Ch11 test
The liver, pancreas, and spleen share many similarities. Select the statement about these
organs that is true. - ANS-All three are solid organs and very vascular.
The functional units of the liver are the lobules. The functional cells of the liver are _______ the
and they manufacture __________. - ANS-hepatocytes; bile
The liver is essential in the metabolism of carbohydrates, proteins, and fats, generating nutrient
stores of which substance that supplies energy sources to the brain and body? - ANS-Glycogen
The biliary system (also called the biliary tree) drains bile from the gallbladder to the ampulla of
Vater. The primary function of the gallbladder is to: - ANS-store and concentrate bile.
The head of the pancreas is fixed to the: - ANS-duodenum.
While the pancreas' function is carbohydrate metabolism with the production of insulin and
digestive enzymes, the spleen's function is primarily _________with the production
of____________ - ANS-immunologic; leukocytes
An example of an indication for liver transplantation would be: - ANS-primary hepatic cancer.
Matthew Ryan, a 9-year-old boy, is admitted to the emergency department for a sledding
accident, when he lost control of his sled and crashed into a tree. He is pale and in pain; his
abdomen is tender and firm to palpation. The CT scan suggests rupture of the spleen with
internal bleeding. Matthew's scheduled surgery will most probably be a(n): - ANS-open total
splenectomy.
The Whipple procedure is the removal of the head of the pancreas, the entire duodenum, a
portion of the jejunum, the distal third of the stomach, and the ______ as a surgical treatment
for _________. - ANS-lower half of the common bile duct; pancreatic cancer
Open common bile duct (CBD) exploration may be indicated in some cases where: - ANS-All of
the options are correct.
An example of a potential risk associated with pneumoperitoneum would be: - ANS-gas
embolus into an exposed blood vessel during the procedure.
Steven Morganstein, a 51-year-old male with hepatobiliary disease, is scheduled for surgery.
The perioperative nurse, during the preoperative assessment, questions and examines the
patient for signs and symptoms of jaundice, petechiae, and lethargy and: - ANS-reviews his
chart for bleeding and coagulation times and the platelet count.
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