Diverticulosis and Diverticular Disease: Causes and Prevalence

What is the primary cause of diverticular disease?

High-fiber diet
Smoking
Regular exercise
Low-fiber diet (correct)

What is the term for the presence of diverticula in the gut?

Diverticulum
Diverticulosis (correct)
Peritonitis
Diverticulitis

What is the usual location of diverticula in the gut?

Rectum
Small intestine
Sigmoid colon (correct)
Stomach

What is the risk factor associated with the development of diverticulosis?

Low-fiber diet (D) Signup and view all the answers

What is the complication that can occur if undigested food gets trapped in a diverticulum?

All of the above (D) Signup and view all the answers

What is the term for the inflammation or infection of diverticula?

Diverticulitis (B) Signup and view all the answers

What is the reason for muscle weakness in the intestinal wall?

All of the above (D) Signup and view all the answers

What is the prevalence of diverticulosis in adults over 80 years old?

2/3 (A) Signup and view all the answers

What is the association between NSAIDs and steroids and diverticulosis?

They are a risk factor for diverticulosis (D) Signup and view all the answers

What is the typical symptom of diverticulosis?

No symptoms (C) Signup and view all the answers

What is the term for the inflammation of diverticula in the colon?

Diverticulitis (B) Signup and view all the answers

What is the typical location of abdominal pain in a patient with diverticulitis?

Lower left quadrant (A) Signup and view all the answers

What is the primary goal of dietary management during an acute attack of diverticulitis?

Reducing fiber intake (C) Signup and view all the answers

What is the recommended daily fiber intake for a patient with diverticulitis?

25-35 g (D) Signup and view all the answers

Which of the following foods is recommended for a patient with diverticulitis?

Brown rice (C) Signup and view all the answers

What is the purpose of a colonoscopy in a patient with diverticulitis?

To rule out a mass (C) Signup and view all the answers

What is the primary reason for avoiding laxatives and enemas in a patient with diverticulitis?

They increase intestinal motility (C) Signup and view all the answers

What is the term for the decrease in blood volume that can occur in a patient with diverticulitis?

Hypovolemia (B) Signup and view all the answers

What is the purpose of checking for occult blood in the stool of a patient with diverticulitis?

To monitor for bleeding (C) Signup and view all the answers

What is the recommended treatment for a patient with uncontrolled bleeding due to diverticulitis?

Colon resection (C) Signup and view all the answers

Match the following symptoms with their characteristics in diverticulitis:

Abdominal pain = Often in lower left quadrant, can be intermittent but becomes steady Nausea and vomiting = Can occur with or without abdominal pain Fever = Temperature up to 101 degrees and may have chills Rectal bleeding = May occur if massive, leading to hypovolemia and hypotension Signup and view all the answers

Match the following laboratory tests with their purposes in diverticulitis:

WBC count = To check for elevated levels indicating inflammation Stool for occult blood = To check for bleeding in the gut Ct scan or ultrasound = To visualize the colon and surrounding structures Colonoscopy = To rule out a mass lesion 4-8 weeks after the acute phase Signup and view all the answers

Match the following dietary recommendations with their purposes in diverticulitis:

Low fiber diet = During an attack to reduce symptoms High fiber diet = When okay, to promote regular bowel movements Avoiding nuts and corn = To reduce the risk of complications Drinking plenty of fluids = To prevent dehydration Signup and view all the answers

Match the following treatments with their purposes in diverticulitis:

Antibiotics = To combat bacterial infection Analgesics = To relieve pain IV fluids = To prevent dehydration Rest = To reduce straining and bending Signup and view all the answers

Match the following complications with their characteristics in diverticulitis:

Peritonitis = Generalized abdominal pain and potential sepsis Hypovolemia = Massive bleeding leading to decreased blood volume Hypotension = Decreased blood pressure due to bleeding or dehydration Tertiary prevention = Managing complications and preventing future episodes Signup and view all the answers

Match the following foods with their characteristics in diverticulitis:

Whole grains = Recommended for high fiber content Refined grains = Not recommended due to low fiber content Healthy fats = Recommended for digestive health Dairy products = To be avoided if intolerant Signup and view all the answers

Match the following signs with their characteristics in diverticulitis:

Distended abdomen = May occur due to inflammation or infection Tachycardia = May occur due to infection or dehydration Abdominal distention = To be checked during treatment Blood pressure = To be checked during treatment Signup and view all the answers

Match the following concepts with their characteristics in diverticulitis:

Diverticulosis = The presence of diverticula in the gut Diverticulitis = Inflammation or infection of diverticula Secondary prevention = Tests and measures to prevent complications Tertiary prevention = Managing complications and preventing future episodes Signup and view all the answers

Match the following fluids with their characteristics in diverticulitis:

Water = Recommended for hydration Popsicles = Recommended for hydration and soothing the gut Gelatin = Recommended for hydration and electrolyte replacement Juice = To be avoided with pulp and orange juice Signup and view all the answers

Match the following goals with their characteristics in diverticulitis:

Primary prevention = Preventing the development of diverticulosis Secondary prevention = Preventing complications of diverticulitis Tertiary prevention = Managing complications and preventing future episodes Dietary management = Managing symptoms and preventing complications Signup and view all the answers

Match the following terms with their corresponding definitions:

Diverticulosis = A condition where small pouches are sacs called diverticula develop in the colon, typically in the lower part of the colon Diverticulitis = Inflammation or infection of diverticula Diverticula = Pouch like herniations of mucosa through the muscle wall of any part of the gut, usually the colon Peritonitis = A complication that can occur if undigested food gets trapped in a diverticulum and perforates the intestine Signup and view all the answers

Match the following risk factors with their corresponding conditions:

Low-fiber diet = Diverticulosis Smoking = Diverticulitis Red meat = Diverticulosis Genetics = Diverticulitis Signup and view all the answers

Match the following complications with their corresponding causes:

Local abscess = Undigested food getting trapped in a diverticulum Peritonitis = Local abscess perforating the intestine Blood supply reduction = Undigested food getting trapped in a diverticulum Diverticulitis = Inflammation or infection of diverticula Signup and view all the answers

Match the following signs and symptoms with their corresponding conditions:

Abdominal pain = Diverticulitis No symptoms = Diverticulosis Rectal bleeding = Diverticulitis Diarrhea = Diverticulosis Signup and view all the answers

Match the following medications with their corresponding effects on the gut:

NSAIDS = Increase the risk of diverticulosis Steroids = Increase the risk of diverticulosis Laxatives = Should be avoided in patients with diverticulitis Antibiotics = Used to treat diverticulitis Signup and view all the answers

Match the following locations with their corresponding associations with diverticulosis:

Sigmoid colon = Common location of diverticulosis Lower part of the colon = Typical location of diverticula development Upper part of the colon = Uncommon location of diverticulosis Small intestine = Not associated with diverticulosis Signup and view all the answers

Match the following conditions with their corresponding relationships with diverticulosis:

Obesity = Risk factor for diverticulosis Aging = Contributes to muscle weakness in the intestinal wall Lack of exercise = Risk factor for diverticulosis Genetics = Risk factor for diverticulosis Signup and view all the answers

Match the following terms with their corresponding descriptions:

Diverticulum = A pouch-like herniation of mucosa through the muscle wall of the gut Diverticulosis = A condition where multiple diverticula are present in the gut Diverticulitis = Inflammation or infection of multiple diverticula Peritonitis = Inflammation of the lining of the abdomen Signup and view all the answers

Match the following factors with their corresponding effects on diverticulosis:

Low-fiber diet = Increases the risk of diverticulosis High-fiber diet = Decreases the risk of diverticulosis Smoking = Increases the risk of diverticulosis Lack of exercise = Increases the risk of diverticulosis Signup and view all the answers

Match the following conditions with their corresponding age groups:

Diverticulosis = More common in adults over 80 years old Diverticulitis = More common in adults under 50 years old Peritonitis = More common in adults over 60 years old Local abscess = More common in adults over 70 years old Signup and view all the answers