Deck 37: Alterations in Function of the Gallbladder and Exocrine Pancreas

Question 1

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.

Answer 1

remove the usual stimuli for pancreatic secretion.

Question 2

More than half of the initial cases of pancreatitis are associated with

A) trauma.
B) stones.
C) alcoholism.
D) high cholesterol.

Answer 2

alcoholism.

Question 3

The pain associated with chronic pancreatitis is generally described as ________ in nature.

A) sharp and constant
B) steady and boring
C) intermittent and burning
D) intermittent and stabbing

Answer 3

steady and boring

Question 4

The definitive treatment for cholecystitis is

A) lithotripsy of stones.
B) chemical dissolution of stones.
C) antibiotics and anti-inflammatories.
D) cholecystectomy.

Question 5

Most gallstones are composed of

A) bile.
B) cholesterol.
C) calcium.
D) uric acid salts.

Question 6

Elevated serum lipase and amylase levels are indicative of

A) gallbladder disease.
B) appendicitis.
C) pancreatitis.
D) peritonitis.

Question 7

Which digestive enzyme is secreted from the intestinal mucosa during a meal?

A) Amylase
B) Cholecystokinin
C) Trypsinogen
D) Lecithin
E) Lipase
F) Secretin

Question 8

Untreated acute cholecystitis may lead to ________ of the gallbladder wall.

A) gangrene
B) infection
C) distention
D) inflammation

Question 9

A patient with pancreatitis may experience muscle cramps secondary to

A) alkalosis.
B) hyperglycemia.
C) hypocalcemia.
D) hypermagnesemia.

Question 10

Patients who may be at risk for development of cholesterol gallstones include

A) high spinal cord injuries.
B) patients receiving total parenteral nutrition.
C) patients receiving chemotherapy.
D) patients with rapid weight loss.
E) pregnant women.

Question 11

Chronic cholecystitis can lead to

A) biliary sepsis.
B) calcified gallbladder.
C) porcelain gallbladder.
D) cirrhosis.
E) diabetes mellitus.

Question 12

Chronic pancreatitis may lead to

A) diabetes mellitus.
B) Crohn disease.
C) gallstones.
D) celiac sprue.

Question 13

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.

Question 14

Normal bile is composed of

A) water, electrolytes, and organic solutes.
B) proteins.
C) bile acids.
D) phospholipids.

Question 15

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.

Question 16

The finding of hypotension, rigid abdomen, and absent bowel sounds in a patient with pancreatitis

A) is an expected finding and requires no specific intervention.
B) indicates peritonitis with substantial risk for sepsis and shock.
C) requires immediate surgical intervention.
D) is an unusual finding in pancreatitis and indicates misdiagnosis.

Question 17

It is true that biliary cancer

A) is most often cured by surgery.
B) respond well to chemotherapy.
C) are identifiable and treatable when diagnosed early.
D) tend to be asymptomatic and progress insidiously.

Question 18

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

Question 19

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 reaction.