WCU pathophysiology final questions
PART 3 (Ch. 37-52)
Normal bile is composed of
a. water, electrolytes, and organic solutes
b. proteins
c. bile acids
d. phospholipids
a. water, electrolytes, and organic solutes
Patients with acute pancreatitis are generally made NPO and may require continuous gastric
suctioning in order 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
b. remove the usual stimuli for pancreatic secretion
Most gallstones are composed of
a. bile
b. cholesterol
c. calcium
d. uric acid salts
b. cholesterol
Elevated serum lipase and amylase levels are indicative of
a. gallbladder disease
b. appendicitis
c. pancreatitis
d. peritonitis
c. pancreatitis
The definitive treatment for cholecystitis is
a. lithotripsy of stones
b. chemical dissolution of stones
c. antibiotics and anti-inflammatories
,d. cholecystectomy
d. cholecystectomy
A biliary cause of acute pancreatitis is suggested by an elevation in which serum laboratory
results?
a. Lipase
b. Amylase
c. Glucose
d. Alkaline phosphatase
d. Alkaline phosphatase
A patient with pancreatitis may experience muscle cramps secondary to
a. alkalosis
b. hyperglycemia
c. hypocalcemia
d. hypermagnesemia
c. hypocalcemia
Chronic pancreatitis may lead to
a. diabetes mellitus
b. Chronic disease
c. gallstones
d. celiac sprue
a. diabetes mellitus
The most challenging aspect of treatment for chronic pancreatitis is
a. pancreatectomy
b. strict dietary avoidance of fats
c. abstinence from alcohol
d. pain control
d. pain control
The finding of hypotension, rigid abdomen, and absent bowel sounds in a patient with
pancreatitis
a. is an expected finding and required no specific intervention
b. indicates peritonitis with substantial risk for sepsis and sock
c. requires immediate surgical intervention
d. is an unusual finding in pancreatitis and indicated misdiagnosis
, b. indicates peritonitis with substantial risk for sepsis and sock
It is true that gallstones are
a. a minimal risk for Native Americans
b. more common in women
c. more common in men
d. at highest risk among Asians
b. more common in women
Untreated acute cholecystitis may lead to _____ of the gallbladder wall.
a. gangrene
b. infection
c. distention
d. inflammation
a. gangrene
It is true that biliary cancer
a. is most often cured by surgery
b. responded well to chemotherapy
c. are identifiable and treatable when diagnosed early
d. tend to be asymptomatic and progress insidiously
d. tend to be asymptomatic and progress insidiously
More than half of the initial cases of pancreatitis are associated with
a. trauma
b. stones
c. alcoholism
d. high cholesterol
c. alcoholism
Narcotic administration should be administered carefully in patients with acute pancreatitis
related to potential for
a. respiratory depression
b. narcotic dependency
c. sphincter of Oddi dysfunction
d. allergic rection
c. sphincter of Oddi dysfunction
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