Question 1

Bile salts enzymatically digest lipids in the small intestine.

Accepted Answer

A) True 
 B)False  False

Question 2

A patient with pancreatitis may experience muscle cramps and laryngospasm secondary to

Accepted Answer

A)  alkalosis. 
B)  hyperglycemia. 
C)  hypocalcemia. 
D)  hypermagnesemia. 
A)  alkalosis. 
B)  hyperglycemia. 
C)  hypocalcemia. 
D)  hypermagnesemia. C

Question 3

The usual treatment for chronic pancreatitis includes

Accepted Answer

A)  pancreatectomy. 
B)  strict dietary avoidance of fats. 
C)  abstinence from alcohol. 
D)  long-term narcotic administration for pain. 
A)  pancreatectomy. 
B)  strict dietary avoidance of fats. 
C)  abstinence from alcohol. 
D)  long-term narcotic administration for pain. C

Question 4

The definitive treatment for cholecystitis is

Accepted Answer

A)  lithotripsy of stones. 
B)  chemical dissolution of stones. 
C)  antibiotics and antiinflammatories. 
D)  cholecystectomy. 
A)  lithotripsy of stones. 
B)  chemical dissolution of stones. 
C)  antibiotics and antiinflammatories. 
D)  cholecystectomy.

Question 5

Alcohol abuse is the primary risk factor for chronic pancreatitis.

Accepted Answer

A) True 
 B)False

Question 6

The exocrine pancreas is stimulated to secrete in response to secretin and cholecystokinin.

Accepted Answer

A) True 
 B)False

Question 7

A deficiency of lipid digestion or absorption commonly results in

Accepted Answer

A)  steatorrhea. 
B)  constipation. 
C)  hyperlipidemia. 
D)  cholelithiasis. 
A)  steatorrhea. 
B)  constipation. 
C)  hyperlipidemia. 
D)  cholelithiasis.

Question 8

The finding of hypotension, rigid abdomen, and absent bowel sounds in a patient with pancreatitis

Accepted Answer

A)  is an expected finding and requires no specific intervention. 
B)  indicates peritonitis with substantial risk for sepsis and shock. 
C)  requires immediate surgical intervention. 
D)  is an unusual finding in pancreatitis and indicates misdiagnosis. 
A)  is an expected finding and requires no specific intervention. 
B)  indicates peritonitis with substantial risk for sepsis and shock. 
C)  requires immediate surgical intervention. 
D)  is an unusual finding in pancreatitis and indicates misdiagnosis.

Question 9

Elevated serum lipase and amylase levels are indicative of

Accepted Answer

A)  gallbladder disease. 
B)  appendicitis. 
C)  pancreatitis. 
D)  peritonitis. 
A)  gallbladder disease. 
B)  appendicitis. 
C)  pancreatitis. 
D)  peritonitis.

Question 10

Chronic pancreatitis may lead to

Accepted Answer

A)  diabetes mellitus. 
B)  Crohn disease. 
C)  gallstones. 
D)  celiac sprue. 
A)  diabetes mellitus. 
B)  Crohn disease. 
C)  gallstones. 
D)  celiac sprue.

Question 11

Most gallstones are composed of

Accepted Answer

A)  bile. 
B)  cholesterol. 
C)  calcium. 
D)  uric acid salts. 
A)  bile. 
B)  cholesterol. 
C)  calcium. 
D)  uric acid salts.

Question 12

Patients with acute pancreatitis are generally not allowed to eat and may require continuous gastric suctioning to

Accepted Answer

A)  prevent abdominal distention. 
B)  remove the usual stimuli for pancreatic secretion. 
C)  prevent hyperglycemia associated with loss of insulin secretion. 
D)  prevent mechanical obstruction of the intestine. 
A)  prevent abdominal distention. 
B)  remove the usual stimuli for pancreatic secretion. 
C)  prevent hyperglycemia associated with loss of insulin secretion. 
D)  prevent mechanical obstruction of the intestine.

Question 13

Cholelithiasis is present in 90% of patients who have acute cholecystitis.

Accepted Answer

A) True 
 B)False

Question 14

A biliary cause of acute pancreatitis is suggested by which of the following laboratory results?

Accepted Answer

A)  Elevated serum lipase 
B)  Elevated serum amylase 
C)  Elevated serum glucose 
D)  Elevated serum alkaline phosphatase 
A)  Elevated serum lipase 
B)  Elevated serum amylase 
C)  Elevated serum glucose 
D)  Elevated serum alkaline phosphatase

Question 15

The pain of cholecystitis commonly radiates to the left upper quadrant and left shoulder.

Accepted Answer

A) True 
 B)False

Exam 37: Alterations in Function of the Gallbladder and Exocrine Pancreas

Bile salts enzymatically digest lipids in the small intestine.

A patient with pancreatitis may experience muscle cramps and laryngospasm secondary to

The usual treatment for chronic pancreatitis includes

The definitive treatment for cholecystitis is

Alcohol abuse is the primary risk factor for chronic pancreatitis.

The exocrine pancreas is stimulated to secrete in response to secretin and cholecystokinin.

A deficiency of lipid digestion or absorption commonly results in

The finding of hypotension, rigid abdomen, and absent bowel sounds in a patient with pancreatitis

Elevated serum lipase and amylase levels are indicative of

Chronic pancreatitis may lead to

Most gallstones are composed of

Patients with acute pancreatitis are generally not allowed to eat and may require continuous gastric suctioning to

Cholelithiasis is present in 90% of patients who have acute cholecystitis.

A biliary cause of acute pancreatitis is suggested by which of the following laboratory results?

The pain of cholecystitis commonly radiates to the left upper quadrant and left shoulder.

Introduction to Pathophysiology

Homeostasis and Adaptive Response to Stressors

Cell Structure and Function

Cell Injury, Aging, and Death

Molecular Genetics and Tissue Differentiation

Genetic and Developmental Disorders

Neoplasia

Infectious Processes

Inflammation and Immunity

Alterations in Immune Function

Malignant Disorders of White Blood Cells

Hiv Disease and Aids

Alterations in Oxygen Transport

Alterations in Hemostasis and Blood Coagulation

Alterations in Blood Flow

Alterations in Blood Pressure

Cardiac Function

Alterations in Cardiac Function

Heart Failure and Dysrhythmias: Common Sequelae of Cardiac

Shock

Respiratory Function and Alterations in Gas Exchange

Obstructive Pulmonary Disorders

Restrictive Pulmonary Disorders

Fluid and Electrolyte Homeostasis and Imbalances

Acid-Base Homeostasis and Imbalances

Renal Function

Intrarenal Disorders

Acute Renal Failure and Chronic Kidney Disease

Disorders of the Bladder

Male Genital and Reproductive Function

Alterations in Male Genital and Reproductive Function

Female Genital and Reproductive Function

Alterations in Female Genital and Reproductive Function

Sexually Transmitted Infections

Gastrointestinal Function

Gastrointestinal Disorders

Liver Diseases

Endocrine Physiology and Mechanisms of Hypothalmic-Pituitary Regulation

Disorders of Endocrine Function

Diabetes Mellitus

Alterations in Metabolism and Nutrition

Structure and Function of the Nervous System

Acute Disorders of Brain Function

Chronic Disorders of Neurologic Function

Alterations in Special Sensory Function

Pain

Neurobiology of Psychotic Illnesses

Neurobiology of Nonpsychotic Illnesses

Structure and Function of the Musculoskeletal System

Alterations in Musculoskeletal Function: Trauma, Infection, and Disease

Alterations in Musculoskeletal Function: Rheumatic Disorders

Alterations in the Integumentary System

Burn Injuries

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