Module 3M: Care of Clients with Alterations in 10.

A degree of hemorrhoid in which it prolapses

GI Elimination outside the anal canal during defecation but
reduces spontaneously -SECOND DEGREE
1. Acute diarrhea is most often associated with
11. Adhesions are the most common cause of
infection and may return sporadically - FALSE
small bowel obstruction -TRUE
2. No passage of stool within 24-48H after birth
12. It involves the alternating waves of
is a sign of what condition -
contraction and relaxation of the muscles in the
HIRSCHSPRUNG DISEASE
organ wall and propels the contents of the small
3. One function of large intestine is the
intestine to the colon - INTESTINAL
reabsorption of water and electrolytes -TRUE
PERISTALSIS
4. Amyloidoisis is a condition that causes
13. Hypertension is a complication of constipation-
functional obstruction -TRUE
TRUE
5. The inflammation of the serous membrane
14. A ribbon like stool is a clinical manifestation of
lining the abdominal cavity and covering the
intussusception -FALSE
viscera -PERITONITIS
15. The largest intestinal nematodes that affect
6. From proximal to distal, give three sections of
humans and can result to intestinal obstruction
the small intestine -DUODENUM, JEJUNUM,
-ASCARIS LUMBRICOIDES
ILEUM
16. Peritonitis is caused by leakage of contents
7. Bacteria is a major component of the contents
from abdo organs into abdominal cavity -TRUE
of large intestine -TRUE
17. In irreducible hernia, the contents of the
8. Semisolid stools are associated more often with
hernial sac can be placed beck into the
disorders of the large bowel - TRUE
abdominal cavity by gentle pressure. -FALSE
9. A type of hemorrhoid that is associated with
18. During an intestinal obstruction, dehydration
severe pain from the inflammation and edema
occurs more slowly in the large intestine than in
caused by thrombosis - EXTERNAL
the small intestine -TRUE
HEMORRHOID
19. Acquired umbilical hernia are most commonly
seen in people who are obese - TRUE
20. Stool characteristic that involves the large
bowel -Semi-solid
21. The following are signs that peritonitis is
subsiding except: BP is 130/100
22. The other name of congenital aganglionic
megacolon - HIRSCHSPRUNG DISEASE
23. Significant fluid and potassium loss while
having diarrhea can lead to metabolic alkalosis
-FALSE
24. The blood supply to the herniated segment of
the bowel is cut off by pressure of the hernial
ring -STRANGULATED HERNIA
25. The following are health prevent tips for
constipation, except -DEFECATE DAILY
26. Volvulus is a problem that can occur after birth
in which the intestines become twisted and
causes intestinal blockage. Malrotation is a birth
defect that malformation of the intestinal tract
that occurs while the fetus is still on the uterus-
ONLY FIRST STATEMENT IS CORRECT
27. It is a painless procedure for hemorrhoids that
is not widely used because discharge is foul-
smelling and wound healing is prolonged-
CRYOSURGICAL HEMORRHOIDECTOMY
28. Identify the degree of hemorrhoidal prolapse:
irreducible and at risk for strangulation
-FOURTH DEGREE
29. Internal hemorrhoids are not usually painful
until it bleeds or prolapse when it become
enlarge -TRUE
30. There is a functional anal sphincter in a high
level defect imperforate anus -FALSE
31. Ventral hernias result from inadequate healing
of the surgical incision -TRUE
32. This is the treatment of choice for
intussusception -NON SURGICAL
HYDROSTATIC REDUCTION
33. It is often associated with bacterial toxins and
neoplasms -SECRETORY DIARRHEA
34. Most bowel obstructions occur in the small
intestine -TRUE
35. Enemas are not recommended for treating
constipation unless rectal evacuation is a
problem -TRUE
36. A pad that is held in place over the hernia with
a belt to help the abdominal contents from
protruding into the hernial sac -TRUSS
37. Decompression of the bowel through a
nasogastric tube is necessary for some patients
with small bowel obstruction -TRUE
38. Bland diet of semisolid food is recommended
to clients with diarrhea -TRUE
39. To patients who urgently needs relief from
obstruction in the large bowel, cecostomy may
be performed -TRUE
40. A normal response in an anorectal manometry
is the contraction of the internal sphincter then
followed by the contraction of the external
sphincter - FALSE
41. This is where most common large bowel
obstruction occur -SIGMOID COLON
42. Hernioplasty is the reinforcement of the
weakened outside muscles with a mesh patch
-TRUE
43. The color of the stool after barium enema
-WHITE
44. To patients who urgently needs relief from
obstruction in the large bowel, cecostomy may
be performed - TRUE
45. In small bowel obstruction ,fecal vomiting
occurs when there is - ILEUM OBSTRUCTION
46. The stool characteristic that involves the large
bowel -SEMI-SOLID
47. The stool characteristics that involves the
small bowel -WATERY STOOL
48. High consumption of FIBER/CARBS results to
constipation -FALSE
49. Medication of choice for diarrhea
-LOPERAMIDE
50. With the progression of peritonitis, the client
may experience low blood pressure -TRUE
51. The megacolon should return first on the
normal size before conducting the second
complete surgery -FALSE
52. This manifestation may indicate obstruction
and strangulation of hernia -ABSENT BOWEL
SOUNDS
53. The most common site of intussusception
-ILEOCECAL VALVE
54. The peristaltic movement of the large bowel
occurring five to six times daily that are
triggered by distention of the stomach
-GASTROCOLIC REFLEX
55. There is a functional and sphincter in a high
level detect imperforate anus -FALSE
56. This type of hernia mostly occurs in men
because it follows the tract that develops when
the testes descend into the scrotum before birth
-INDIRECT INGUINAL HERNIA
57. Bland diet of semisolid flood in recommended
to clients with diarrhea -TRUE
58. The first-line tehrapy used in constipation with
rectal evaluation problems -GLYCERIN
59. The following are signs that peritonitis in
subsiding except: BLOOD PRESSURE OF
130//100 mmhg
60. In ascaris bolus, respiratory symptoms occurs
in the sixth after egg ingestion -4-16 DAYS
AFTER INGESTION

 Wavelike and colicky cramping pain -SMALL

BOWEL OBSTRUCTION

 Constipating as the only symptom - SIGMOID

COLON OBSTRUCTION

 Ribbon foul like smelling stool -

HIRSCHSPRUNG DISEASE

 Diffuse pain- constant and localized in the area

-PERITONITIS

 Currant jelly stool - INTUSSUSCEPTION

 Tingling throat - ASCARIS BOLUS

 A weakness in the abdominal muscle well  Exist when blockage prevents the normal
thru which a segment of the bowel or other flow of intestinal tract -INTESTINAL
abdominal structure protrudes - HERNIA OBSTRUCTION

 The rectum ends above the puborectalis

muscle -IMPERFORATE ANUS

 Presence of dilated portions of veins in the

anal canal - HEMORRHOIDS

 One part of the intestine slips into another

part that is located below or above it -
INTUSSUSCEPTION

 The bowel twists and turns on itself and

occluded the blood supply - VOLVULUS
 Also called the Hirschprung disease
-MEGACOLON
 An abnormal hardening of the stools that
makes their passage difficult and sometimes
painful- CONSTIPATION
 Frequent passage of loose stools
-DIARRHEA
 It is when the muscles of the intestines do
not allow food to pass thru resulting in a
blocked intestine - PARALYTIC ILEUS