Exam 5 Review

Question 1

Which form of DM has a sudden onset?

Answer 1

Type 1

Question 2

T/F DKA could develop in a stable diabetic with an infection–

Answer 2

True

Question 3

T/F Polyuria and polydypsia have to do with osmotic effect of high insulin levels moving
through kidneys–

Answer 3

True

Question 4

Central obesity with high triglycerides and low HDL is what disease?

Answer 4

Metabolic Sydnrome

Question 5

Coffee grounds emesis bleeding from what organ–

Answer 5

stomach

Question 6

McBurney’s point diagnoses what?

Answer 6

Appendicitis

Question 7

NSAIDs and Aspirin use is commonly associated with what?

Answer 7

acute gastritis

Question 8

T/F A baby can be born with both esophageal atresia and tracheal fistula–

Answer 8

True

Question 9

T/F A complication of chronic gastritis is pernicious anemia–

Answer 9

True

Question 10

T/F H. Pylori is a beneficial bacteria in the large intestine–

Answer 10

False

Question 11

T/F Irritable bowel syndrome is more frequent in men than women–

Answer 11

False

Question 12

T/F A bowel volvulus can result in necrosis–

Answer 12

True

Question 13

Barrett Esophagus commonly associated with long term what?

Answer 13

Acid Reflux

Question 14

Which begins in the rectum and spreads proximally in a continuous pattern?

Answer 14

Ulcerative Colitis

Question 15

Which disease has danger of perforation and fistula formation?

Answer 15

Ulcerative Colitis

Question 16

Which Hepatitis most common for liver transplant?

Answer 16

Hep C

Question 17

Esophageal Varices most commonly cause what?

Answer 17

Frank bleeding

Question 18

T/F A ruptured diverticulum can cause peritonitis–

Answer 18

True

Question 19

T/F The pancreas is easy to palpate and detect cancers–

Answer 19

True

Question 20

T/F Alcoholic liver disease characterized by fatty liver is reversible–

Answer 20

True

Question 21

T/F Portal hypertension is responsible for serious complications with cirrhosis of the
liver–

Answer 21

False

Question 22

45 year old overweight woman. Recurrent episodes RUQ pain particularly after eating. Urine looks like darker than usual. Stool is gray. What is your diagnosis?

Answer 22

Hepatitis

Question 23

Two cardinal signs of bowel obstruction:

Answer 23

abdominal pain and hypoactive bowel sounds

Question 24

One complication of peritonitis:

Answer 24

ascites

Question 25

Two dietary preventions of colon cancer:

Answer 25

fiber and antioxidants

Question 26

People with Type 1 diabetes who exercise are at increased risk of what:

Answer 26

hypoglycemia

Question 27

Diabetic retinopathy characterized by retinal:

Answer 27

hemorrhaging

Question 28

DKA common in Type 1 diabetics when mobilization of ______ causes excessive ketones:

Answer 28

fatty acids

Question 29

Hospital patient Type 1 diabetic has a scheduled dose of insulin. What effect results from the insulin?

Answer 29

Promotion of glucose uptake by cells

Question 30

Patient with Type 2 diabetes has high blood sugar levels after emergency surgery. Why?

Answer 30

Cortisol

Question 31

44 year old obese man. Newly diagnosed with Type 2 diabetes. What pathophysiological process occurred to give him his Type 2?

Answer 31

Beta cells exhausted from long standing

insulin resistance

Question 32

Which assessment findings of a male patient yields metabolic syndrome diagnosis?

Answer 32

Central obesity, low HDL, high LDL, hypertension, DIabetes

Question 33

Major causes of mechanical bowel obstruction include

Answer 33

postoperative adhesions

Question 34

Hospital patient. Increasingly fatigued. Nurse finds him unarousable. Glucose level is 22. What should she give him?

Answer 34

50% glucose IV

Question 35

What signs and symptoms suggest needing an endoscopy to rule out esophageal cancer?

Answer 35

Dysphagia with no history of neuro disease

Question 36

C Diff. Which patient is at greatest risk?

Answer 36

Pt on spectrum antibiotics

Question 37

66 year old woman with diverticular disease of the colon. What should she do?

Answer 37

Eat more fiber and exercise

Question 38

Major factor in developing hepatic encephalopathy:

Answer 38

high levels of ammonia

Question 39

20 year old man with appendicitis. What entologic process helped the development of appendicitis?

Answer 39

obstruction of the intestinal lumen

Question 40

Factors that contribute to gallstone formation:

Answer 40

abnormal amount of stasis or bile

Question 41

Which patient should a nurse observe closely for symptoms of paralytic ileus?

Answer 41

Post op day 1 after surgery

Question 42

Acute pancreatitis can cause _______ of surrounding tissues:

Answer 42

autodigestion

Question 43

16 year old girl in ER. She attempted suicide, eating 2000 mg of Tylenol. She’s at severe risk of

Answer 43

acute fulminant hepatitis

Question 44

Which individual is most likely to develop chronic pancreatitis?

Answer 44

Woman who has 8 alcoholic drinks a night

Question 45

Nurse providing care for pancreatic cancer patient should prioritize what assessments?

Answer 45

DVT

Question 46

Man positive for Hep A. How could it have been prevented?

Answer 46

Vaccines

Question 47

If you have liver injury. Which serum levels…?

Answer 47

Albumin

Question 48

Individual with liver disease with excessive ammonia. How does liver process ammonia in healthy people?

Answer 48

Convert it into urea

Question 49

Abnormally high bilirubin causes:

Answer 49

jaundice

Question 50

Which comorbidity is the greatest risk for diabetic foot ulcers?

Answer 50

Distal symmetric neuropathy