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Chapter 13 Gastrointestinal Procedures - Test

front 1 Before removing the retention-style enema tip, what is the most important thing to remember?	back 1 deflate the balloon
front 2 True or False? Barium is a relatively nontoxic contrast agent.	back 2 True
front 3 Mr. and Mrs. ObNoxious bring their 3-year-son into the department for an upper GI examination. They have been concerned because he has been spitting out all of his food saying that he is not hungry. They suspect that he has a tumor in his stomach. The child immediately begins screaming that he will not drink any of “that stuff.” What is your best response in this situation? A) Ask the parents to wait outside while you do the examination B) Try to calm the child down C) Tell the family to leave and return when the child is under control D) Ask for sedation for the child	back 3 B) Try to calm the child down
front 4 Mr. and Mrs. ObNoxious bring their 3-year-son into the department for an upper GI examination. They have been concerned because he has been spitting out all of his food saying that he is not hungry. They suspect that he has a tumor in his stomach. The child immediately begins screaming that he will not drink any of “that stuff.” What would be the worst response in the above scenarios? A) Ask the parents to wait outside while you do the examination B) Try to calm the child down C) Tell the family to leave and return when the child is under control D) Ask for sedation for the child	back 4 D) Ask for sedation for the child

front 5 A double-contrast study of the gastrointestinal tract includes which of the following. A) Use of room air and carbon dioxide B) Use of barium and carbon dioxide C) Use of carbon dioxide D) Use of room air and barium E) Use of a water-soluble contrast agent	back 5 D) Use of room air and barium
front 6 If the patient has the large bowel removed at the sigmoid area and the opening is made on the anterior surface of the abdomen, the patient is said to have a: A) Colostomy B) Ileostomy C) Sigmoidostomy D) Colonostomy	back 6 C) Sigmoidostomy
front 7 After a barium study, the patient must receive the following after-care instructions. (more than one may apply.) A) Increase ﬂuid intake for the next 24-48 hours B) seek medical attention if blood is noticed in the stool C) Expect to see light-colored stools for a few days D) Increase ﬁber intake for 24-48 hours E) Call the physician if blood is noticed in the stool	back 7 A) Increase ﬂuid intake for the next 24-48 hours B) seek medical attention if blood is noticed in the stool C) Expect to see light-colored stools for a few days D) Increase ﬁber intake for 24-48 hours E) Call the physician if blood is noticed in the stool
front 8 Which of the following exams can be scheduled together? A) Upper GI B) Esophagram C) Barium enema D) Abdominal radiographs E) Small bowel follow through	back 8 A) Upper GI B) Esophagram E) Small bowel follow through

front 9 What is the preparation for an infant who is scheduled to have an upper GI done?	back 9 Nothing to eat for 3 to 4 hours
front 10 Robbie Overnight, a 73-year-old male scheduled for a barium enema, comes into the department and is obviously concerned about the study. He says, “My friend told me that the barium will turn hard in my bowel and have to be removed. Is that true?” Choose the best response. (more than one may apply) A) “Yes.” B) “That is a possibility, but we are going to take every precaution to not allow that to happen.” C) “Did your doctor tell you anything about this examination?” D) “After the examination, I will tell you how to get rid of the barium.” E) “I see that you have some concerns. Let me explain to you now what will happen after the exam is over so that you will feel comfortable during the procedure.”	back 10 E) “I see that you have some concerns. Let me explain to you now what will happen after the exam is over so that you will feel comfortable during the procedure.”
front 11 Why is air used in the performance of barium studies of the gastrointestinal tract?	back 11 Air causes the barium to coat the walls of the GI tract and outline it with sufficient contrast to identify any ulceration or other abnormalities
front 12 Mr. Albert Barium has questions regarding his upcoming lower GI study. From the following list of items, circle all the responses that would be correct to tell him. A) Oh, don’t worry, the barium won’t kill you. B) You should drink lots of water after the study is over. C) The barium should be eliminated from your system within 24 to 48 hours. D) After the examination, your doctor will phone you with the results. E) We will make sure that you are the ﬁrst person we put on the table!	back 12 B) You should drink lots of water after the study is over. C) The barium should be eliminated from your system within 24 to 48 hours. D) After the examination, your doctor will phone you with the results.

front 13 The use of high-contrast barium solution in the _____ canal reveal organ outlines and demonstrates pathologic conditions of the visceral walls.	back 13 Alimentary
front 14 If barium leaks into the peritoneal cavity, _____ may result.	back 14 peritonitis
front 15 Several conditions of the lower GI tract require the creation of a/an _____ through which the contents of the bowel can be eliminated.	back 15 stoma
front 16 Which of the following examinations should be scheduled first? A) small bowel follow through B) abdominal radiographs C) barium enema D) esophagram E) upper GI	back 16 B) abdominal radiographs

front 17 An artificial opening created in the large intestine and brought to the surface of the abdomen for the purpose of evacuating the bowels A) nasogastric tube B) colostomy C) ileostomy D) stoma E) ostomy	back 17 B) colostomy
front 18 An artificial opening erected in the small intestine and brought to the surface for the purpose of evacuating feces A) nasogastric tube B) colostomy C) ileostomy D) stoma E) ostomy	back 18 C) ileostomy
front 19 General term for an operation in which an artificial opening is formed A) nasogastric tube B) colostomy C) ileostomy D) stoma E) ostomy	back 19 E) ostomy
front 20 An opening in the body created by bringing a loop of bowel to the skin surface A) nasogastric tube B) colostomy C) ileostomy D) stoma E) ostomy	back 20 D) stoma

front 21 A thin tube that is inserted through the nose and into the stomach for the purpose of instilling substances or for the removal of substances A) nasogastric tube B) colostomy C) ileostomy D) stoma E) ostomy	back 21 A) nasogastric tube
front 22 Inflammation of the serous membrane lining the abdominal cavity and surrounding the abdominal organs A) flatus B) peritonitis C) alimentary canal D) diverticulitis E) adverse effects	back 22 B) peritonitis
front 23 The organs of digestion; the digestive tract A) flatus B) peritonitis C) alimentary canal D) diverticulitis E) adverse effects	back 23 C) alimentary canal
front 24 An undesired side effect or toxicity caused by the administration of drugs A) flatus B) peritonitis C) alimentary canal D) diverticulitis E) adverse effects	back 24 E) adverse effects

front 25 Inflammation of a sac or pouch protruding from the walls of the intestines, especially the colon A) flatus B) peritonitis C) alimentary canal D) diverticulitis E) adverse effects	back 25 D) diverticulitis
front 26 Gas expelled from the digestive tract through the anus A) flatus B) peritonitis C) alimentary canal D) diverticulitis E) adverse effects	back 26 A) flatus