Deck 9: Screening for Hepatic and Biliary Disease

Question 1

Musculoskeletal pain associated with the liver refers to what anatomic location?

A) Right shoulder
B) Left shoulder
C) Right hip
D) Left hip

Answer 1

A
Musculoskeletal pain associated with hepatic and biliary systems includes thoracic pain between the scapula, right shoulder, right upper trapezius, right interscapular, or right subscapular areas.

Question 2

In what stage of hepatic encephalopathy would the client begin to have resistance to passive movement with increased muscle tone?

A) Stage I
B) Stage II
C) Stage III
D) Stage IV

Answer 2

B
Also present in stage II of hepatic encephalopathy are asterixis, lethargy, apraxia, ataxia, and facial grimacing/blinking.

Question 3

Gallbladder impairment can present as a dysfunction with which of the following ribs?

A) Ribs 1 through 3
B) Ribs 3 through 5
C) Ribs 7 through 9
D) Ribs 10 through 12

Answer 3

D
Gallbladder impairment can present as rib dysfunction with tenderness anteriorly over the tip of the 10th rib (occasionally ribs 11 and 12 are also involved).

Question 4

Abnormal levels of which of the following, as a result of liver damage, cause asterixis?

A) Sodium
B) Potassium
C) Iron
D) Ammonia

Question 5

Spider angiomas occur as the result of the liver's inability to regulate what hormone?

A) Testosterone
B) Estrogen
C) Cortisol
D) Human growth hormone

Question 6

Which of the following types of hepatitis does not have a carrier state?

A) Hepatitis A
B) Hepatitis B
C) Hepatitis C
D) Hepatitis D

Question 7

Bilirubin would cause the skin to change color at what level?

A) 1-2 mg/dL
B) 2-3 mg/dL
C) 3-4 mg/dL
D) 5-6 mg/dL

Question 8

At what point during the natural progression of hepatitis will an individual have jaundice?

A) Initial stage
B) Preicteric stage
C) Icteric (acute stage)
D) Recovery stage

Question 9

Pain associated with gallstones will become worse how long after eating a meal?

A) Immediately
B) 30 minutes-1 hour
C) 1-3 hours
D) 4-7 hours

Question 10

What is the most common genetic disorder causing liver failure?

A) Wilson's disease
B) Cystic fibrosis
C) Hemochromatosis
D) Multiple sclerosis

Question 11

Which of the following should be carefully monitored in an individual with primary biliary cirrhosis?

A) Calcium and vitamin A
B) Sodium and vitamin A
C) Sodium and vitamin D
D) Calcium and vitamin D

Question 12

Abuse of what over-the-counter pain reliever is the leading cause of sudden liver failure in adults in the United States?

A) Aspirin
B) NSAIDs
C) Ibuprofen
D) Acetaminophen

Question 13

Which of the following is not a risk factor for development of gallstones?

A) Female gender
B) Small frame
C) Diet high in cholesterol and low in fiber
D) Diabetes

Question 14

What is the classic symptom of biliary colic?

A) Constant right upper abdominal pain
B) Right upper abdominal pain that comes and goes in waves
C) Constant left upper abdominal pain
D) Left upper abdominal pain that comes and goes in waves

Question 15

Hepatitis D can only manifest in an individual who already has which type of hepatitis?

A) Hepatitis A
B) Hepatitis B
C) Hepatitis C
D) Hepatitis E