50 ITEMS QUIZ

Multiple Choice Questions (MCQ):

1. What is the most life-threatening complication of Peptic Ulcer Disease (PUD)?

- a) Diarrhea
- b) Hemorrhage
- c) Constipation
- d) Peritonitis

2. Which medication is used to coat ulcers and enhance prostaglandin synthesis?

- a) Omeprazole
- b) Sucralfate
- c) Ranitidine
- d) Amoxicillin

3. What is the primary mechanism of proton pump inhibitors (PPIs)?

- a) Neutralizing stomach acid
- b) Coating ulcers
- c) Suppressing gastric acid secretion
- d) Stimulating gastric motility

4. Which of the following is NOT a side effect of Cimetidine (Tagamet)?

- a) Mental confusion
- b) Anxiety
- c) Diarrhea
- d) Tachycardia

5. Which bacteria is commonly associated with PUD?

- a) Escherichia coli
- b) Helicobacter pylori
- c) Streptococcus
- d) Staphylococcus aureus

6. What surgical procedure involves dilating the pyloric sphincter to improve gastric emptying?
- a) Vagotomy
- b) Pyloroplasty
- c) Billroth I
- d) Subtotal gastrectomy

7. What symptom occurs early in Dumping Syndrome, within 5 to 30 minutes after eating?
- a) Hyperglycemia
- b) Weakness and dizziness
- c) Hypoglycemia
- d) Seizures
8. Which of the following antibiotics is teratogenic and contraindicated during pregnancy?
- a) Amoxicillin
- b) Clarithromycin
- c) Tetracycline
- d) Metronidazole

9. What is the main symptom of gastroenteritis?

- a) Abdominal distention
- b) Diarrhea
- c) Constipation
- d) Flatulence

10. Which sign indicates appendicitis when there is increased pain upon coughing?
- a) Rovsing’s sign
- b) Obturator sign
- c) Dunphy’s sign
- d) Psoas sign

Identification:

11. Name the medication used to relieve flatulence during PUD treatment.

12. What syndrome is characterized by unpleasant vasomotor and GI symptoms due to rapid
gastric emptying?

13. Which anticholinergic drug is used to reduce gastric motility?

14. What is the surgical resection of the vagus nerves called?

15. Name the protozoan responsible for giardiasis.

16. What is the surgical removal of 50% of the distal stomach with an anastomosis to the
jejunum called?

17. Which antibiotic is contraindicated with alcohol due to disulfiram-like reactions?

18. What test is used to indicate appendicitis through passive rotation of the right thigh?

19. Which type of ulcer develops at the anastomosis site in Billroth I or II surgeries?

20. What medication should be administered at least 60 minutes apart from antacids to avoid
interaction?
Enumeration:

21-25. Enumerate five side effects of Histamine H2 receptor antagonists.

26-30. List five medications used as antacids for PUD.

31-34. List four early symptoms of Dumping Syndrome.

35-39. Enumerate five pathogens commonly associated with gastroenteritis.

40-42. List three diagnostic signs of appendicitis (e.g., Rovsing’s sign).

43-45. List three primary nursing interventions after a PUD surgery.

True or False:
46. True/False: Misoprostol is contraindicated in pregnant women because it is an abortifacient.
47. True/False: PPIs like Omeprazole can cause nausea and abdominal pain as side effects.
48. True/False: Administering sucralfate with meals enhances its absorption and efficacy.
49. True/False: A pyloroplasty procedure involves the removal of the appendix to treat
appendicitis.
50. True/False: Patients recovering from appendectomy should be positioned in a semi-Fowler’s
position to promote drainage and prevent complications
ANSWER KEY

1. b) Hemorrhage
2. b) Sucralfate
3. c) Suppressing gastric acid secretion
4. d) Tachycardia
5. b) Helicobacter pylori
6. b) Pyloroplasty
7. b) Weakness and dizziness
8. c) Tetracycline
9. b) Diarrhea
10. c) Dunphy’s sign

Identification Answers

11. Simethicone
12. Dumping Syndrome
13. Atropine sulfate (or Dicyclomine or Glycopyrrolate)
14. Vagotomy
15. Giardia lamblia
16. Billroth II (Gastrojejunostomy)
17. Metronidazole (Flagyl)
18. Obturator sign
19. Marginal ulcers
20. Cimetidine (Tagamet)

Enumeration Answers

21-25. Five Side Effects of Histamine H2 Receptor Antagonists:

- Diarrhea
- Abdominal cramps
- Confusion
- Dizziness
- Weakness

26-30. Five Antacids Used for PUD:

- Maalox
- Milk of Magnesia
- Amphogel
- Gaviscon
- Tums

31-34. Four Early Symptoms of Dumping Syndrome:

- Weakness
- Tachycardia
- Dizziness
 - Diaphoresis (sweating)

35-39. Five Pathogens Associated with Gastroenteritis:

- Salmonella
- Escherichia coli (E. coli)
- Campylobacter
- Shigella
- Vibrio cholera

40-42. Three Diagnostic Signs of Appendicitis:

- Rovsing’s sign
- Obturator sign
- Psoas sign

43-45. Three Nursing Interventions after PUD Surgery:

- Promote patent airway and ventilation
- Encourage early ambulation
- Administer analgesics before activity

True or False Answers

46. True
47. True
48. False (Sucralfate should be administered on an empty stomach)
49. False (Pyloroplasty involves dilation of the pyloric sphincter)
50. True
POSSIBLE QUESTIONS
1. The most life-threatening complication of Peptic Ulcer Disease (PUD).
2. Medication that neutralizes HCl and is best administered 1 to 2 hours after eating.
3. Side effect of magnesium-based antacids.
4. Medication that relieves flatulence in PUD patients.
5. Condition that occurs due to rapid emptying of gastric contents into the jejunum.
6. Medication used to coat ulcers and enhance prostaglandin synthesis.
7. Drug that suppresses the secretion of gastric acid and should be taken in the morning and at
bedtime.
8. Example of a prostaglandin analogue used to suppress gastric acid secretion.
9. The surgical resection of the vagus nerves to decrease gastric motility and HCl secretion.
10. Antibiotic contraindicated with alcohol due to disulfiram-like reactions.
11. The surgical procedure to dilate the pyloric sphincter for improved gastric emptying.
12. Medication class that suppresses gastric acid secretion and is commonly associated with
headache and diarrhea as side effects.
13. Surgical removal of 50% of the distal part of the stomach with an anastomosis to the
duodenum.
14. The bacteria commonly associated with peptic ulcers.
15. Nursing position used post-surgery to promote drainage and ventilation.
16. Medication used to treat Helicobacter pylori infection and is known to cause teratogenic
effects.
17. Group of symptoms caused by rapid gastric emptying that includes weakness, dizziness, and
tachycardia.
18. Antibiotic that may cause a disulfiram-like reaction when consumed with alcohol.
19. Type of diet recommended during exacerbation of PUD.
20. Surgical removal of 75% of the stomach with Billroth I or Billroth II repair.
21. Diagnostic sign of appendicitis characterized by pain on deep palpation in the left iliac fossa
causing pain in the right iliac fossa.
22. The protozoa that cause giardiasis.
23. Common manifestation of gastroenteritis.
24. The most common causative organism in undercooked chicken that leads to gastroenteritis.
25. Primary reason why sucralfate should be administered on an empty stomach.
26. Medication class that reduces gastric motility and is considered antispasmodic.
27. Appendicitis sign that indicates right lower quadrant pain with passive hip extension.
28. An example of a viral source of gastroenteritis found in fecal-contaminated shellfish.
29. A serious postoperative complication of appendectomy involving infection of the abdominal
lining.
30. Primary nursing intervention after appendectomy to prevent respiratory complications.
31. Medication class that includes Atropine sulfate and Bentyl.
32. The medication administered for flatulence in PUD patients.
33. Medication used to prevent and treat infections caused by Helicobacter pylori.
34. The common early symptom of Dumping Syndrome experienced shortly after eating.
35. Diagnostic appendicitis sign involving pain during passive internal and external rotation of
the flexed right thigh.
36. Main risk factor for gastroenteritis related to foodborne transmission.
37. The surgical procedure that involves anastomosis of the gastric stump to the jejunum,
bypassing the duodenum.
38. Side effect of aluminum-based antacids.
39. Medication class that includes Tagamet, Zantac, and Pepcid.
40. Substance that patients should avoid while taking Metronidazole due to possible adverse
reactions.
41. Best practice to prevent gastroenteritis when traveling to developing countries.
42. Medication used to reduce acid secretion that may cause mental confusion and gynecomastia.
43. The bacteria responsible for causing cholera, a severe form of gastroenteritis.
44. Appendicitis sign that involves increased pain with coughing.
45. The common protozoan infection associated with contaminated water that leads to diarrhea
and malabsorption.
46. Recommended patient position after eating to prevent Dumping Syndrome.
47. Surgical procedure to manage PUD that involves removal of the lower part of the stomach.
48. Example of an anticholinergic medication used to reduce gastric motility in PUD patients.
49. Antibiotic class that can cause photosensitivity and is contraindicated in pregnancy.
50. Medication administered before activities in postoperative care to manage pain.
ANSWER KEY
1. Hemorrhage
2. Antacids
3. Diarrhea
4. Simethicone
5. Dumping Syndrome
6. Sucralfate
7. Histamine H2 receptor antagonists
8. Misoprostol
9. Vagotomy
10. Metronidazole (Flagyl)
11. Pyloroplasty
12. Proton Pump Inhibitors (PPIs)
13. Billroth I (Gastroduodenostomy)
14. Helicobacter pylori
15. Semi-Fowler’s position
16. Tetracycline
17. Early Dumping Syndrome
18. Metronidazole (Flagyl)
19. Liberal bland diet
20. Subtotal gastrectomy
21. Rovsing’s sign
22. Giardia lamblia
23. Diarrhea
24. Campylobacter
25. To coat the ulcer on an empty stomach
26. Anticholinergics
27. Psoas sign
28. Norovirus
29. Peritonitis
30. Deep breathing and coughing exercises
31. Anticholinergics
32. Simethicone
33. Amoxicillin
34. Weakness
35. Obturator sign
36. Fecal-oral route from contaminated food or water
37. Billroth II (Gastrojejunostomy)
38. Constipation
39. Histamine H2 receptor antagonists
40. Alcohol
41. Avoiding tap water, milk products, raw seafood, and uncooked food
42. Cimetidine (Tagamet)
43. Vibrio cholera
44. Dunphy’s sign
45. Giardiasis
46. Left side lying position
47. Subtotal gastrectomy
48. Atropine sulfate
49. Tetracycline
50. Analgesics