45 year old man is brought to the emergency department 1 hour after an episode of vomiting blood. esophagogastroduodenoscopy shows an actively bleeding ulcer on the posterior wall of the duodenal bulb. a branch of which of the following arteries is the the most likely site of origin of this patient’s bleeding . A) anterior superior pancreaticoduodenal, B) gastroduodenal, C) hepatic, D) inferior pancreaticoduodenal, E) right gastroepiploic

Explain the relationship between the swollen feet and ankles in an obese, sedentary patient and her circulation.  If untreated, this condition could lead to infection and/or ulceration of the area, why?

A 55-year-old female patient who is positive for MR SA is having laparoscopic cholecystectomy. During the procedure, the surgeon encounters unexpected bleeding from the liver bed and decides to convert to an open cholecystectomy.  Which category of medications will be used during  the "Intraoperative cholangiography" segment of the procedure? Name three medications from this category.

20. A 39 year-old man comes to the physician because of a 1-week history of abdominal pain that radiates to his back. Abdominal examination shows mild, diffuse tenderness. CT scans of the abdomen are shown the arrow indicates an incidental finding. Which of the following structures is most likely limiting the cephalad movement of the finding shown? C) Inferior mesenteric artery D) Inferior vena cava A) Hepatic portal vein B) lleocolic artery E) Ureters Mark

Define the meaning of the term "peptic ulcer disease". Discuss some of the risk factors that make people susceptible (including factors that protect the mucosa of the stomach/duodenum and those that cause damage to it.  ANSWER SHOULD INCLUDE: Accurate definition, e.g. mucosa break greater than 3-5mm in the stomach or duodenum with a visible depth.  Discussion of factors e.g. infections (H. Pylori; others mainly in immunocompromised patients,  e.g. cytomegalovirus ,tuberculosis, and syphilis), gastric bypass surgery,  cigarette smoking, medication/drugs, physiological stress associated with critical illness (e.g. septicaemia), autoimmune diseases, eg, vasculitis, sarcoidosis, Crohn's disease.   Discussion of factors e.g. protection: bucarb, blood flow, prostaglandin, mucus. Damage: H. Pylori,  gastric acid, pepsin, drugs  e.g. NSAID

What is the difference between Roux-en-Y gastric bypass and sleeve gastrotectomy?

Which of the following is not involved in the pathophysiology of gastric ulcer? Select one: A. B. Increased stimulation of mucus- producing glands Alcohol abuse C. Decreased resistance of the mucosal barrier D. H. pylori infection E. Hypersecretion of pepsin O O O O

Describe how to care for a patient with a gastrostomy tube.

Name one condition that impacts the digestive system. Describe the condition, Symptoms, causes and treatment options.