A Comprehensive exam Study Guide Covering
Chapter 16 - Diseases of the Liver -
Gallbladder - and Exocrine Pancreas.
Latest Updated 2026/2027
1
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,A Comprehensive exam Study Guide Covering
Chapter 16 - Diseases of the Liver -
Gallbladder - and Exocrine Pancreas.
Latest Updated 2026/2027
2
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Chapter 16 - Diseases of the Liver - Gallbladder - and Exocrine Pancreas
1. Bile salts aid in the absorption of fatty acids through the formation of which substance?
a. micelles
b. chylomicrons
c. acetyl CoA
d. prothrombin
e. mucoproteins
ANSWER: a
DIFFICULTY: Bloom's: Understand
REFERENCES: Anatomy and Physiology of the Hepatobiliary System
2. Which organ stores bile that is produced in the liver?
a. pancreas
b. kidney
c. spleen
d. gallbladder
e. stomach
ANSWER: d
DIFFICULTY: Bloom's: Remember
REFERENCES: Anatomy and Physiology of the Hepatobiliary System
3. Delta cells of the pancreas are responsible for secreting:
a. glucagon.
b. insulin.
c. somatostatin.
d. amylase.
e. cholecystokinin.
ANSWER: c
DIFFICULTY: Bloom's: Remember
REFERENCES: Anatomy and Physiology of the Hepatobiliary System
4. Increased destruction of red blood cells with rapid release of bilirubin into the blood is known as:
a. obstructive jaundice.
b. bilirubin conjugation.
c. post-hepatic jaundice.
d. hemolytic jaundice.
e. bilirubin dissection.
ANSWER: d
DIFFICULTY: Bloom's: Understand
REFERENCES: Pathophysiology Common to the Hepatobiliary Tract
5. At which level of serum bilirubin does the skin begin to appear jaundiced?
r?
,A Comprehensive exam Study Guide Covering
Chapter 16 - Diseases of the Liver -
Gallbladder - and Exocrine Pancreas.
Latest Updated 2026/2027
3
a. 1.0-1.1 mg/dL
b. 1.5-1.9 mg/dL
c. 2.1-2.4 mg/dL
d. 2.5-3.0 mg/dL
r?
, A Comprehensive exam Study Guide Covering
Chapter 16 - Diseases of the Liver -
Gallbladder - and Exocrine Pancreas.
Latest Updated 2026/2027
4
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Chapter 16 - Diseases of the Liver - Gallbladder - and Exocrine Pancreas
e. 3.3-3.5 mg/dL
ANSWER: d
DIFFICULTY: Bloom's: Understand
REFERENCES: Pathophysiology Common to the Hepatobiliary Tract
6. When ascites is present, which nutrition modification is typically necessary?
a. low sodium
b. decreased fluid intake
c. increased vitamin K
d. low fiber
e. decreased protein
ANSWER: a
DIFFICULTY: Bloom's: Understand
REFERENCES: Pathophysiology Common to the Hepatobiliary Tract
7. A syndrome of impaired mental status and abnormal neuromuscular function that results from liver failure is known as:
a. hepatic stenosis.
b. jaundice.
c. hepatic encephalopathy.
d. fulminant hepatitis.
e. hepatomegaly.
ANSWER: c
DIFFICULTY: Bloom's: Remember
REFERENCES: Pathophysiology Common to the Hepatobiliary Tract
8. A patient with hepatic encephalopathy is being assessed according to the Adapted West Haven Criteria. The patient has
marked somnolence, psychomotor agitation, and his speech is difficult to understand. In which stage would this patient be
classified?
a. 0
b. 1
c. 2
d. 3
e. 4
ANSWER: d
DIFFICULTY: Bloom's: Understand
REFERENCES: Pathophysiology Common to the Hepatobiliary Tract
9. Ammonia is absorbed and transported in the intestinal venous blood to the liver, where it is metabolized into what
substance?
a. amino acids
b. urea
c. fatty acids
r?
Chapter 16 - Diseases of the Liver -
Gallbladder - and Exocrine Pancreas.
Latest Updated 2026/2027
1
r?
,A Comprehensive exam Study Guide Covering
Chapter 16 - Diseases of the Liver -
Gallbladder - and Exocrine Pancreas.
Latest Updated 2026/2027
2
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Chapter 16 - Diseases of the Liver - Gallbladder - and Exocrine Pancreas
1. Bile salts aid in the absorption of fatty acids through the formation of which substance?
a. micelles
b. chylomicrons
c. acetyl CoA
d. prothrombin
e. mucoproteins
ANSWER: a
DIFFICULTY: Bloom's: Understand
REFERENCES: Anatomy and Physiology of the Hepatobiliary System
2. Which organ stores bile that is produced in the liver?
a. pancreas
b. kidney
c. spleen
d. gallbladder
e. stomach
ANSWER: d
DIFFICULTY: Bloom's: Remember
REFERENCES: Anatomy and Physiology of the Hepatobiliary System
3. Delta cells of the pancreas are responsible for secreting:
a. glucagon.
b. insulin.
c. somatostatin.
d. amylase.
e. cholecystokinin.
ANSWER: c
DIFFICULTY: Bloom's: Remember
REFERENCES: Anatomy and Physiology of the Hepatobiliary System
4. Increased destruction of red blood cells with rapid release of bilirubin into the blood is known as:
a. obstructive jaundice.
b. bilirubin conjugation.
c. post-hepatic jaundice.
d. hemolytic jaundice.
e. bilirubin dissection.
ANSWER: d
DIFFICULTY: Bloom's: Understand
REFERENCES: Pathophysiology Common to the Hepatobiliary Tract
5. At which level of serum bilirubin does the skin begin to appear jaundiced?
r?
,A Comprehensive exam Study Guide Covering
Chapter 16 - Diseases of the Liver -
Gallbladder - and Exocrine Pancreas.
Latest Updated 2026/2027
3
a. 1.0-1.1 mg/dL
b. 1.5-1.9 mg/dL
c. 2.1-2.4 mg/dL
d. 2.5-3.0 mg/dL
r?
, A Comprehensive exam Study Guide Covering
Chapter 16 - Diseases of the Liver -
Gallbladder - and Exocrine Pancreas.
Latest Updated 2026/2027
4
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Chapter 16 - Diseases of the Liver - Gallbladder - and Exocrine Pancreas
e. 3.3-3.5 mg/dL
ANSWER: d
DIFFICULTY: Bloom's: Understand
REFERENCES: Pathophysiology Common to the Hepatobiliary Tract
6. When ascites is present, which nutrition modification is typically necessary?
a. low sodium
b. decreased fluid intake
c. increased vitamin K
d. low fiber
e. decreased protein
ANSWER: a
DIFFICULTY: Bloom's: Understand
REFERENCES: Pathophysiology Common to the Hepatobiliary Tract
7. A syndrome of impaired mental status and abnormal neuromuscular function that results from liver failure is known as:
a. hepatic stenosis.
b. jaundice.
c. hepatic encephalopathy.
d. fulminant hepatitis.
e. hepatomegaly.
ANSWER: c
DIFFICULTY: Bloom's: Remember
REFERENCES: Pathophysiology Common to the Hepatobiliary Tract
8. A patient with hepatic encephalopathy is being assessed according to the Adapted West Haven Criteria. The patient has
marked somnolence, psychomotor agitation, and his speech is difficult to understand. In which stage would this patient be
classified?
a. 0
b. 1
c. 2
d. 3
e. 4
ANSWER: d
DIFFICULTY: Bloom's: Understand
REFERENCES: Pathophysiology Common to the Hepatobiliary Tract
9. Ammonia is absorbed and transported in the intestinal venous blood to the liver, where it is metabolized into what
substance?
a. amino acids
b. urea
c. fatty acids
r?
