REVIEW LECTURE QUIZ 7 EO1

Question 1

1. Patients with acute pancreatitis are generally made NPO and may require continuous gastric suctioning in order to

Answer 1

remove the usual stimuli for pancreatic secretion.

Question 2

2. Antidiuretic hormone (ADH) increases

Answer 2

water reabsorption from the collecting duct.

Question 3

3. A clinical finding consistent with a hypoglycemic reaction is

Answer 3

trembling

Question 4

4. Diabetic neuropathy is thought to result from

Answer 4

decreased myoinositol transport

Question 5

5. In comparison to triiodothyronine (T 3), the hormone thyroxine (T 4)

Answer 5

more abundant in the circulation

Question 6

6. It is true that the synthesis of thyroid hormones

Answer 6

is inhibited by iodine deficiency.

Question 7

7. Liver transaminase elevations in which aspartate aminotransferase (AST) is markedly greater than alanine aminotransferase (ALT) is characteristic of

Answer 7

alcohol-induced injury.

Question 8

8. An early indicator of colon cancer is

Answer 8

change in bowel habits

Question 9

9. It is true that Graves’ disease is

Answer 9

associated with autoantibodies to TSH receptors

Question 10

10. Barrett esophagus is a

Answer 10

preneoplastic lesion

Question 11

11. The formation of active vitamin D

Answer 11

impaired in renal failure

Question 12

12. Rupture of esophageal varices is a complication of cirrhosis with portal hypertension and carries a high _____ rate.

Answer 12

mortality

Question 13

13. Dumping syndrome is commonly seen after _______ procedures.

Answer 13

gastric bypass

Question 14

14. Chronic cholecystitis can lead to (Select all that apply.)

Answer 14

biliary sepsis, calcified gallbladder, and porcelain gallbladder

Question 15

16. A viral hepatitis screen with positive hepatitis B surface antigen (HBsAg) should be interpreted as ______ hepatitis B.

Answer 15

Acute

Question 15

15. Hepatitis B is usually transmitted by exposure to

Answer 15

Blood or semen

Question 16

17. Hepatic encephalopathy is associated with hepatic

Answer 16

failure or severe chronic disease

Question 17

_____ disease is a rare autosomal recessive disorder in which excessive amounts of copper accumulate in the liver.

Answer 17

Wilsons

Question 18

20. Which are hormones that increase serum glucose level? (Select all that apply.)

Answer 18

• Glucagon
• Growth Hormone
• Catecholamine
• Corticosteroid

Question 18

19. Steatohepatitis is caused by an accumulation of _____ in the liver cells.

Answer 18

fat

Question 19

21. Which are clinical findings usually associated with type 1 diabetes mellitus? (Select all that apply.)

Answer 19

• Polyuris
• Polydipsia
• Polyphaga

Question 20

22. Diabetes mellitus is the _____ leading cause of death and a major cause of disability in the United States.

Answer 20

seventh

Question 20

25. Which is not a complication of Gestational Diabetes Mellitus?

Answer 20

Development of seizures late term

Question 21

23. The breakdown of stored glycogen in the liver and muscles is called

Answer 21

glycogenolysis

Question 22

24. Which of the following is not an Insulin action?

Answer 22

* Synthesis of fatty acids in skeletal muscle. * Inhibit glycogenesis

Question 23

26. Which one is false about screening for diabetes?

Answer 23

TRUE: (From the PowerPoint) * All adults older than age 45 should be screened at least every 3 years for type 2. * Individuals with risk factors should be screened earlier or more frequently. * No screening requirements for type 1.

Question 24

27. Which is false about Diabetic Ketoacidosis?

Answer 24

* Oliguria * Extreme hyperglycemia that presents with blood glucose>600 mg/dL TRUE: (From PowerPoint)  Continued insulin deficiency leads to lipolysis of tissues-metabolism of fats leads to free fatty acids (FFA)  FFAs ketones ketoacidosis (deep, labored resp. “fruity” odor occur (Kussmaul resp.)  Excess ketones metabolic acidosis  Occurs w/ Type 2 DM severe stress, sepsis, stroke, or myocardial infarction.  Acidosis-induced hyperkalemia may occur  Excess Potassium excreted as sodium, magnesium & phosphorus hypovolemia & dehydration.  Lactic acidosis  Hypovolemic shock if untreated.

Question 25

28. Which is false about Nonketotic Hyperglycemic Hyperosmolar Syndrome (NHHS)?

Answer 25

* Dehydration TRUE: (From PowerPoint)  Can be life-threatening  Hyperglycemia untreated persistent glycosuria w/ osmotic diuresis.  More common in type 2 DM

Question 26

29. Which is false about complications of Insulin Therapy?

Answer 26

* Lipoatrophy * Lipohypertrophy * Insulin edema * Insulin resistance: exacerbated by obesity

Question 27

32. Ulcerative colitis is commonly associated with

Answer 27

bloody diarrhea.

Question 27

30. Epigastric pain that is relieved by food is suggestive of

Answer 27

gastric ulcer

Question 28

31. A silent abdomen 3 hours after bowel surgery most likely indicates

Answer 28

functional bowel obstruction.

Question 29

34. Celiac sprue is a malabsorptive disorder associated with

Answer 29

inflammatory reactions to gluten containing foods.

Question 29

33. Which symptom suggests the presence of a hiatal hernia?

Answer 29

Heartburn

Question 30

35. Fecal leukocyte screening would be indicated in a patient with suspected

Answer 30

enterocolitis

Question 31

36. Premature infants are at greater risk for developing

Answer 31

necrotizing enterocolitis

Question 32

38. Which response to an injection of ACTH indicates a primary adrenal insufficiency?

Answer 32

No change in serum glucocorticoid level

Question 32

37. Crohn disease is associated with what complications? (Select all that apply.)

Answer 32

* Fistulas * Osteoporosis * Malabsorption

Question 33

39. It is true that biliary cancer

Answer 33

tends to be asymptomatic and progress insidiously

Question 34

Narcotic administration should be administered carefully in patients with acute pancreatitis related to the potential for

Answer 34

sphincter of Oddi dysfunction.