Esophageal Disorders and Cancer Quiz

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Questions and Answers

What is a potential consequence of untreated Barrett's esophagus?

  • Esophageal cancer formation (correct)
  • Development of dysplasia (correct)
  • Regress to normal
  • Heartburn

What are the two main types of esophageal cancer mentioned?

  • Adenocarcinoma and squamous cell carcinoma (correct)
  • Transitional carcinoma and squamous cell carcinoma
  • Mucinous carcinoma and adenocarcinoma
  • Basal cell carcinoma and sarcoma

Which of the following is NOT a typical manifestation of esophageal cancer?

  • Severe chest pain (correct)
  • Heartburn
  • Dysphagia
  • Weight loss

What might lead to the development of Peptic Ulcer Disease (PUD)?

<p>H.pylori infection (B)</p> Signup and view all the answers

Which of the following stomach disorders involves altered movement of the stomach contents?

<p>Gastroparesis (D)</p> Signup and view all the answers

What is the primary characteristic of diverticulitis?

<p>Inflamed diverticula (B)</p> Signup and view all the answers

Which of the following is NOT considered a risk factor for diverticula disease?

<p>Family history of colorectal cancer (B)</p> Signup and view all the answers

What symptom is commonly associated with advanced colorectal cancer?

<p>Change in bowel habits (A)</p> Signup and view all the answers

What pathophysiological change occurs with the formation of diverticula?

<p>Herniation of colonic mucosa in weakened areas (A)</p> Signup and view all the answers

Which of the following is a common symptom of hemorrhoid disease?

<p>Hematochezia (B)</p> Signup and view all the answers

What would be a protective factor against colorectal cancer?

<p>Diet rich in whole grain fiber (B)</p> Signup and view all the answers

Which manifestation is often seen in early colorectal cancer?

<p>Hematochezia (B)</p> Signup and view all the answers

Which factor contributes to the development of complicated diverticulitis?

<p>Chronic low grade inflammation (A)</p> Signup and view all the answers

What is a common risk factor for renal calculi?

<p>Dehydration (C)</p> Signup and view all the answers

Which clinical manifestation is associated with cystitis?

<p>Dysuria (A)</p> Signup and view all the answers

What characterizes acute kidney injury (AKI)?

<p>Abrupt reduction of kidney function (A)</p> Signup and view all the answers

Which of the following is a known risk factor for renal cancer?

<p>Obesity (B)</p> Signup and view all the answers

What is a common clinical manifestation of renal calculi?

<p>Colicky pain (D)</p> Signup and view all the answers

Which factor is primarily responsible for prerenal AKI?

<p>Decreased perfusion to the kidneys (C)</p> Signup and view all the answers

What is a potential complication of chronic kidney disease (CKD)?

<p>Systemic changes due to portal hypertension (D)</p> Signup and view all the answers

What is a primary function of normal kidney health?

<p>Control of blood pressure (A)</p> Signup and view all the answers

What is a characteristic of frank hematemesis?

<p>Bright red blood from above the stomach (A)</p> Signup and view all the answers

Which condition is most likely associated with strong alkaline or acidic substance ingestion?

<p>Corrosive esophagitis (A)</p> Signup and view all the answers

What is a common manifestation of esophageal diverticula?

<p>Asymptomatic condition (C)</p> Signup and view all the answers

What is the primary etiological factor behind esophageal perforation?

<p>Iatrogenic causes (C)</p> Signup and view all the answers

Which of the following is a potential symptom of a hiatal hernia?

<p>Gastroesophageal reflux disease (GERD) (C)</p> Signup and view all the answers

What is a typical treatment approach for GERD?

<p>Medication and lifestyle modifications (D)</p> Signup and view all the answers

What complication can arise from a weak lower esophageal sphincter?

<p>Erosions and ulceration in the esophagus (D)</p> Signup and view all the answers

Which of the following factors is NOT a risk for developing GERD?

<p>Increased gastric motility (A)</p> Signup and view all the answers

What is a common complication of untreated gastritis?

<p>Perforation (D)</p> Signup and view all the answers

Which manifestation is most commonly associated with gastric cancer?

<p>Early satiety (D)</p> Signup and view all the answers

What is the primary cause of bowel obstruction in most cases?

<p>Adhesions (C)</p> Signup and view all the answers

Which factor is a known risk for the development of gastric cancer?

<p>Smoking (C)</p> Signup and view all the answers

Which type of inflammatory bowel disease is characterized by continuous lesions?

<p>Ulcerative colitis (D)</p> Signup and view all the answers

What is a common symptom of irritable bowel syndrome?

<p>Bloating (B)</p> Signup and view all the answers

What immediate treatment is recommended for bowel obstruction?

<p>Decompress the bowel (D)</p> Signup and view all the answers

Which manifestation is NOT typically associated with appendicitis?

<p>Diarrhea (B)</p> Signup and view all the answers

What is the primary risk factor for liver cancer?

<p>Chronic viral hepatitis (D)</p> Signup and view all the answers

Which of the following is a common early manifestation of liver cirrhosis?

<p>Increased serum ammonia (B)</p> Signup and view all the answers

Which symptom is commonly associated with acute cholecystitis?

<p>Epigastric heaviness (A)</p> Signup and view all the answers

What is the most common cause of acute pancreatitis?

<p>Alcohol consumption (D)</p> Signup and view all the answers

Which of the following conditions can lead to portal hypertension?

<p>Cirrhosis (B)</p> Signup and view all the answers

What is a potential risk factor for developing cholelithiasis?

<p>Sedentary lifestyle (C)</p> Signup and view all the answers

Which early symptom is commonly linked to pancreatic cancer?

<p>Jaundice and dark urine (A)</p> Signup and view all the answers

What typically indicates a diagnosis of acute kidney injury (AKI)?

<p>Rapid decrease in kidney function (B)</p> Signup and view all the answers

Which laboratory finding is indicative of liver dysfunction?

<p>Elevated bilirubin levels (A)</p> Signup and view all the answers

Which condition is characterized by the inflammation of the gall bladder due to gallstones?

<p>Cholecystitis (C)</p> Signup and view all the answers

What common symptom is associated with chronic pancreatitis?

<p>Dull, constant abdominal pain (B)</p> Signup and view all the answers

In cirrhosis, which factor can lead to an increase in portal pressure?

<p>Decreased intrahepatic blood flow (B)</p> Signup and view all the answers

What is the main characteristic of diabetic nephropathy?

<p>Hyperglycemia-induced proteinuria (C)</p> Signup and view all the answers

What symptom is commonly not associated with acute pancreatitis?

<p>Severe chest pain (A)</p> Signup and view all the answers

Flashcards

Renal Calculi

Formation of crystals into larger stones in the kidneys, commonly calcium-based, but can also be uric acid or cysteine.

Renal Cancer

Malignant tumor in the kidney; often associated with high blood pressure and obesity.

AKI

Acute Kidney Injury; sudden reduction in kidney function, often reversible.

CKD

Chronic Kidney Disease; gradual loss of kidney function over time, often from long-term conditions like diabetes or high blood pressure.

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Cystitis

Inflammation of the bladder, leading to symptoms like pain while urinating, frequent urination, and urgency.

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Pyleonephritis

Kidney infection, characterized by pain in the side and fever.

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Kidney stone pain

Severe, intermittent pain in the flank or lower abdomen, often accompanied by nausea and vomiting.

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Kidney Function

Regulates fluids, electrolytes; excretes waste; controls blood pressure and acid-base balance.

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Barrett's Esophagus

A complication of GERD where the lining of the esophagus changes, increasing cancer risk.

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Esophageal Cancer

Cancer of the esophagus, often from GERD, smoking, or genetics

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Peptic Ulcer Disease (PUD)

Erosion or ulceration of the stomach or duodenum, often due to H. pylori or NSAIDs.

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GERD

Gastroesophageal reflux disease causing acid reflux into the esophagus.

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Stomach Disorders, Main categories

These are disorders related to secretion (like gastritis) and motility (like gastroparesis) in the stomach.

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Frank Hematemesis

Bright red blood vomited from above the stomach.

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Coffee Ground Emesis

Vomited blood that has been partially digested in the stomach, appearing dark and ground coffee-like.

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Esophagitis Causes

Esophagitis can arise from various sources, such as radiation, corrosive substances, pills, and infections.

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Esophageal Diverticula

Outpouchings or bulges in the esophageal wall.

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Esophageal Perforation

A hole or tear in the esophageal wall.

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Hiatal Hernia

Stomach pushing through the diaphragm.

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GERD (Gastroesophageal Reflux Disease)

Stomach acid flowing back up into the esophagus.

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Melena

Dark, tarry stool due to digested blood in the intestines.

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Diverticula

Small pouches that form in the lining of the colon.

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Diverticulosis

The presence of diverticula without inflammation.

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Diverticulitis

Inflammation of the diverticula.

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Colorectal Cancer

Malignant growth in the colon or rectum.

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Adenoma (polyps)

Benign tumors that can precede colorectal cancer.

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Hemorrhoid

Abnormal enlargement of anal vascular cushions.

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Manifestations of early CRC

Symptoms like hematochezia, anemia, change in bowel habits, weight loss, and fatigue, initially asymptomatic.

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Modifiable Risk Factors (CRC)

Lifestyle factors like obesity, lack of exercise, smoking, alcohol, diet (high red meat, low fiber).

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Epigastric Pain

Pain in the upper mid-abdominal region.

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Gastritis

Inflammation of the stomach lining, can be acute or chronic.

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Gastric Cancer Cause

H. pylori, smoking, alcohol, poor diet (low fruits/veggies), and pernicious anemia increase risk.

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IBD (Inflammatory Bowel Disease)

Chronic inflammation in the lower digestive tract, with two main types: ulcerative colitis and Crohn's disease.

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Ulcerative Colitis

Type of IBD affecting the colon's lining, causing continuous inflammation that can spread through the length of the colon.

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Crohn's Disease

Type of IBD causing inflammation with granulomas and tissue damage, affecting any part of the digestive tract (most often in the small intestine).

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Bowel Obstruction Causes

Adhesions and other factors (HERNIA, ADHESIONS, NEOPLASM/TUMOR, GALLSTONE ILEUS, INTUSSUSCEPTION, VOLVULUS) can cause blockages in the gut.

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Appendicitis

Inflammation of the appendix, often due to blockage and bacterial infection, leading to potential rupture.

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Bowel Obstruction Risk

Some colon cancers, particularly those in the descending colon, are less likely to cause bowel obstruction.

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Colon Cancer Stool

Cancers on the left side (descending colon) often cause the stool to become narrow and pencil-like.

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CRC Screening Age

Cancer screening for colorectal cancer (CRC) is recommended for all men and women starting at age 50.

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Liver Cancer Risk Factors

Cirrhosis, Hep B/C infections, excess alcohol, and obesity are factors in liver cancer.

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Liver Cancer Manifestations

Liver cancer can cause weakness, weight loss, abdominal bloating, jaundice, and liver dysfunction.

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Cirrhosis Cause

Alcohol is the most common cause of cirrhosis (liver scarring).

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Alcohol-Liver Damage Stages

Alcohol can cause fatty liver (steatosis), hepatitis, fibrosis, and cirrhosis, progressing from mild to severe.

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Cirrhosis Early Manifestations

Early signs of liver cirrhosis include increased serum ammonia, restlessness (agitation) and impairments in judgment.

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Advanced Cirrhosis Manifestations

Advanced cirrhosis can cause anorexia, weight loss, ascites, esophageal varices, portal hypertension, jaundice, and confusion.

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Cholelithiasis Cause

Gallstones often form in the gallbladder, potentially migrating to bile ducts, causing inflammation and obstruction.

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Cholelithiasis Risk Factors (Women)

Women who are multiparous, use estrogen replacement, or take oral contraceptives have increased risks.

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Acute Pancreatitis Cause

Alcohol is the most common cause of acute pancreatitis, along with gallstones, infections, trauma, and certain medications.

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Acute Pancreatitis Manifestations

Acute pancreatitis causes severe abdominal pain (LUQ), tenderness, vital sign changes (hypotension, tachycardia, fever), & potential complications like hypovolemic shock.

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Chronic Pancreatitis Cause

Chronic pancreatitis frequently arises from alcohol abuse, but stones, tumors, and cystic fibrosis can also cause this.

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Pancreatic Cancer Manifestations

Pancreatic cancer symptoms often develop slowly, leading to delayed diagnosis, and may include abdominal pain, malabsorption, weight loss, back pain, jaundice, and diabetes.

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