Question 1

The definitive treatment for cholecystitis is

Accepted Answer

A)  lithotripsy of stones. 
B)  chemical dissolution of stones. 
C)  antibiotics and anti-inflammatories. 
D)  cholecystectomy. 
A)  lithotripsy of stones. 
B)  chemical dissolution of stones. 
C)  antibiotics and anti-inflammatories. 
D)  cholecystectomy. D

Question 2

Untreated acute cholecystitis may lead to ________ of the gallbladder wall.

Accepted Answer

A)  gangrene 
B)  infection 
C)  distention 
D)  inflammation 
A)  gangrene 
B)  infection 
C)  distention 
D)  inflammation A

Question 3

It is true that gallstones are

Accepted Answer

A)  a minimal risk for Native Americans. 
B)  more common in women. 
C)  more common in men. 
D)  at highest risk among Asians. 
A)  a minimal risk for Native Americans. 
B)  more common in women. 
C)  more common in men. 
D)  at highest risk among Asians. B

Question 4

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 5

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 6

Which digestive enzyme is secreted from the intestinal mucosa during a meal?

Accepted Answer

A)  Amylase 
B)  Cholecystokinin 
C)  Trypsinogen 
D)  Lecithin 
E)  Lipase
F) Secretin 
A)  Amylase 
B)  Cholecystokinin 
C)  Trypsinogen 
D)  Lecithin 
E)  Lipase
F) Secretin

Question 7

Normal bile is composed of

Accepted Answer

A)  water, electrolytes, and organic solutes. 
B)  proteins. 
C)  bile acids. 
D)  phospholipids. 
A)  water, electrolytes, and organic solutes. 
B)  proteins. 
C)  bile acids. 
D)  phospholipids.

Question 8

The most challenging aspect of treatment for chronic pancreatitis is

Accepted Answer

A)  pancreatectomy. 
B)  strict dietary avoidance of fats. 
C)  abstinence from alcohol. 
D)  pain control. 
A)  pancreatectomy. 
B)  strict dietary avoidance of fats. 
C)  abstinence from alcohol. 
D)  pain control.

Question 9

Patients who may be at risk for development of cholesterol gallstones include

Accepted Answer

A)  high spinal cord injuries. 
B)  patients receiving total parenteral nutrition. 
C)  patients receiving chemotherapy. 
D)  patients with rapid weight loss. 
E)  pregnant women. 
A)  high spinal cord injuries. 
B)  patients receiving total parenteral nutrition. 
C)  patients receiving chemotherapy. 
D)  patients with rapid weight loss. 
E)  pregnant women.

Question 10

More than half of the initial cases of pancreatitis are associated with

Accepted Answer

A)  trauma. 
B)  stones. 
C)  alcoholism. 
D)  high cholesterol. 
A)  trauma. 
B)  stones. 
C)  alcoholism. 
D)  high cholesterol.

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

The pain associated with chronic pancreatitis is generally described as ________ in nature.

Accepted Answer

A)  sharp and constant 
B)  steady and boring 
C)  intermittent and burning 
D)  intermittent and stabbing 
A)  sharp and constant 
B)  steady and boring 
C)  intermittent and burning 
D)  intermittent and stabbing

Question 13

Patients with acute pancreatitis are generally made NPO and may require continuous gastric suctioning in order 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 14

A patient with pancreatitis may experience muscle cramps secondary to

Accepted Answer

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

Question 15

It is true that biliary cancer

Accepted Answer

A)  is most often cured by surgery. 
B)  respond well to chemotherapy. 
C)  are identifiable and treatable when diagnosed early. 
D)  tend to be asymptomatic and progress insidiously. 
A)  is most often cured by surgery. 
B)  respond well to chemotherapy. 
C)  are identifiable and treatable when diagnosed early. 
D)  tend to be asymptomatic and progress insidiously.

Question 16

A biliary cause of acute pancreatitis is suggested by an elevation in which serum laboratory results?

Accepted Answer

A)  Lipase 
B)  Amylase 
C)  Glucose 
D)  Alkaline phosphatase 
A)  Lipase 
B)  Amylase 
C)  Glucose 
D)  Alkaline phosphatase

Question 17

Narcotic administration should be administered carefully in patients with acute pancreatitis related to potential for

Accepted Answer

A)  respiratory depression. 
B)  narcotic dependency. 
C)  sphincter of Oddi dysfunction. 
D)  allergic reaction. 
A)  respiratory depression. 
B)  narcotic dependency. 
C)  sphincter of Oddi dysfunction. 
D)  allergic reaction.

Question 18

Chronic cholecystitis can lead to

Accepted Answer

A)  biliary sepsis. 
B)  calcified gallbladder. 
C)  porcelain gallbladder. 
D)  cirrhosis. 
E)  diabetes mellitus. 
A)  biliary sepsis. 
B)  calcified gallbladder. 
C)  porcelain gallbladder. 
D)  cirrhosis. 
E)  diabetes mellitus.

Question 19

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.

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

The definitive treatment for cholecystitis is

Untreated acute cholecystitis may lead to ________ of the gallbladder wall.

It is true that gallstones are

Chronic pancreatitis may lead to

Elevated serum lipase and amylase levels are indicative of

Which digestive enzyme is secreted from the intestinal mucosa during a meal?

Normal bile is composed of

The most challenging aspect of treatment for chronic pancreatitis is

Patients who may be at risk for development of cholesterol gallstones include

More than half of the initial cases of pancreatitis are associated with

Most gallstones are composed of

The pain associated with chronic pancreatitis is generally described as ________ in nature.

Patients with acute pancreatitis are generally made NPO and may require continuous gastric suctioning in order to

A patient with pancreatitis may experience muscle cramps secondary to

It is true that biliary cancer

A biliary cause of acute pancreatitis is suggested by an elevation in which serum laboratory results?

Narcotic administration should be administered carefully in patients with acute pancreatitis related to potential for

Chronic cholecystitis can lead to

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

Introduction to Pathophysiology

Homeostasis and Adaptive Responses to Stressors

Cell Structure and Function

Cell Injury, Aging, and Death

Genome Structure, Regulation, 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 Diseases

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 Kidney Injury and Chronic Kidney Disease

Disorders of the Lower Urinary Tract

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 Hypothalamic-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

Filters