A patient with a duodenal ulcer typically experiences pain that is:

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NCLEX Questions on Gastrointestinal System Questions

Question 1 of 5

A patient with a duodenal ulcer typically experiences pain that is:

Correct Answer: B

Rationale: The correct answer is B: Relieved by eating. This is because food helps to neutralize stomach acid, providing temporary relief for duodenal ulcer pain. When the patient eats, the food acts as a buffer against the acid, reducing irritation and pain. The other choices are incorrect: A is not correct because pain after eating is typical of gastric ulcers, not duodenal ulcers. C is incorrect as duodenal ulcer pain is often related to meals due to increased acid secretion. D is incorrect as duodenal ulcer pain can occur at any time, not just at night.

Question 2 of 5

In most regions of the GI tract (exceptions are oral cavity and stomach), smooth muscle fibers of the muscularis are arranged into:

Correct Answer: A

Rationale: The correct answer is A because in most regions of the GI tract, the smooth muscle fibers of the muscularis are arranged into inner circular and outer longitudinal layers. This arrangement allows for peristalsis, the coordinated contraction and relaxation of the muscles to move food along the digestive tract. The inner circular layer constricts the lumen, while the outer longitudinal layer shortens the tube. This arrangement is consistent throughout the GI tract to facilitate the smooth movement of food. Choice B is incorrect because the outer circular and inner longitudinal layers are not the typical arrangement in the GI tract. Choice C is incorrect because although there are circular and longitudinal layers, their relative position does not vary significantly from region to region. Choice D is incorrect as it describes a meshwork pattern which is not typical of the muscularis arrangement in the GI tract.

Question 3 of 5

Tonsils occur in each of the following sites EXCEPT:

Correct Answer: D

Rationale: The correct answer is D: in the esophagus. Tonsils are lymphoid tissues located in the pharynx, soft palate, and posterior tongue, but not in the esophagus. The esophagus is a muscular tube that connects the throat to the stomach and does not contain tonsils. Tonsils are part of the immune system and help protect against infections. Therefore, the presence of tonsils in the esophagus would not be anatomically or functionally correct.

Question 4 of 5

Tubular invaginations (crypts, pits or glands) occurring within the mucosa (embedded in lamina propria), are not characteristic of the:

Correct Answer: A

Rationale: Rationale: 1. The esophagus lacks crypts, pits, or glands within its mucosa. 2. Esophageal mucosa is lined with stratified squamous epithelium, not glandular epithelium. 3. Crypts, pits, or glands are present in the stomach, duodenum, ileum, and jejunum. 4. These structures play roles in secretion, absorption, and protection. Summary: - A: Esophagus does not have crypts or glands, making it the correct choice. - B, C, D: Stomach, duodenum, ileum, and jejunum have crypts or glands within their mucosa, making them incorrect choices.

Question 5 of 5

Choose the best description of the esophagus.

Correct Answer: A

Rationale: The correct answer is A because the esophagus is lined with nonkeratinized stratified squamous epithelium, which provides protection against abrasion and friction from food boluses. The relatively unspecialized lamina propria supports the epithelium and allows for nutrient and waste exchange. The submucosa contains scattered mucous glands that secrete mucus to aid in swallowing. Choice B is incorrect because the esophagus does not have keratinized epithelium, and it does not contain serous glands in the submucosa. Choice C is incorrect because although the esophagus has nonkeratinized stratified squamous epithelium, it does not typically have lymph nodules in the lamina propria. Choice D is incorrect because the esophagus does not have keratinized epithelium or lymph nodules in the lamina propria.

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