Deck 12: The Hepatic, Pancreatic, and Biliary Systems

Question 1

The PTA is beginning intervention for a patient in the inpatient setting.The patient is diagnosed with ascites secondary to liver cirrhosis.What is the most effective treatment option for this patient?

A) liver transplant
B) antibiotics
C) sodium restriction
D) diuretic use

Answer 1

liver transplant

Question 2

Decerebrate posturing is indicative of what stage of hepatic encephalopathy?

A) stage I
B) stage II
C) stage III
D) stage IV

Answer 2

stage IV

Question 3

What type of hepatitis is least likely to advance to chronic hepatitis or cirrhosis?

A) hepatitis A
B) hepatitis B
C) hepatitis C
D) hepatitis D

Answer 3

hepatitis A

Question 4

After diagnosis of viral hepatitis,the affected individual should avoid alcohol and over-the-counter drugs for how long?

A) at least 1 month
B) at least 6 months
C) at least 1 year
D) at least 5 years

Question 5

Which of the following is not a symptom associated with acute cholangitis and Charcot's triad?

A) pain
B) fever
C) jaundice
D) nausea

Question 6

A benign primary liver neoplasm originating in hepatocytes is known as a/an _______.

A) fibroma
B) adenoma
C) hemangioma
D) cholangioma

Question 7

Where is the site of referred pain from the hepatic and biliary systems?

A) right hip
B) left hip
C) right shoulder
D) left shoulder

Question 8

One of the first symptoms of liver cirrhosis could be which of the following?

A) swelling of the belly
B) bilateral swelling of the bilateral feet and ankles
C) bilateral swelling of the bilateral hands
D) complaints of left shoulder pain

Question 9

What is the most common location of obstruction by gall stones?

A) cystic duct
B) tail of pancreas
C) duct of Wirsung
D) common bile duct

Question 10

What type of cancer has the lowest 5-year survival rate?

A) hepatic cancer
B) pancreatic cancer
C) lung cancer
D) Hodgkin's lymphoma

Question 11

What type of hepatitis does not have a vaccine available?

A) hepatitis A
B) hepatitis B
C) hepatitis C
D) hepatitis D

Question 12

The PTA is providing intervention for a patient in the hospital diagnosed with acute pancreatitis.The patient asks the PTA what positions may relieve the abdominal pain.Which of the following is incorrect advice to give this patient?

A) Lean forward while sitting.
B) Sit straight up.
C) Use the spine position with the legs extended.
D) Lie on the left side in a fetal-flexed position.

Question 13

Which condition/dysfunction is not associated with jaundice?

A) blood transfusion
B) excessive drug intake
C) alcohol-related hepatitis
D) rheumatoid arthritis

Question 14

Why is the liver one of the most common sites of metastases from other primary cancers?

A) Bile attracts cancer cells.
B) Gastrointestinal fluids are made in the liver.
C) The liver is a central organ.
D) The liver filters all blood.

Question 15

The home health physical therapist assistant (PTA)is currently treating a patient with a diagnosis of hepatic encephalopathy.The patient reports that yesterday he had unusual black/tarry stools.What should the PTA do after learning this information?

A) proceed with treatment
B) decrease intensity of treatment
C) contact the referring physician/supervising physical therapist
D) increase intensity of treatment

Question 16

What organ stores and concentrates bile?

A) liver
B) pancreas
C) gall bladder
D) stomach

Question 17

Flapping tremor can be observed in several conditions.Which of the following conditions is not normally associated with flapping tremor?

A) diabetes
B) liver failure
C) respiratory failure
D) heart failure

Question 18

Which of the following is not a sign of drug-related hepatotoxicity?

A) complaints of fatigue
B) light-colored urine
C) jaundice
D) right upper quadrant pain or discomfort

Question 19

Which of the following is true regarding aging and the hepatic system?

A) The liver increases in size and weight with advancing age.
B) There is increased blood flow to the liver as we age.
C) Aging has little effect on the gall bladder size or function.
D) The pancreas will increase in size as we age.

Question 20

In men,how many alcoholic drinks per day over a 5-year period can lead to liver disease?

A) 1
B) 2
C) 4
D) 7