1.

Peptic ulcer formed in the mucosal wall of :

A. Stomach
B. Esophagus
C. Foot
D. A&B
2. Peptic ulcer occurs most between the age of :
A. 10 – 30 years old
B. 60-80 years old
C. 40- 60 years old
D. None of all
3. Helicobacter pylori is :
A. Gram positive bacteria
B. Gram negative bacteria
C. A fungi
D. A parasite
4. Is H.Pylori plays a role in the duodenal ulcer :
A. Yes
B. No
5. All of the following is from the characteristics of the duodenal ulcer except:
A. 15% of peptic ulcers are duodenal
B. Not Vomiting
C. Have weight gain
D. Occur in the age of 30-60
6. Which of the following means black colored stool ?
A. Steatorrhea
B. Melena
C. Hematemesis
D. None of all
7. Diagnostic tests that can be used to recognize the peptic ulcers :
A. Barium study only
B. Endoscopy only
C. Biopsy only
D. All of them
8. Hemorrhage as a complication of ulcers can be manifested by :
A. BP
B. Cool skin
C. Steatorrhea
D. Hgb
9. Persistent vomiting as a cause of pyloric obstruction lead to:
A. Hyperkalemia
B. Metabolic alkalosis
C. Hypokalemia
D. B & C
10. Mention the term of that sentence ( removal the distal third of stomach
and connecting to duodenal or jejunum ):
A. Subtotal gastrectomy
B. Total gastrectomy
C. Gastrojejunostomy
D. Gastrodudenostomy
11. All the following is from the signs & symptoms of dumping syndrome
except:
A. Diarrhea
B. Dizziness
C. Slow heart rate
D. Vomiting
12. What are the type of peptic ulcer :
A. Gastric
B. Duodenal
C. Stress
D. All of them
13. All of the following causes an increase in ( HCL) in the stomach , except:
A. Chronic use of NSAIDS
B. Infection with the gram negative bacteria
C. Stress
D. Milk , caffeine , smoking and alcohol
14. Which of the following is not a causative agent for peptic ulcer :
A. NSAIDS
B. Helicobacter pylori
C. Physiological stress
D. Augmentin
15. Peptic ulcer leads to increase in Hgb:
A. Yes
B. No
16. What are the complications of peptic ulcer ?
A. GI bleed
B. Dyspnea
C. Clot
D. A&C
17.15% 0f peptic ulcers are gastric ?
A. Yes
B. No
18. Duodenal ulcers are more common in female ?
A. Yes
B. No
19. After barium study , you should provide plenty of liquids for :
A. 12-24 h
B. 10-24
C. 24-48 h
D. 1-2 h
20. Used to eradicate H.pylori infection:
A. Antibiotics
B. Antacids
C. Anticholinergic
D. Histamine
21. In subtotal gastrectomy removal ........... of stomach?
A. Half
B. Distal third
C. Proximal third
 D. All
22. Dumping syndrome occur when food , especially salt , moves from your
stomach into your small bowel too quickly ?
A. Yes
B. No
23. The signs and symptoms of all dumping syndrome ?
A. Flushing
B. Abdominal cramps
C. Nausea
D. All of them
24. Late dumping signs and symptoms which occur ……. After eating :
A. 1-2 h
B. 4-8 h
C. 1-3 h
D. 2-5 h
25. Mucosa provides a barrier to protect esophagus from HCL acid :
A. Yes
B. No
26. What kind of peptic ulcer be temporary occur when burns and shock :
A. Stress
B. Gastric
C. Duodenal
D. B& C
27. Duodenal ulcer common in …
A. Male
B. Female
C. Both
28.80% of peptic ulcer are …….
A. Duodenal
B. Stress
C. Gastric
D. None
29. The barium may make the stool ….. for several days
A. black
B. Red
C. White
D. Orange
30. Mean removal of lower portion of stomach and small portion of
duodenum and connects remaining of stomach to duodenum .
A. Gastroduodenostomy
B. Gastrojejunostomy
C. Subtotal gastrectomy
D. Total gastrectomy
31. Which assessment data support to the nurse that the patient diagnosed
with gastric ulcer ?
A. Presence of blood in the stool for the past month
B. Report of a burning sensation moving like wave
C. Sharp pain in the upper abdomen after eating
D. None
32. Vomiting common in ......... ulcer?
A. Duodenal
B. Stress
C. Gastric
D. All
33. Which foods should a patient with GERD avoid it ?
A. Burger king double cheese burger
B. Lettuce
C. Candy cane
D. Chocolate espresso
E. A,C&D
34. Which drug class is not used to treat GERD?
A. Antacids
B. Histamine receptors anagonists
 C. Beta blockers
D. Proton pump inhibitors
35. To avoid acid reflux , the nurse should advise patient to avoid which type of
diet ?
A. Milk and milk products
B. High fat and caffeinated beverages
C. Smell frequent diet
D. High caloric diet
36. Which of the following factors not contributing to GERD ?
A. Increased gastric volume (post meals)
B. Position pushing gastric content
C. Umbilical hernia
D. Increased gastric pressure
37. Which of the following defined as return of esophageal or gastric content
into the pharynx?
A. Heart burn
B. Esophageal reflux
C. Regurgitation
D. Esophagitis
38. Which one of the following type of food allowed for patient with GERD ?
A. Raw broccoli
B. Tomatoes
C. Spicy
D. Citrus foods
39. Cause of GERD
A. delay maturation of lower sphincter
B. trasient relaxtion or incompetent of lower sphincter
C. delicate esophageal mucosa
D. all of above
40.Factors that affect GERD
A. 1 .volume of gastric
B. 2. Postion
C. 3. gastric pressure
 D. 4. Hiatial hernia
E. 5.All of above
41.Gastroesophageal reflux is a
A. Is a normal phenomenon that happens after eating
B. 2.is a disease when repeating reflux
C. All of above
42. Most common symptoms of GERD
A. Heartburn
B. Nausea
C. vomiting

43. Which thing can relieve Heartburn( Pyrosis)

A. Milk and water
B. resting
C. 3.non of above
44. Which means GERD
A. Return the gastric content to esophagus
B. Return esophageal content to pharynx
C. All of above

45. which means Regurgitation

A. Return gastric or esophagus content to pharynx
B. Return gastric content to esophagus
C. Non of above

46. Which characteristics of Regurgitation

A. Effortless
B. Cause respiratory complications
C. Cause spilling of gastric content into tracheobronchial tree
D. all of above
47. Atypical symptoms such as
A. 1 .Cough
B. 2.dyspnea
C. 3. Hoarseness
D. 4.chestpain
E. 5. All of above

48. Diagnosis of GERD

A. Role out other potential causes of heart burn
B. Esophageal Endoscopy
C. All of above

49. Which are the potential causes of heartburn

A. Cardiac problems
B. 2.peptic ulcer
C. Esophagitis
D. all of them
ANSWERS

1. D
2. C
3. B
4. A
5. A
6. B
7. D
8. B
9. D
10.A
11.C
12.D
13.A
14.D
15.B
16.A
17.A
18.B
19.C
20.A
21.B
22.B
23.D
24.C
25.B
26.A
27.A
28.A
29.C
30.A
31.C
32.C
33.E
34.C
35.B
36.C
37.C
38.A
39.D
40.E
41.A
42.A
43.A
44.A
45.A
46.D
47.E
48.C
49.D