Exam 3 Canvas and Jeopardy

Question 1

The islet cells of the pancreas secrete all of the following hormones except: Glucagon, Somatostatin, Secretin, Insulin

Answer 1

Secretin

Question 2

Which of the following hormones is responsible for the stimulation of ductal epithelial cell secretion of bicarbonate? Gastrin, Secretin, Cholecystokinin (CCK), Insulin

Answer 2

Secretin

Question 3

T/F: In patients with exocrine pancreatic insufficiency, fecal fat is often decreased and fecal enzymes are increased.

Answer 3

FALSE

Question 4

All of the following conditions are associated with acute pancreatitis except: Mumps, tissue injury, biliary tract obstruction, Zollinger-Ellison syndrome

Answer 4

Zollinger-Ellison syndrome

Question 5

This heavy metal has both an essential form and a toxic, nonessential form. When absorbed it will be bound by transferrin and transported by albumin.

Answer 5

Chromium

Question 6

Over the decades, this element has been considered a toxic element, a carcinogen, essential element, and an anti-carcinogen. It is also involved in the metabolism of thyroid hormones.

Answer 6

Selenium

Question 7

A vitamin _________ is due to either inadequate diet, inadequate GI absorption, competing organisms (parasites).

Answer 7

Deficiency

Question 8

This deficiency in this vitamin is associated with hair loss, anorexia, and depression. It is often found in hair products and supplements. Taking supplements that contain this may cause interference with certain test assays.

Answer 8

Vitamin B7 (Biotin)

Question 9

Put in the order of electrophoretic mobility (slowest to fastest) on cellulose acetate.

Answer 9

Hgb C -> Hgb S -> Hgb F -> Hgb A

Question 10

What is not a reason to order/perform a myoglobin test?

Answer 10

Dehydration

Question 11

The most common abnormalities in the structure of hemoglobin is:

Answer 11

Amino acid substitutions

Question 12

Which of the following is a qualitative screening test for porphobilinogen that may be performed to aid in the diagnosis of the porphyrias?

Answer 12

Watson-Schwartz test

Question 13

Which of the following will lead to decreased serum levels of creatinine in the geriatric patient? Decreased muscle mass, increased GFR, decreased protein inktake, none fo the above

Answer 13

Decreased muscle mass

Question 14

Which could account for drug toxicity following a normally prescribed dose to the geriatric patient? Decreased renal clearance, slowing of drug absorption, liver impairment, all of the above

Answer 14

All of the above

Question 15

All of the following represent normal physiology of the newborn except: weight of 2.1 kg, immature liver function and inability to elimate excess bilirubin, infants normally rapidly adapt by initiating active respiration, 4-6 months for the infants body weight to double

Answer 15

Weight of 2.1 kg

Question 16

Which is not a test typically included on a newborn screening panel in the U.S.

Answer 16

Cholesterol

Question 17

What type of tissue is the hormone releasing islets of Langerhans?

Answer 17

Endocrine

Question 18

The location where the liver and pancreas combine enzymes and bile is called:

Answer 18

The Ampulla of Vater

Question 19

Somatostatin is released by what type of cell?

Answer 19

Delta

Question 20

Which enzyme test is almost exclusively a pancreatic test and increases within 24 hours for acute pancreatitis?

Answer 20

Lipase

Question 21

What test is a direct termination of the exocrine secretory capacity of the pancreas?

Answer 21

Cholecystokinin (CCK)

Question 22

How many pyrrole rings are in a porphyrin ring?

Answer 22

4

Question 23

What refers to quantitative defects in the production of hemoglobin molecules?

Answer 23

Thalassemias

Question 24

Variegate porphyria (VP) has what symptom type?

Answer 24

Neurocutaneous

Question 25

What type of hemoglobinopathy would have a negative solubility test?

Answer 25

Hemoglobin C (E, D)

Question 26

The control rate of heme synthesis in the liver is through regulation of what enzyme?

Answer 26

Aminolevulinic acid synthase (ALAS)

Question 27

Patients with toxicity of this element often have anxiety along with bouts of compulsive laughing and crying.

Answer 27

Manganese

Question 28

What is the primary plasma iron transport protein

Answer 28

Transferrin

Question 29

This element is widely used in industry and household ways. It also is associated with anemia, bone disease, and progressive dementia.

Answer 29

Aluminum

Question 30

Given these lab results, what would an expected condition be: transferrin decreased, ferritin increased, % saturation increased, TIBC decreased

Answer 30

Iron overdose

Question 31

This element has gone through quite the identity crisis over the decades being seen as a toxic element, a carcinogen, essential element, and anti-carcinogen.

Answer 31

Selenium

Question 32

T/F: heel stick and venipuncture blood is identical in composition.

Answer 32

FALSE

Question 33

T/F: Drug dosing and interactions are something that needs to be watched more closely in a geriatric patient for several reasons.

Answer 33

TRUE

Question 34

T/F: Calcium and Aldosterone increase in value in a geriatric patient

Answer 34

FALSE

Question 35

Which biomarker is typically higher in neonates that in adults?

Answer 35

Ammonia

Question 36

Anoxia and trauma during delivery can cause what type of condition for the neonate?

Answer 36

Metabolic acidosis

Question 37

This vitamin prevents scurvy.

Answer 37

Vitamin C

Question 38

What is the term that refers to a condition in where a person’s diet is deficient in both protein and calories?

Answer 38

Marasmus

Question 39

What vitamin is common in supplements to help deal with hair loss but also can cause interference with some testing methods for specific tests?

Answer 39

Vitamin B7 (Biotin)

Question 40

Folate and Vitamin B12 are commonly run to help distinguish causes of what condition?

Answer 40

Megaloblastic anemia

Question 41

A patient who is unable to consume adequate amounts of food for whatever reason may be supported using what.

Answer 41

TPN Total Parenteral Nutrition