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Digestive System

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Why is it important to know the mucosal layers of the digestive system?   show
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show mucosa  
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What does the mucosa line?   show
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What portions is the mucosa divided into?   show
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show where in the digestive system it is located  
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What does the epithelial layer in the mucosa do?   show
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show blood and lymph vessels  
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show smooth muscle and it breaks down foods  
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What are the functions of the mucosa layer?   show
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How does the mucosa provide a barrier against foreign particles?   show
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T or F. The mucosa protects against the body's own stomach acid and urine.   show
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What would nursing intervention be for radiation induced mucositis?   show
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show numbing agent (e.g. lidocaine), coating agent (to stick to membrane), benadryl (to reduce inflammation and redness), antibiotic (in case of infection)  
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show submucosa  
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What does the submucosa contain?   show
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What does the connective tissue in the submucosa help the gut do?   show
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show muscularis  
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What is the muscularis layer responsible for?   show
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show serosa  
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What is the serosa composed of?   show
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What are the functions of the serosa?   show
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show pericardial, pleural, and peritoneal  
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The loops of the digestive tract are anchored to the posterior wall of the abdominal cavity by a double fold of the peritoneal tissue called the ________________.   show
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Do all digestive system organs have a serosal layer?   show
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What does the esophagus have instead of a serosa?   show
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What is adeventitia?   show
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The esophagus is divided into what 3 portions?   show
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The upper 1/3 of the esophagus is diagnosed more commonly with that type of cancer?   show
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The middle and lower portions of the esophagus is more commonly diagnosed with what type of cancer?   show
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show adenocarcinoma  
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Is esophagus cancer more common in men or women?   show
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show -chronic irritation (GERD/reflux and Barrett's esophagus) -smoking -alcohol -processed foods -HPV  
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show dysphagia (difficulty swallowing)  
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show surgery if possible, radiation combined with chemo  
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Why might an esophageal tumor be considered unresectable?   show
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What is something that could happen with esophageal cancer since there is no serosa?   show
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What is Aflotixin?   show
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show fundus at the top, body, and pylorus at the bottom  
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How much food can the stomach hold?   show
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show men  
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show over 65  
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show H. pylori bacteria, processed foods, alcohol, smoking, previous stomach surgeries, EBV, polyps, pernicious anemia, family hx  
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show adenocarcinoma (90-95%)  
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What are other histopathology types that can occur in the stomach?   show
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show persistent indigestion/heartburn  
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show diagnosis  
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The pancreas functions as what 2 glands?   show
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What does the endocrine gland produce?   show
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What does the exocrine gland produce?   show
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show advanced  
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A 5 year prognosis is around a _______-________%.   show
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show it is bc the general age of being diagnosed is 70+ and are normally in poor health and cannot tolerate treatment  
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show men  
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What are some etiological factors of pancreatic cancer?   show
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What is Lynch syndrome?   show
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show adenocarcinoma  
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The symptoms for pancreatic cancer depends on what?   show
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If the pancreatic tumor is on the head of the pancreas, what kind of symptom would occur in 80-90% of cases?   show
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show causes pain  
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What surgery would be performed for pancreatic cancer?   show
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show removal of the head of pancreas, duodenum, bile ducts, gall bladder, and any involved tissues  
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Other than the whipple procedure, what treatment would be done for pancreatic cancer?   show
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What is the largest gland of the body?   show
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show exocrine; bile  
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show poor prognosis  
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show men  
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What are some etiological factors of liver cancer?   show
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What is the histopathology of liver cancer if it is a primary tumor?   show
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show liver mets  
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show secondary  
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show -surgery -chemo -embolization -radiofrequency -rad therapy  
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What does the gallbladder store and release?   show
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T or F. Gallbladder cancer is rare and carries a poor prognosis.   show
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Is gallbladder cancer more common in men or women?   show
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What is the average age of diagnosis of gallbladder cancer?   show
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show gallstones, porcelain gallbladder, obesity, smoking, choledochal cysts, polyps, and family hx  
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show cholangiocarcinoma  
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What are the most common symptoms of gallbladder cancer?   show
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show surgery and chemo  
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Villus (villi) contain a rich network of _____________.   show
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What do the capillaries in the villi do?   show
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show in plica (folds)  
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show bc this increases the surface area and make it well suited for the absorption of water and nutrients  
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What does each villi contain?   show
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What are lacteals in the villi?   show
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show crypts of Lieberkuhn (or paneth cells)  
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What are the 3 sections of the small intestine?   show
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What gland is found in the duodenum and what does it do?   show
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What is the jejunum responsible for?   show
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show absorption of fat and soluble vitamins like A, D, E, and K  
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show 15-20 feet  
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show gut associated lymphatic tissues (GALT) located in the small intestine and prominent ileum  
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show men  
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What age range is typically affected by small intestine cancer?   show
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What are some etiological factors of small intestine cancer?   show
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What are the 4 histopathology types of small intestine cancer?   show
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Symptoms associated with small intestine cancer.   show
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show surgery and chemo  
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show limited by dose and small bowel can't be immobilized for reproducibility  
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show colo-rectal disease  
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show reclaim water  
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show by screening via colonoscopy starting at age 45  
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At what age is colo-rectal disease seen in people?   show
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show due to change in lifestyle (poor diet and lack of exercise)  
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What are some etiological factors of colo-rectal disease?   show
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What are the 4 histopathology types of colorectal disease?   show
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show surgery  
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What is the treatment option for late stage (IV) colorectal disease?   show
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At what point in the anus do we see a change in tissue and cell type?   show
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Who is more affected by anal cancer?   show
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show HPV, HIV, anal warts, anal sex, and smoking  
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show squamous cell carcinoma (90%) others: adenocarcinoma, basal cell carcinoma, melanomas, GISTs  
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What are some benign things seen in the anus?   show
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What are the symptoms associated with anal cancer?   show
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show -surgery, rad therapy, and chemo  
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show stomach and pancreas  
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show stomach and colon  
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show esophagus, stomach and colon  
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show stomach, gallbladder, and colon  
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show stomach, pancreas, gallbladder, and colon  
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Where in the GI system would Hep B and C cause cancer?   show
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show pancreas, small intestine and colon  
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show gallbladder, liver, and colon  
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Where in the GI system would celiac disease cause cancer?   show
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Where in the GI system would Crohn's disease cause cancer?   show
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show esophagus, stomach, pancreas, liver, small intestine, and colon  
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Where in the GI system would HPV cause cancer?   show
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show **linked to all esophagus, stomach, pancreas, gallbladder, liver, small intestine, colon, and anus  
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show because you can swallow the carcinogens from smoking and this will stay in the GI tract until it passes through  
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show 2300  
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TD 5/5 for bladder   show
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TD 5/5 for spinal cord   show
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show 4000  
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show 5500  
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TD 5/5 for stomach   show
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TD 5/5 for small intestine   show
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show 4500  
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TD 5/5 for rectum   show
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show 3000  
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CT # for air   show
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CT # for bone   show
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CT # for water   show
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CT # for fat   show
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