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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