Gastrointestinal Bleed | Biologix Solutions

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Gastrointestinal Bleed

Question 1:

All of the following are risk factors for Gastrointestinal Bleed (GIB), Except which one:

A) Older age

B) Smoker

C) Mild alcohol intake

D) NSAID used

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Gastrointestinal Bleed

Question 2:

What is the point at which the upper and lower GI tract are delineated?

A) Esophageal sphincter

B) The ligament of Treitz

C) Alveolar sacs

D) Sigmoid colon

3 / 20

Gastrointestinal Bleed

Question 3:

All of the following are possible reasons for the decline in GIB cases in recent years except which one?

A) Management of underlying conditions such as PUD

B) Patient education on the appropriate use of NSAIDs

C) Recommended colorectal screening

D) Increased use of Ibuprofen for pain

4 / 20

Gastrointestinal Bleed

Question 4:

Peptic ulcer disease (PUD) is a common cause of upper GI bleed.

A) True

B) False

5 / 20

Gastrointestinal Bleed

Question 5:

Which of the following is a condition where variceal bleeding should be suspected?

A) Hemorrhoids

B) Cirrhosis

C) GERD

D) Foreign body ingestion

6 / 20

Gastrointestinal Bleed

Question 6:

All of the following are underlying conditions that contribute to lower GI bleed, EXCEPT.

A) Diverticulosis

B) Colorectal cancer

C) Inflammatory bowel disease (IBS)

D) Esophagitis

7 / 20

Gastrointestinal Bleed

Question 7:

Which of the following is indicative of severe vs. mild blood loss?

A) Paleness

B) Fatigue

C) Orthostatic hypotension

D) Chronic anemia

8 / 20

Gastrointestinal Bleed

Question 8:

Occult bleeding is visible, bright red blood.

A) True

B) False

9 / 20

Gastrointestinal Bleed

Question 9:

Which of the following findings is the most problematic and worrisome?

A) Hemoglobin of 14 g/dl

B) Epigastric pain that is aggravated by spicy foods.

C) Abdominal pain, RR 18, BP 145/40, Pulse 110

D) Restlessness, BP 80/38, Pulse 145, RR 24

10 / 20

Gastrointestinal Bleed

Question 10:

Overt bleeding is blood that is visible to the naked eye.

A) True

B) False

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Gastrointestinal Bleed

Question 11:

Which of the following interventions are appropriate for the patient at risk for ineffective tissue perfusion?

A) Assess capillary refill

B) Elevation of the head of the bed

C) Administer oxygen as ordered

D) All of the above

12 / 20

Gastrointestinal Bleed

Question 12:

What should the priority be when caring for a patient with signs and symptoms of severe GI bleeding?

A) ABCs (airway, breathing, circulation)

B) Pain control

C) Endoscopy

D) Intake and Output

13 / 20

Gastrointestinal Bleed

Question 13:

Early signs of hypoxia include ____________.

A) Disorientation

B) Irritability

C) Restlessness

D) All of the above

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Gastrointestinal Bleed

Question 14:

What would be a late sign of hypoxia?

A) Lethargy

B) Orientation to person, place, and time, but not situation.

C) Hyperactivity

D) None of the above

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Gastrointestinal Bleed

Question 15:

Which of the following are included in the Glasgow-Blatchford bleeding score?

A) BUN

B) Hemoglobin

C) Presence of melena

D) All of the above

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Gastrointestinal Bleed

Question 16:

Colon cancer has no modifiable risk factors.

A) True

B) False

17 / 20

Gastrointestinal Bleed

Question 17:

Hypotension may indicate which of the following?

A) Decreased cardiac output

B) Increased cardiac output

C) Skipped dose of antihypertensive

D) Anxiety

18 / 20

Gastrointestinal Bleed

Question 18:

Tachycardia can be masked by beta blockers.

A) True

B) False

19 / 20

Gastrointestinal Bleed

Question 19:

Which of the following is NOT an indication of chronic anemia?

A) Hemoglobin consistently less than 7 mg/dl

B) Hair loss

C) Hand and feet paresthesia

D) Syncope

20 / 20

Gastrointestinal Bleed

Question 20:

Severe blood loss is defined as a loss greater than __________.

A) 0.5 L within 24 hours

B) 1 L within 24 hours

C) 0.75 L within 24 hours

D) 0.25 L within 24 hours

Your score is

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