Questions: Andria is a 68 -year-old woman in reasonably good health, although she is overweight. She takes a daily multivitamin supplement and almost daily over-the-counter antacids for heartburn. She says she eats mainly lean meat, chicken, fish, and seasonal fruit and fresh vegetables from ber garden. She now reports having severe heartburn. Also, over the past 2 days, she has had painful stomach cramps and diarrhea. She reports that she attended a family reunion picnic 2 days earlier. 1. Based on ber history, which of the following is a likely explanation for Andria's sudden-onset diarrbea? a. Her age b. Foodborne llness c. Being overweight d. The multivitarnin e spending time outdoors 2. What may be a cause of Andria's ongoing heartburn? a. Her age b. Foodtorne liness c. Ping overweigt d. The milivitamin e spending time outdoors 3. Andria notes that her heartburn got worse while she was at the family reunion. Why might that be? a. She took a 1 -mle walk. b. She ate more slowly thin usual because she was busy taling to family members. c. she was plojing with her grandcildren. d. She are too much. e. ple was wearing loose dothes.

1. Based on her history, which of the following is a likely explanation for Andria's sudden-onset diarrhea? The answer is b: Foodborne illness.

Explanation: a. Her age - While age can affect digestion, sudden-onset diarrhea is more likely due to an acute cause. b. Foodborne illness - Given that Andria attended a family reunion picnic 2 days earlier, it is plausible that she consumed contaminated food, leading to foodborne illness. c. Being overweight - This is not typically associated with sudden-onset diarrhea. d. The multivitamin - Multivitamins are unlikely to cause sudden-onset diarrhea unless there is an allergy or intolerance, which is not indicated here. e. Spending time outdoors - This is not directly related to sudden-onset diarrhea unless it involves consuming contaminated food or water.

2. What may be a cause of Andria's ongoing heartburn? The answer is c: Being overweight.

Explanation: a. Her age - While age can contribute to heartburn, it is not the most direct cause. b. Foodborne illness - This is more likely to cause acute symptoms rather than ongoing heartburn. c. Being overweight - Excess weight can increase abdominal pressure, leading to gastroesophageal reflux disease (GERD) and heartburn. d. The multivitamin - Multivitamins are not typically associated with causing heartburn. e. Spending time outdoors - This is not directly related to heartburn.

3. Andria notes that her heartburn got worse while she was at the family reunion. Why might that be? The answer is d: She ate too much.

Explanation: a. She took a 1-mile walk - Physical activity can sometimes help with digestion and is less likely to worsen heartburn. b. She ate more slowly than usual because she was busy talking to family members - Eating slowly is generally beneficial for digestion and less likely to cause heartburn. c. She was playing with her grandchildren - Physical activity is not typically associated with worsening heartburn. d. She ate too much - Overeating can increase stomach pressure and lead to heartburn, especially if the food consumed is rich or fatty. e. She was wearing loose clothes - Tight clothing is more likely to exacerbate heartburn by increasing abdominal pressure, not loose clothing.

Summary:

1. The likely explanation for Andria's sudden-onset diarrhea is foodborne illness.
2. A cause of Andria's ongoing heartburn may be being overweight.
3. Andria's heartburn may have worsened at the family reunion because she ate too much.