Pathophysiology - Chapter 37 & 38 - Final Exam

Question 0

Like a cute pancreatitis, the development of chronic pancreatitis is most frequently associated with...
A.  Biliary disease
B.  Diabetes
C.  Alcohol abuse
D.  Malnutrition

Answer 0

C. Alcohol abuse

Question 1

Patients with acute pancreatitis are closely monitored for the development of the potentially lethal complication of...
A.  Pancreatica rupture
B.  Circulatory shock
C.  Cardiac dysrhythmias
D.  Stroke

Answer 1

B. Circulatory shock

Question 2

A gallbladder attack is most often characterized by…
A. Left upper quadrant pain
B. Pain recurring in 5 to 10 minutes cycles
C. Pain with nausea and bloating
D. Seatorrhea

Answer 2

C. Pain with nausea and bloating

Question 3

Chronic pancreatitis can result in all of the following except...
A.  Malabsorption 
B.  Diabetes mellitus
C.  Inflammatory bowel disease
D.  Pseudocyst formation

Answer 3

C. Inflammatory bowel disease

Question 4

Chronic pancreatitis disrupts the organs exocrine function. Therapy for this condition involves digestive enzyme supplementation and...
A.  A low-fat diet
B.  Insulin replacement
C.  Glucagon supplementation
D.  Fat soluble vitamins

Answer 4

A. A Low fat diet

Question 5

Hepatocellular fail produces all of the following except…
A. Jaundice
B. Edema
C. Bleeding tendencies
D. Decrease of all water soluble vitamins

Answer 5

D. Decrease of all water-soluble vitamins

Question 6

The encephalopathy seen with liver failure is associated with the inability of the liver to…
A. Conjugate bilirubin for excretion
B. Synthesize albumin to maintain onconic pressure
C. Metabolize hormones, especially aldosterone and estrogen
D. Convert ammonia to urea for excretion

Answer 6

D. Convert ammonia to urea for excretion

Question 7

Hepatitis A…
A. Is spread by contact with contaminated body fluids, such as blood or wound drainage
B. Has an incubation period of up to four months
C. Can be prevented through immunization
D. Typical reach the patient with permanently impaired liver function

Answer 7

C. Can be prevented through immunization

Question 8

Hepatitis B & hepatitis C share a similar…
A. Incubation period
B. Prophylactic vaccine
C. Incidence of progression to chronic liver disease
D. Mode of transmission

Answer 8

D. Mode of transmission

Question 9

Chronic hepatitis, regardless of the specific disease, is characterized by…
A. Continuing liver inflammation for six months or longer
B. A viral cause
C. Progression to liver cancer or cirrhosis
D. Diffuse scarring and fibrosis of the liver

Answer 9

A. Continuing liver inflammation for six months or longer

Question 10

Children or adults consuming excessive amounts of acetaminophen are at risk for…
A. Cirrhosis
B. Liver necrosis
C. Increased bleeding in the liver
D. Impaired gastrointestinal functioning

Answer 10

B. Liver necrosis

Question 11

All of the following are primary functions of the liver except...
A.  Clotting factor synthesis
B.  Erythropoietin synthesis
C.  Albumin synthesis
D.  Lipoprotein synthesis

Answer 11

B. Erythropoietin synthesis

Question 12

Patients with liver disease that impairs excretion of bilirubin may exhibit a discoloration of the skin called ______

Answer 12

Jaundice

Question 13

Esophageal varices carry a high risk of _____ and may be treated with drugs to lower portal ______ _______

Answer 13

Bleeding,

Blood pressure

Question 14

The classic physical finding in patients with significant hepatic encephalopathy is a spastic movement of the hands called ______

Answer 14

Asterixis