PATH370 WEEK 7 QUESTIONS AND
ANSWERS
Fecal leukocyte screening would be indicated in a patient with suspected
a. lactose intolerance
b. enterocolitis
c. laxative abuse
d. giardiasis. - ANSWER-b. enterocolitis
Acute right lower quadrant pain associated with rebound tenderness and systemic signs of inflammation
are indicative of
a. appendicitis
b. peritonitis
c. cholecystitis
d. gastritis. - ANSWER-a. appendicitis
What finding would rule out a diagnosis of irritable bowel syndrome in a patient with chronic diarrhea?
a. Negative stool leukocytes
b. Intermittent constipation
c. Abdominal pain and distention
d. Bloody stools - ANSWER-d. Bloody stools
Steatohepatitis is caused by an accumulation of ________ in the liver cells.
a. fat
b. bile
c. acetaminophen
d. ferritin - ANSWER-a. fat
The most common causes of prehepatic jaundice are ________ and ineffective erythropoiesis.
a. hemolysis
b. metabolism
c. fibrosis
d. canalicular bilirubin transport - ANSWER-a. hemolysis
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. - ANSWER-d. tend to be asymptomatic and progress
insidiously.
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-b. remove the usual stimuli for pancreatic
secretion
Elevated serum lipase and amylase levels are indicative of
a. gallbladder disease
b. appendicitis
c. pancreatitis
d. peritonitis. - ANSWER-c. pancreatitis
, A patient reporting vision changes, photophobia, and lid lag may be exhibiting signs of
a. Addison disease.
b. Cushing syndrome.
c. myxedema.
d. Graves disease. - ANSWER-d. Graves disease.
The definitive treatment for cholecystitis is
a. lithotripsy of stones
b. chemical dissolution of stones
c. antibiotics and anti-inflammatories
d. cholecystectomy. - ANSWER-d. cholecystectomy.
Hepatitis B is usually transmitted by exposure to
a. hepatitis vaccine
b. feces
c. blood or semen
d. contaminated food. - ANSWER-c. blood or semen
The underlying pathogenic mechanism for type 1 diabetes is
a. pancreatic β-cell destruction.
b. lack of insulin receptors.
c. lack of exercise and chronic overeating.
d. impaired glucose transport into cells. - ANSWER-a. pancreatic β-cell destruction.
Growth hormone-deficient infants would display
a. low birth length and weight.
b. normal birth length and weight.
c. high birth length and weight.
d. normal length and low weight. - ANSWER-b. normal birth length and weight.
Normal bile is composed of
a. water, electrolytes, and organic solutes.
b. proteins.
c. bile acids.
d. phospholipids. - ANSWER-a. water, electrolytes, and organic solutes.
Hepatic encephalopathy is associated with
a. hyperbilirubinemia
b. hyperuricemia
c. toxic effects of alcohol on brain cells
d. increased blood ammonia levels. - ANSWER-d. increased blood ammonia levels.
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 - ANSWER-d. Alkaline phosphatase
Esophageal varices represent a complication of ________ hypertension.
a. primary
b. pregnancy-induced
c. portal
d. secondary - ANSWER-c. portal
A patient receiving chemotherapy may be at greater risk for development of
a. gastroesophageal reflux.
b. stomatitis.
ANSWERS
Fecal leukocyte screening would be indicated in a patient with suspected
a. lactose intolerance
b. enterocolitis
c. laxative abuse
d. giardiasis. - ANSWER-b. enterocolitis
Acute right lower quadrant pain associated with rebound tenderness and systemic signs of inflammation
are indicative of
a. appendicitis
b. peritonitis
c. cholecystitis
d. gastritis. - ANSWER-a. appendicitis
What finding would rule out a diagnosis of irritable bowel syndrome in a patient with chronic diarrhea?
a. Negative stool leukocytes
b. Intermittent constipation
c. Abdominal pain and distention
d. Bloody stools - ANSWER-d. Bloody stools
Steatohepatitis is caused by an accumulation of ________ in the liver cells.
a. fat
b. bile
c. acetaminophen
d. ferritin - ANSWER-a. fat
The most common causes of prehepatic jaundice are ________ and ineffective erythropoiesis.
a. hemolysis
b. metabolism
c. fibrosis
d. canalicular bilirubin transport - ANSWER-a. hemolysis
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. - ANSWER-d. tend to be asymptomatic and progress
insidiously.
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-b. remove the usual stimuli for pancreatic
secretion
Elevated serum lipase and amylase levels are indicative of
a. gallbladder disease
b. appendicitis
c. pancreatitis
d. peritonitis. - ANSWER-c. pancreatitis
, A patient reporting vision changes, photophobia, and lid lag may be exhibiting signs of
a. Addison disease.
b. Cushing syndrome.
c. myxedema.
d. Graves disease. - ANSWER-d. Graves disease.
The definitive treatment for cholecystitis is
a. lithotripsy of stones
b. chemical dissolution of stones
c. antibiotics and anti-inflammatories
d. cholecystectomy. - ANSWER-d. cholecystectomy.
Hepatitis B is usually transmitted by exposure to
a. hepatitis vaccine
b. feces
c. blood or semen
d. contaminated food. - ANSWER-c. blood or semen
The underlying pathogenic mechanism for type 1 diabetes is
a. pancreatic β-cell destruction.
b. lack of insulin receptors.
c. lack of exercise and chronic overeating.
d. impaired glucose transport into cells. - ANSWER-a. pancreatic β-cell destruction.
Growth hormone-deficient infants would display
a. low birth length and weight.
b. normal birth length and weight.
c. high birth length and weight.
d. normal length and low weight. - ANSWER-b. normal birth length and weight.
Normal bile is composed of
a. water, electrolytes, and organic solutes.
b. proteins.
c. bile acids.
d. phospholipids. - ANSWER-a. water, electrolytes, and organic solutes.
Hepatic encephalopathy is associated with
a. hyperbilirubinemia
b. hyperuricemia
c. toxic effects of alcohol on brain cells
d. increased blood ammonia levels. - ANSWER-d. increased blood ammonia levels.
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 - ANSWER-d. Alkaline phosphatase
Esophageal varices represent a complication of ________ hypertension.
a. primary
b. pregnancy-induced
c. portal
d. secondary - ANSWER-c. portal
A patient receiving chemotherapy may be at greater risk for development of
a. gastroesophageal reflux.
b. stomatitis.
