CARESS 104 MODULE 1 DRILL SET 2

(Competency Appraisal Retooling System for Students 4)

INSTRUCTION: Choose the CORRECT answer from the given choices. Write the letter of your choice in a
SEPARATE SHEET OF PAPER. DO NOT WRITE ANYTHING IN THIS TEST QUESTIONNAIRE. STRICTLY NO
ERASURES ALLOWED.

The following questions pertain to colorectal polyps.

1. What are colorectal polyps? 12. Inability to digest lactose usually is due to...
a. A hole on the lining of the colon a. you have LACTASE deficiency
b. A growth occurring on the lining of the b. you have amylase deficiency
colon c. you have glucagon deficiency
c. An adhesion of the mucous lining of 13. Lactase secretion decreases as the age
the colon increases.
2. Colorectal polyps increase in prevalence in a. True
what age group? b. False
a. Very old 14. What is the treatment for lactose
b. Teenagers intolerance?
c. Children a. Dietary management
3. Can colorectal polyps develop to colorectal b. Antidiarrheal medications
cancer? c. Surgery
a. yes 15. What foods are not good alternate for
b. no lactose intolerant persons?
4. This polyp is shaped like a mushroom and a. Cheese
attached to the lining of the colon with a long, b. Pasteurized fresh milk
thin Stalk: c. Yogurt
a. Sessile
b. Pedunculated The following questions pertain to appendicitis.
5. Symptoms of colorectal polyp include the 16. What is appendicitis?
following, except: a. Removal of the appendix.
a. Abdominal pain b. The Appendix is inflamed, swollen or
b. Anemia filled with pus.
c. Black stools/ Bloody Stools c. Visualization of the appendix.
d. Fever 17. Signs and symptoms you have appendicitis
exclude:
The following questions pertain to irritable bowel a. Abdominal pain
syndrome. b. Nausea and vomiting
6. What is IBS? c. Loss of consciousness
a. Intermittent and chronic abdominal 18. Diagnosis of Appendicitis include the
pain associated with changes in bowel following except:
habits a. Physical examination
b. Intermittent constipation associated b. Blood and urine tests
with abdominal pain c. Chest x-ray
c. Frequent diarrhea with no abdominal 19. What is the treatment for appendicitis?
pain associated a. Surgery
7. What is the cause of IBS? b. Oral medications
a. Unknown c. Enema
b. Poor diet 20. What is the surgical procedure done to
c. Lack of exercise remove the appendix?
8. Signs and symptoms exclude: a. Colonoscopy
a. Abdominal pain associated with b. Appendectomy
defecation c. Ex-lap
b. Change in stool frequency and
consistency The following questions pertain to GERD.
c. Painless defecation 21. What does GERD stand for?
9. Management for IBS a. Gastro-Entero Reflux disease
a. Increase fiber to 30g per day b. General Enteral Reflux Disease
b. Eat lactose and gluten rich foods c. Gastro-esophageal Reflux Disease
c. Decrease physical activity 22. Define Barret's esophagus.
10. Drug recommended for IBS with a. The normal mucosa of the
constipation esophagus is replaced by one that is
a. Probiotic similar to the intestines
b. Laxatives b. Abnormal thickening of the
c. Simethicone esophagus.
c. Abnormal hole formation in the
esophagus.
23. What protects the esophagus from acid
The following questions pertain to lactose reflux from the stomach?
intolerance. a. Epiglottis
11. What enzyme is responsible in catalyzing b. Lower Esophageal Sphincter
lactose into glucose and galactose? c. Larynx
a. Amylase 24. Which one is not a complication of GERD?
b. Glugacon a. Esophagitis
c. Lactase b. Esophageal stenosis
 c. Colon Cancer c. both
25. Which treatment is not applicable to GERD? 38. Signs and symptom of Hirschsprung disease,
a. Lifestyle changes except:
b. Antacids a. Dry stool
c. Colonoscopy b. Colitis
c. Enlarged abdomen
The following questions pertain to dumping 39. If left untreated Hirschsprung disease may
syndrome. result to:
26. What is dumping syndrome? a. Severe weight loss.
a. Common complication following b. Death of the child.
gastric and esophageal surgeries c. Ulcer formation in the colon lining.
b. Also known as rapid gastric 40. Treatment of choice for Hirschsprung disease:
emptying. a. Enema
c. Undigested food move too quickly b. Pain reliever, since it will resolve by
from the stomach to the intestines. itself.
d. All of the above c. Surgery
27. What was removed or damaged due to
surgery that causes the dumping syndrome? The following questions pertain to rectal abscess.
a. Pyloric Sphincter 41. Define anorectal abscess:
b. Lower esophageal sphincter a. Localized infection with a collection of
c. Anal Sphincter pus in the ano-rectal area.
28. Signs of Early dumping are the following, b. Presence of pus in the anus only.
except: c. Inflammation of the rectal area.
a. Bloated feeling 42. The most common peri-anal abscess.
b. Alertness a. Subcutaneous perianal abscess.
c. Diarrhea b. Intersphincteric abscess.
29. When does late dumping occur? c. Supralevator abscess.
a. 10-30 minutes after eating 43. Signs and symptoms of perianal abscess
b. 1-3 hours after eating include the following except:
30. Management of dumping syndrome exclude: a. Pain in sitting
a. eating 5-6 smaller meals per day b. Purulent discharge
b. avoid simple sugars c. Blood in stool
c. Drink liquids with meals 44. Management of perianal abscess:
a. Drainage of abscess under local
The following questions pertain to ZES. anesthesia.
31. ZES is characterized by the following b. Warm bath.
except: c. Antifungal medications
a. heartburn due to gastric acid 45. Complications of perianal abscess include
hyposecretion the following except:
b. severe acid peptic disease due to a. formation of piles
gastric acid hypersecretion b. development of fistulas
c. Diarrhea due to gastric acid c. spread of infection into other tissues
hypersecretion
32. Most common symptoms of ZES are the The following questions pertain to problems in the
following except: anus.
a. Abdominal pain 46. These are dilated veins that form grape like
b. Chronic Diarrhea structures in the anal canal.
c. Vomiting a. Fistulas
33. ZES is associated with decrease in b. Fissures
pancreatic enzymes c. Piles
a. True 47. It is the direct visual inspection of the anal
b. False canal using a steel tube.
34. Drug recommended for Treatment of ZES a. Proctosopy
a. Proton pump Inhibitors b. Colonoscopy
b. Laxatives c. Rectal Examination
c. H2 receptor blocker 48. A crack in the anal canal.
35. 70-100% of patients with ZES have this a. Piles
mass found on the GI tract. b. Fissures
a. Insulinuma c. Fistulas
b. Gastrinoma 49. Presents a small boil in the anal canal, and
c. Glucoganoma ripens and bursts and creates a tract
between the internal and external part of the
The following questions pertain to Hirschsprung anal.
disease. a. Fistulas
36. Define Hirschsprung disease. b. Fissures
a. Absence of peristalsis in the small c. Piles
intestine. 50. Treatment for anal fistula.
b. Absence of ganglion cells in the large a. Sitz Bath
intestines. b. Surgery
c. Necrosis of a part of the large c. Laxative
intestine.
37. Hirschsprung disease is common in what Prepared by: Lisette Grace U. Cabalang, RN, MN, RM
gender? Aug. 21, 2023
a. boys
b. girls