A teenager who has a history of achalasia will likely complain of which of the following clinical manifestations?
A) Excessive heartburn following a high-fat meal of French fries
B) Feeling like there is food stuck in the back of the throat
C) Projectile vomiting across the room unrelated to meals
D) Vomiting large amounts of bright red emesis
Ans: B
Feedback:
Achalasia produces functional obstruction of the esophagus so that food has difficulty passing into the stomach, and the esophagus above the lower esophageal sphincter becomes distended. Symptoms following high-fat intake is usually associated with gallbladder disease. Projectile vomiting is usually related to increased intracranial pressure. Vomiting blood can be associated with esophagitis, erosion of the esophagus, bleeding esophageal varices, or esophageal cancer.
You might also like to view...
Match the term with the appropriate description.
a. Vastus lateralis b. Deltoid c. Z-Track d. Transdermal e. Ventrogluteal 1. Route with rapid systemic effect combined with strong local effect 2. Front of the thigh toward the outside of the leg 3. Above, outside of the buttock area, on the hip 4. Upper outer arm above the axilla 5. Injection method especially recommended for drugs irritating to tissues
It is estimated that patients can reduce their risk for heart attack by 2% for every ______ they reduce their total blood cholesterol.
A. 1% B. 2% C. 4% D. 8%
A client on an MAOI asks the nurse about the side effects of taking MAOIs with certain foods. What potentially lethal side effect can occur if the client consumes foods containing tyramine, tryptophan, or tryptamine?
a. Hypertensive crisis b. Orthostatic hypotension c. postural hypotension d. Hyperthyroidism
Which condition is an autoimmune disorder characterized by a severe reaction to foods containing gluten?
A) celiac disease? B) ?Crohn's disease C) ?enteritis D) ?ulcerative colitis