check your understanding week 6 for week 7 Flashcards

1
Q

A patient receiving chemotherapy may be at greater risk for development of

A

stomatitis.

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2
Q

What finding should prompt further diagnostic testing in a child presenting with diarrhea?

A

Blood and mucus in the stools

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3
Q

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

A

remove the usual stimuli for pancreatic secretion.

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4
Q

A patient admitted with bleeding related to esophageal varices could be expected to receive a continuous intravenous infusion of

A

octreotide acetate.

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5
Q

Jaundice is a common manifestation of

A

liver disease.

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6
Q

It is true that gallstones are

A

more common in women.

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7
Q

The definitive treatment for cholecystitis is

A

cholecystectomy.

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8
Q

An increased urine bilirubin is associated with

A

hepatitis.

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9
Q

A silent abdomen 3 hours after bowel surgery most likely indicates

A

functional bowel obstruction.

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10
Q

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

A

alcohol-induced injury.

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11
Q

A patient with pancreatitis may experience muscle cramps secondary to

A

hypocalcemia.

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12
Q

Most gallstones are composed of

A

cholesterol.

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13
Q

Esophageal varices represent a complication of ________ hypertension.

A

portal

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14
Q

A biliary cause of acute pancreatitis is suggested by an elevation in which serum laboratory results?

A

Alkaline phosphatase

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15
Q

The most common cause of mechanical bowel obstruction is

A

adhesions.

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16
Q

Constipation in an elderly patient can be best treated by

A

increasing fiber in the diet.

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17
Q

Hepatic encephalopathy is associated with

A

increased blood ammonia levels.

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18
Q

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

A

alcoholism.

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19
Q

Premature infants are at greater risk for developing

A

necrotizing enterocolitis.

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20
Q

Acute right lower quadrant pain associated with rebound tenderness and systemic signs of inflammation are indicative of

A

appendicitis.

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21
Q

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

A

glycogenolysis.

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22
Q

The formation of active vitamin D

A

is impaired in renal failure.

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23
Q

A patient presenting with muscle cramps, fatigue, anxiety, depression, and prolonged Q-T intervals on EKG may be showing symptoms of

A

hypoparathyroidism.

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24
Q

The underlying pathogenic mechanism for type 1 diabetes is

A

pancreatic β-cell destruction.

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25
Q

The underlying pathogenic mechanism for type 2 diabetes is

A

insulin resistance and β-cell dysfunction.

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26
Q

Myxedema coma is a severe condition associated with

A

hypothyroidism.

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27
Q

Insulin binding to its receptor on target cells results in

A

increased facilitated cellular diffusion of glucose.

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28
Q

In the United States, nearly ________ people have diabetes mellitus.

A

29.1 million

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28
Q

In type I diabetes, respiratory compensation may occur through a process of

A

respiratory alkalosis.

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29
Q

Diabetes insipidus is a condition that

A

results from inadequate ADH secretion.

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30
Q

Proton pump inhibitors may be used in the management of peptic ulcer disease to

A

decrease hydrochloric acid (HCl) secretion.

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31
Q

Calcitonin is produced by thyroid parafollicular cells and increases bone formation by

A

osteoblasts.

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32
Q

Diabetic neuropathy is thought to result from

A

decreased myoinositol transport.

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33
Q

An infusion of mannitol would be prescribed to treat

A

cerebral edema.

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34
Q

A tumor which results in excessive production and release of catecholamines is

A

pheochromocytoma.

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35
Q

Radioactive iodine treatment is the therapy of choice in patients with Graves disease. The patient should be expected to

A

need lifelong thyroid replacement therapy.

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36
Q

Antidiuretic hormone (ADH) increases

A

water reabsorption in the collecting tubule of the kidney.

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37
Q

A type of insulin that would be most appropriate for acute management of hyperglycemia is

A

regular.

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38
Q

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

A

seventh

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39
Q

What clinical finding would suggest an esophageal cause of a client’s report of dysphagia?

A

Chest pain during meals

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40
Q

What finding would rule out a diagnosis of irritable bowel syndrome in a patient with chronic diarrhea?

A

Bloody stools

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41
Q

A patient being treated for hepatic encephalopathy could be expected to receive a(n) ________ diet.

A

low-protein and high-fiber

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42
Q

It is true that gallstones are

A

more common in women.

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43
Q

An increased urine bilirubin is associated with

A

hepatitis.

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44
Q

A patient with a history of alcoholism presents with hematemesis and profound anemia. The expected diagnosis is

A

gastroesophageal varices.

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45
Q

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

A

remove the usual stimuli for pancreatic secretion.

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46
Q

Constipation in an elderly patient can be best treated by

A

increasing fiber in the diet.

47
Q

Most gallstones are composed of

A

cholesterol.

48
Q

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

A

alcohol-induced injury.

49
Q

Chronic pancreatitis may lead to

A

diabetes mellitus.

50
Q

Hepatitis B is usually transmitted by exposure to

A

blood or semen.

51
Q

Acute right lower quadrant pain associated with rebound tenderness and systemic signs of inflammation are indicative of

A

appendicitis.

52
Q

A biliary cause of acute pancreatitis is suggested by an elevation in which serum laboratory results?

A

Alkaline phosphatase

52
Q

Esophageal varices represent a complication of ________ hypertension.

A

portal

53
Q

The most common causes of prehepatic jaundice are ________ and ineffective erythropoiesis.

A

hemolysis

54
Q

Premature infants are at greater risk for developing

A

necrotizing enterocolitis.

55
Q

A patient with pancreatitis may experience muscle cramps secondary to

A

hypocalcemia.

56
Q

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

A

indicates peritonitis with substantial risk for sepsis and shock.

56
Q

What finding should prompt further diagnostic testing in a child presenting with diarrhea?

A

Blood and mucus in the stools

57
Q

Jaundice is a common manifestation of

A

liver disease.

58
Q

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

A

No change in serum glucocorticoid level

59
Q

A tumor which results in excessive production and release of catecholamines is

A

pheochromocytoma.

60
Q

It is true that growth hormone excess in adults

A

results in the condition of acromegaly.

61
Q

Surgical removal of a gland may result in

A

hyposecretion.

62
Q

Clinical manifestations of hypoparathyroidism

A

result from decreased serum ionized calcium.

63
Q

Clinical manifestations of Graves disease may include

A

tremor.

64
Q

Hepatitis with the presence of autoantibodies and positive antinuclear antibodies (ANA) is

A

autoimmune hepatitis.

65
Q

In type I diabetes, respiratory compensation may occur through a process of

A

respiratory alkalosis.

66
Q

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

A

seventh

67
Q

A clinical finding consistent with a diagnosis of syndrome of inappropriate ADH secretion (SIADH) is

A

hyponatremia.

68
Q

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

A

glycogenolysis.

69
Q

A clinical finding consistent with a hypoglycemic reaction is

A

tremors.

70
Q

A patient presenting with muscle cramps, fatigue, anxiety, depression, and prolonged Q-T intervals on EKG may be showing symptoms of

A

hypoparathyroidism.

71
Q

Insulin binding to its receptor on target cells results in

A

increased facilitated cellular diffusion of glucose.

72
Q

Epigastric pain that is relieved by food is suggestive of

A

gastric ulcer.

73
Q

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

A

fat

74
Q

________ is the most powerful predictor of developing type 2 diabetes mellitus.

A

Obesity

75
Q

Type 2 diabetes mellitus is often associated with

A

nonketotic hyperosmolality.

76
Q

A clinical finding that is consistent with a diagnosis of adrenocortical insufficiency is

A

hypoglycemia.

77
Q

Propylthiouracil may be used to treat hyperthyroidism, because it

A

inhibits thyroid hormone synthesis.

78
Q

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

A

mortality

79
Q

A patient with chronic gastritis would likely be tested for

A

Helicobacter pylori.

80
Q

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

A

gangrene

81
Q

Normal bile is composed of

A

water, electrolytes, and organic solutes.

82
Q

Dumping syndrome is commonly seen after __________ procedures.

A

gastric bypass

83
Q

Brain injury secondary to high serum bilirubin is called

A

kernicterus.

84
Q

It is true that Graves disease is

A

associated with autoantibodies to TSH receptors.

85
Q

A thyroid gland that grows larger than normal is known as

A

goiter.

86
Q

Growth hormone-deficient infants would display

A

normal birth length and weight.

87
Q

A patient reporting vision changes, photophobia, and lid lag may be exhibiting signs of

A

Graves disease.

88
Q

It is true that the synthesis of thyroid hormones

A

is inhibited by iodine deficiency.

89
Q

What laboratory data would support a diagnosis of hemochromatosis?

A

Elevated ferritin

90
Q

Ulcerative colitis is commonly associated with

A

bloody diarrhea.

91
Q

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

A

sphincter of Oddi dysfunction.

92
Q

Fecal leukocyte screening would be indicated in a patient with suspected

A

enterocolitis.

93
Q

An urgent surgical consult is indicated for the patient with acute abdominal pain and

A

absent bowel sounds.

94
Q

What form of viral hepatitis is likely to be transmitted sexually?

A

Hepatitis B

95
Q

A patient who should be routinely evaluated for peptic ulcer disease is one who is

A

being treated with high-dose oral glucocorticoids.

96
Q

Aldosterone secretion is regulated by the presence of ________ in the circulation.

A

angiotensin II

97
Q

An increase in ADH secretion occurs in response to

A

dehydration.

98
Q

Celiac sprue is a malabsorptive disorder associated with

A

inflammatory reaction to gluten-containing foods.

99
Q

Congenital adrenal hyperplasia (adrenogenital syndrome) results from

A

blocked cortisol production.

100
Q

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

A

steady and boring

101
Q

It is true that biliary cancer

A

tend to be asymptomatic and progress insidiously.

102
Q

Elevated serum lipase and amylase levels are indicative of

A

pancreatitis.

103
Q

Barrett esophagus is a

A

preneoplastic lesion.

104
Q

The American Diabetes Association recommends a postprandial blood glucose level of ________ mg/dL for adults with diabetes.

A

less than 180

105
Q

Which symptom suggests the presence of a hiatal hernia?

A

Heartburn

106
Q

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

A

glycogenolysis.

107
Q

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

A

acute

108
Q

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

A

Wilson

109
Q

What effect would adrenocortical insufficiency have on an individual’s response to surgical stress?

A

More prone to hypotension

110
Q

The most challenging aspect of treatment for chronic pancreatitis is

A

pain control.

111
Q

A laboratory finding that would help confirm the diagnosis of hyperaldosteronism is

A

hypokalemia.

112
Q

The signs and symptoms of adrenocortical hormone excess may occur from either a primary or secondary disorder. A symptom associated with primary Cushing syndrome is

A

hyperglycemia.