Patho Wk 7 Ch (36, 37, 38, 40, 41) Song WCU Exam
An infusion of mannitol would be prescribed to treat
a.varices
b.encephalopathy
c.cerebral edema
d.peritonitis - Answer- c. edema
Pathophysiologically, esophageal varices can be attributed to
a.diminished protein metabolism
b.elevated bilirubin
c.fluid accumulation
d.portal hypertension - Answer- d. portal hypertension
Dumping syndrome is commonly seen after __________ procedures.
a.colonoscopy b.gastric bypass c.appendectomy d.intestinal biopsy - Answer- b.gastric bypass
Aldosterone secretion is regulated by the presence of ________ in the circulation.
a.corticoglobulin b.progesterone c.ACTH d.angiotensin II - Answer- d.angiotensin II
Which response to an injection of ACTH indicates a primary adrenal insufficiency?
a.No change in serum glucocorticoid level b.An increase in serum ACTH level c.An increase in serum glucocorticoid level d.A decrease in serum glucose level - Answer- a.No change in serum glucocorticoid level
Hepatitis with the presence of autoantibodies and positive antinuclear antibodies (ANA) is
a.autoimmune hepatitis b.hepatitis A c.hepatitis D d.hepatitis B. - Answer- a.autoimmune hepatitis
What finding should prompt further diagnostic testing in a child presenting with diarrhea?
a.Greenish, watery diarrhea b.Frequent, large-volume diarrhea c.Blood and mucus in the stools d.Periumbilical discomfort - Answer- c.Blood and mucus in the stools Liver transaminase elevations in which aspartate aminotransferase (AST) is markedly greater than alanine aminotransferase (ALT) is characteristic of
a.cirrhosis b.viral hepatitis c.alcohol-induced injury d.acetaminophen toxicity. - Answer- c.alcohol-induced injury
More than half of the initial cases of pancreatitis are associated with
a.stones b.alcoholism c.trauma d.high cholesterol. - Answer- b.alcoholism
Celiac sprue is a malabsorptive disorder associated with
a.mega colon at regions of autonomic denervation b.deficient production of pancreatic enzymes c.ulceration of the distal colon and rectum d.inflammatory reaction to gluten-
containing foods - Answer- d.inflammatory reaction to gluten-containing foods.
The American Diabetes Association recommends a postprandial blood glucose level of ________ mg/dL for adults with diabetes.
a.130 b.less than 180 c.70 d.more than 180 - Answer- b.less than 180
What effect would adrenocortical insufficiency have on an individual's response to surgical stress?
a.More susceptible to hypertensive crisis b.Decreased sensitivity to anesthesia c.More prone to hypotension d.More prone to hyperglycemia - Answer- c. More prone to hypotension
Constipation in an elderly patient can be best treated by
a.maintaining a low-fiber diet b.maintaining the current level of activity c.increasing fiber in the diet d.fecal disimpaction. - Answer- c.increasing fiber in the diet
Untreated acute cholecystitis may lead to ________ of the gallbladder wall.
a.infection b.distention c.inflammation d.gangrene - Answer- d.gangrene
Clinical manifestations of hypoparathyroidism
a.result from decreased serum ionized calcium
b.are similar to those occurring with hypokalemia
c.result from decreased neuromuscular excitability
d.are similar to those occurring with hypermagnesemia - Answer- a.result from decreased serum ionized calcium
What indicator is most helpful in evaluating long-term blood glucose management in patients with diabetes mellitus?
a.Blood glucose levels b.Clinical manifestations of hyperglycemia
c.Urine glucose levels d.Glycosylated hemoglobin levels (HbA1c) - Answer- d.Glycosylated hemoglobin levels (HbA1c)
In the United States, nearly ________ people have diabetes mellitus.
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