Question 1

Which of the following would a perforated gastric ulcer likely cause?

Accepted Answer

A)  severe anemia 
B)  chemical peritonitis 
C)  severe gastric hemorrhage 
D)  pyloric obstruction 
A)  severe anemia 
B)  chemical peritonitis 
C)  severe gastric hemorrhage 
D)  pyloric obstruction B

Question 2

Why does mild hyperbilirubinemia occur in newborns?

Accepted Answer

A)  blood incompatibility between mother and child 
B)  there is damage to many erythrocytes during the birth process 
C)  poor circulation and albumin transport for bilirubin 
D)  the immature liver cannot process bilirubin quickly enough 
A)  blood incompatibility between mother and child 
B)  there is damage to many erythrocytes during the birth process 
C)  poor circulation and albumin transport for bilirubin 
D)  the immature liver cannot process bilirubin quickly enough D

Question 3

Normally,proteins or amino acids are required to produce all of the following EXCEPT:

Accepted Answer

A)  peptide hormones 
B)  clotting factors and antibodies 
C)  cellular energy 
D)  hemoglobin 
A)  peptide hormones 
B)  clotting factors and antibodies 
C)  cellular energy 
D)  hemoglobin C

Question 4

Which of the following stimulates increased peristalsis and secretions in the digestive tract?

Accepted Answer

A)  sympathetic nervous system 
B)  vagus nerve 
C)  increased saliva 
D)  absence of food in the system 
A)  sympathetic nervous system 
B)  vagus nerve 
C)  increased saliva 
D)  absence of food in the system

Question 5

What is frequently the first manifestation of stress ulcers?

Accepted Answer

A)  abdominal discomfort between meals and at night 
B)  nausea and diarrhea 
C)  hematemesis and hypotension 
D)  sharp colicky pain with food intake 
A)  abdominal discomfort between meals and at night 
B)  nausea and diarrhea 
C)  hematemesis and hypotension 
D)  sharp colicky pain with food intake

Question 6

Why does herpes simplex infection tend to recur?

Accepted Answer

A)  Active infection is usually asymptomatic. 
B)  The virus builds up a resistance. 
C)  The virus persists in latent form in sensory nerve ganglia. 
D)  The virus mutates;therefore,no effective immunity develops. 
A)  Active infection is usually asymptomatic. 
B)  The virus builds up a resistance. 
C)  The virus persists in latent form in sensory nerve ganglia. 
D)  The virus mutates;therefore,no effective immunity develops.

Question 7

What causes the characteristic rigid abdomen found in the patient with peritonitis?

Accepted Answer

A)  increased fluid and gas causing abdominal distention 
B)  inflammation of the peritoneum and organs causing a firm mass in the abdomen 
C)  inflamed peritoneum resulting in reflex abdominal muscle spasm 
D)  the patient voluntarily contracts the abdominal muscles as a protective mechanism 
A)  increased fluid and gas causing abdominal distention 
B)  inflammation of the peritoneum and organs causing a firm mass in the abdomen 
C)  inflamed peritoneum resulting in reflex abdominal muscle spasm 
D)  the patient voluntarily contracts the abdominal muscles as a protective mechanism

Question 8

Prolonged vomiting cause a state of acidosis due to:

Accepted Answer

A)  catabolism of proteins and lipids 
B)  continued loss of gastric secretions 
C)  loss of pancreatic enzymes 
D)  retention of sodium ions and water 
A)  catabolism of proteins and lipids 
B)  continued loss of gastric secretions 
C)  loss of pancreatic enzymes 
D)  retention of sodium ions and water

Question 9

What does esophageal atresia cause?

Accepted Answer

A)  direct passage of saliva and food from the mouth into the trachea 
B)  repeated reflux of gastric secretions into the esophagus 
C)  no fluid or food entering the stomach 
D)  gastric distention and cramps 
A)  direct passage of saliva and food from the mouth into the trachea 
B)  repeated reflux of gastric secretions into the esophagus 
C)  no fluid or food entering the stomach 
D)  gastric distention and cramps

Question 10

Which factors appear to have a role in the etiology of inflammatory bowel diseases?

Accepted Answer

A)  dietary factors 
B)  environmental toxins 
C)  genetic and immunologic factors 
D)  chronic alcoholism 
A)  dietary factors 
B)  environmental toxins 
C)  genetic and immunologic factors 
D)  chronic alcoholism

Question 11

Dehydration causes acidosis because of increased:

Accepted Answer

A)  ketones produced 
B)  CO2 retained in the lungs and kidneys 
C)  hypovolemia and lactic acid production 
D)  metabolic rate 
A)  ketones produced 
B)  CO2 retained in the lungs and kidneys 
C)  hypovolemia and lactic acid production 
D)  metabolic rate

Question 12

What pain is typical of diverticulitis?

Accepted Answer

A)  lower left quadrant 
B)  lower right quadrant 
C)  sharp,colicky,periumbilical 
D)  lower abdominal pain,radiating into the groin 
A)  lower left quadrant 
B)  lower right quadrant 
C)  sharp,colicky,periumbilical 
D)  lower abdominal pain,radiating into the groin

Question 13

How do body defenses respond immediately after the gall bladder ruptures?

Accepted Answer

A)  A localized inflammatory response occurs. 
B)  The omentum and peritoneum seal off the area. 
C)  Blood clots seal the perforation. 
D)  a and b 
E)  a and c 
A)  A localized inflammatory response occurs. 
B)  The omentum and peritoneum seal off the area. 
C)  Blood clots seal the perforation. 
D)  a and b 
E)  a and c

Question 14

Prolonged or severe stress predisposes to peptic ulcer disease because:

Accepted Answer

A)  of reduced blood flow to the gastric wall and mucous glands 
B)  of reduced bicarbonate content in bile and pancreatic secretions 
C)  stress increases the number of acid/pepsinogen secreting cells 
D)  increased epinephrine increases motility 
A)  of reduced blood flow to the gastric wall and mucous glands 
B)  of reduced bicarbonate content in bile and pancreatic secretions 
C)  stress increases the number of acid/pepsinogen secreting cells 
D)  increased epinephrine increases motility

Question 15

Which of the following breaks protein down into peptides?

Accepted Answer

A)  amylase 
B)  peptidase 
C)  lactase 
D)  trypsin 
A)  amylase 
B)  peptidase 
C)  lactase 
D)  trypsin

Question 16

Which of the following is contained in pancreatic exocrine secretions?

Accepted Answer

A)  bicarbonate ion 
B)  hydrochloric acid 
C)  activated digestive enzymes 
D)  insulin 
A)  bicarbonate ion 
B)  hydrochloric acid 
C)  activated digestive enzymes 
D)  insulin

Question 17

Which type of hepatitis virus requires the presence of hepatitis B virus so as to replicate?

Accepted Answer

A)  HAV 
B)  HCV 
C)  HDV 
D)  HEV 
A)  HAV 
B)  HCV 
C)  HDV 
D)  HEV

Question 18

What would be the result of chronic bleeding from gastric carcinoma?

Accepted Answer

A)  occult blood in the stool and anemia 
B)  hematemesis and shock 
C)  abdominal pain and distention 
D)  red blood on the surface of the stool 
A)  occult blood in the stool and anemia 
B)  hematemesis and shock 
C)  abdominal pain and distention 
D)  red blood on the surface of the stool

Question 19

Which of the following applies to the act of swallowing?

Accepted Answer

A)  requires coordination of cranial nerves V,IX,X,and XII 
B)  is entirely voluntary 
C)  is controlled by a center in the hypothalamus 
D)  does not affect respiration 
A)  requires coordination of cranial nerves V,IX,X,and XII 
B)  is entirely voluntary 
C)  is controlled by a center in the hypothalamus 
D)  does not affect respiration

Question 20

What is the cause of inflammatory bowel disease?

Accepted Answer

A)  physical and emotional stress 
B)  an autoimmune reaction 
C)  a combination of recessive genes 
D)  idiopathic 
A)  physical and emotional stress 
B)  an autoimmune reaction 
C)  a combination of recessive genes 
D)  idiopathic

Exam 20: Digestive System Disorders

Which of the following would a perforated gastric ulcer likely cause?

Why does mild hyperbilirubinemia occur in newborns?

Normally,proteins or amino acids are required to produce all of the following EXCEPT:

Which of the following stimulates increased peristalsis and secretions in the digestive tract?

What is frequently the first manifestation of stress ulcers?

Why does herpes simplex infection tend to recur?

What causes the characteristic rigid abdomen found in the patient with peritonitis?

Prolonged vomiting cause a state of acidosis due to:

What does esophageal atresia cause?

Which factors appear to have a role in the etiology of inflammatory bowel diseases?

Dehydration causes acidosis because of increased:

What pain is typical of diverticulitis?

How do body defenses respond immediately after the gall bladder ruptures?

Prolonged or severe stress predisposes to peptic ulcer disease because:

Which of the following breaks protein down into peptides?

Which of the following is contained in pancreatic exocrine secretions?

Which type of hepatitis virus requires the presence of hepatitis B virus so as to replicate?

What would be the result of chronic bleeding from gastric carcinoma?

Which of the following applies to the act of swallowing?

What is the cause of inflammatory bowel disease?

Introduction to Pathophysiology

Inflammation and Healing

Immunity and Abnormal Responses

Infection

Neoplasms

Fluid,electrolyte and Acid-Base Imbalances

Congenital and Genetic Disorders

Diseases Associated With Adolescence

Potential Complications of Pregnancy

Aging and Disease Processes

Effects of Immobility

The Influence of Stress

Pain

Substance Abuse

Environmental Hazards

Introduction to Basic Pharmacology and Selected Therapies

Blood and Lymphatic Disorders

Cardiovascular Disorders

Respiratory Disorders

Urinary System Disorders

Acute Neurological Disorders

Chronic Neurologic Disorders

Disorders of the Eye and Ear

Endocrine Disorders

Musculoskeletal Disorders

Skin Disorders

Reproductive System Disorders

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