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34. The nurse working in a primary care office sees patient who came in for evaluation of gastroesophageal reflux disease GER
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1) Gastroesophageal reflux diseaase refers to a digestive disorder characterized by backward flow of acid from the stomach into the esophagus. It occurs as a results of smoking,alcohol consumption,excessive caffeine intake, obesity. The correct option is : b) bending over normally increases the abdominal pressure that results in backflow of gastric contents int ot he esophagus. The other options exercising, sitting and walking will not worsen the symptoms of GERD.

2) Diverticulitis is abnormal formation of pouches in the diverticulum. Increase age, obesity, smoking, lack of exercise,alcohol intake,less intaek of fiber diet predisposes the formation of diverticulitis. Teh correct option is b) asparagus,carrot and shredded wheat as they are high in fiber and reduces the diverticulitis attack.

Teh other option cucumbers popcorn, peas corn will moderately triggered the diverticulitis attack. Hence this options are inappropriate.

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