopy (EGD): Examines the esophagus, stomach, and duodenum.
- Colonoscopy: Visualizes the large intestine.
- Anoscopy: Examines the anus and rectum
- Proctoscopy: Examines the region between the rectum and anus.
- Sigmoidoscopy: Examines the sigmoid colon and rectum
- Small-bowel enteroscopy: Examines the small intestine, using an endoscope.
- Endoscopy through an ostomy: Examination through an artificial opening in the abdomen.
Electrophysiological Studies
- Rectal sensory function studies: Evaluate rectal sensation and neuropathy.
- Electrogastrography(EGG): Assesses gastric motility disorders.
Manometry Test
- Methods: Used to evaluate Gl motility disorders, measuring intraluminal pressures and muscle activity in the GI tract (esophageal, gastroduodenal, small intestine, and colonic manometry).
Gastric Analysis
- Methods: Determines secretory activity, and the detection of gastric retention.
- Diagnostic tests: Used in determining the presence or severity of gastrointestinal conditions.
pH Monitoring
- Methods: Measures the pH level to evaluate stomach acid, especially in patients with esophageal reflux to identify and assess symptoms.
Parenteral Nutrition
- Techniques: Direct nutrient delivery through veins (peripheral and central); intravenous.
- Important uses are for patients who cannot ingest or absorb nutrients orally or via the enteral route.
Gastrointestinal Intubation
- Methods/Types: Introduces a flexible tube into the stomach (levin tube, Salem sump tube), duodenum, or jejunum, used for decompressing the stomach, delivering medications, or fluids.
- Nursing Interventions Critical in patient care.
Special Diets
- Clear Liquid: Restricted to clear fluids (e.g., water, clear broth, clear juices).
- Full Liquid: Includes all clear liquids and food that becomes liquid at body temperature (e.g., strained fruit juices, yogurt, pudding).
- Diet as Tolerated (DAT): Diet adapted based on patient's appetite, and digestion.
Gastrostomy
- Types/Procedures: Surgical access to the stomach for nutritional or medication supply (PEG and RIG)
Jejunostomy
- Types/Procedures: Surgical creation of an opening into the jejunum facilitating nutrition, fluids, and medication delivery (jejunostomy tube).
Gastrojejunostomy
- Types/Procedures: Surgical joining of the stomach to the jejunum to allow food to bypass the duodenum.
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Description
This quiz explores the anatomy and physiology of the digestive system, focusing on the gastrointestinal tract from the mouth to the anus. It covers key organs like the esophagus, stomach, and small intestine, detailing their structure and function. Test your knowledge on how these components work together for digestion.