MSN Exam for Gastric Cancer

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Text Mode

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1) The laboratory of a male patient with Peptic ulcer revealed an elevated titer of Helicobacter pylori. Which of the following statements indicate an understanding of this data?

  1. Treatment will include Ranitidine and Antibiotics
  2. No treatment is necessary at this time
  3. This result indicates gastric cancer caused by the organism
  4. Surgical treatment is necessary

2) Stomach cancer can be asymptomatic for a long time before diagnosis.

  1. True
  2. False

3) Which of the following statements regarding gastric cancer is accurate?

  1. The incidence of cancer of the stomach continues to decrease in the United States.
  2. Most gastric cancer deaths occur in people younger than 40 years.
  3. Females have a higher incidence of gastric cancers than males.
  4. A diet high in smoked foods and low in fruits and vegetables may decrease the risk of gastric cancer.

4) Can stomach cancer be prevented?

  1. No
  2. Yes

5) What are the early symptoms of stomach cancer?

  1. Indigestion, stomach discomfort or heartburn
  2. Nausea or loss of appetite
  3. Feeling tired
  4. All of the above

6) What are the additional symptoms associated with stomach cancer?

  1. Presence of blood in stools and vomiting
  2. A bloated feeling after eating
  3. Unexplained stomach pain
  4. All of the above

7) Helicobacter pylori is believed to be associated with:

  1. Prostate cancer
  2. Lung cancer
  3. Vaginal cancer
  4. Gastric cancer

8) What are the risk factors of stomach cancer?

  1. Advanced age
  2. Smoking of cigarettes
  3. Excess intake of pickled or salty foods
  4. All of the above

9) A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer?

  1. Dairy products
  2. Carbonated beverages
  3. Refined sugars
  4. Luncheon meats

10) The symptom that indicates stomach drainage by the enlarging cancer is:

  1. Fatigue
  2. Severe nausea and vomiting
  3. Loss of weight
  4. Abdominal pain
Answers and Rationales
  1. A. Treatment will include Ranitidine and Antibiotics. One of the causes of peptic ulcer is H. Pylori infection. It releases toxin that destroys the gastric and duodenal mucosa which decreases the gastric epithelium’s resistance to acid digestion. Giving antibiotics will control the infection and Ranitidine, which is a histamine-2 blocker, will reduce acid secretion that can lead to ulcer.
  2. A. True
  3. A. The incidence of cancer of the stomach continues to decrease in the United States. While the incidence continues to decrease, gastric cancer still accounts for 12,800 deaths annually.
  4. A. No 
  5. D. All of the above
  6. D. All of the above
  7. D. Gastric cancer
  8. D. All of the above 
  9. D. Luncheon meats . Luncheon meats contain preservatives such as nitrites that have been linked to gastric cancer.
  10. B. Severe nausea and vomiting

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