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

Question 1

The definitive treatment for cholecystitis is

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

Answer 1

cholecystectomy.

Question 2

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

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.

Answer 2

indicates peritonitis with substantial risk for sepsis and shock.

Question 3

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

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.

Answer 3

remove the usual stimuli for pancreatic secretion.

Question 4

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

Question 5

Alcohol abuse is the primary risk factor for chronic pancreatitis.

Question 6

A deficiency of lipid digestion or absorption commonly results in

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

Question 7

Most gallstones are composed of

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

Question 8

Bile salts enzymatically digest lipids in the small intestine.

Question 9

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

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

Question 10

The usual treatment for chronic pancreatitis includes

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

Question 11

Elevated serum lipase and amylase levels are indicative of

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

Question 12

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

Question 13

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

Question 14

Chronic pancreatitis may lead to

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

Question 15

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

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