Liver, GI, Biliary

Question 1

What are primary/common causes of Liver Dysfunction? SATA.

A. Alcohol use
B. Hepatitis
C. Stress
D. Increased intake of carbohydrates

Answer 1

Answer: A,B

Question 2

LUQ pain is associated with

A. Cholycystitis
B. Acute Pancreatitis
C. Diverticulitis
D. Acute Appendicitis

Answer 2

Answer: B

Question 3

What is the disease defined by Autodigestion of tissue by abnormal activation of pancreatic enzymes?

A. Chronic Pancreatitis
B. Pancreatic Cancer
C. Acute Pancreatitis
D. Cholelithiasis

Answer 3

Answer: C

Question 4

What is the cause of Encephalopathy seen in Liver Failure?

A. Low Blood Ammonia
B. High Blood Ammonia
C. Swelling in brain due to back flow of blood
D. High Blood Sodium

Answer 4

Answer: B

Question 5

Where are blood products broken down?

A. Bone Marrow
B. Liver
C. Spleen
D. Kidney

Answer 5

Answer: C

Question 6

Define Cirrhosis

A. Enlargement of liver
B. Jaundice
C. Hepatomegaly
D. Fibrosis/scarring of liver

Answer 6

Answer: D

Question 7

What is the transmission route for Hepatits A?
Hepatits C?

Answer 7

A: Fecal Oral
C: Blood and Sexual Contact

What is your most effective prevention for hepatitis A?

Question 8

During which phase of Viral Hepatitis will jaundice appear?

A. Prodromal/Pre Icterus
B. Icterus
C. Recovery
D. Post ictal

Answer 8

Answer: B

Question 9

What labs would tell you that there is Liver Dysfunction? SATA
A. High Albumin
B. High Liver Enzymes
C. High Ammonia
D. Low Bilirubin

Answer 9

Answer: B, C

All will be high except Albumin!

Question 10

Which of the following are possible causes of Jaundice? SATA

A. Decreased RBC destruction
B. Obstruction of bile flow
C. Impaired uptake of bilirubin by Liver cells
D. Decreased conjugation of bilirubin

Answer 10

Answer: B, C, D

Question 11

Define Bilirubin

A. Final product of breakdown of heme from WBC
B. Extra Platelets in the blood
C. Final product of breakdown of heme from RBCs
D. Final product of breakdown of body cells

Answer 11

Answer: C

Question 12

T/F: Diverticulosis is acute inflammation and perforations in the colon.

Answer 12

False

Question 13

Which IBD disorder is associated with skipped lesions?

A. Chron’s Disease
B. Ulcerative Colitis

Answer 13

Answer: A

Question 14

Which IBD disorder is associated with fissures that have a “cobblestone appearance”?

A. Chron’s Disease
B. Ulcerative Colitis

Answer 14

Answer: A

Question 15

Select all that are true regarding Ulcerative Colitis: SATA

A. Contains skipped lesions
B. Continuous spread
C. Only the inner most lining of intestine affected
D. All layers of intestinal lining affected

Answer 15

Answer: B, C

Question 16

If the layer that sits over the abdominal contents becomes infected, what is this called?

A. Abdominitis
B. Cholitis
C. Neoplasm
D. Peritonitis

Answer 16

Answer: D

Question 17

Define Volvulus

A. Sleepy Bowel
B. Twisted Bowel
C. Bowel telescopes into itself
D. Bowel protrudes through intestinal wall

Answer 17

Answer: B

Question 18

Define Intussusception

A. Sleepy Bowel
B. Twisted Bowel
C. Bowel telescopes into itself
D. Bowel protrudes through intestinal wall

Answer 18

Answer: C

Question 19

What would concern you with a patient experiencing an intestinal obstruction? SATA

A. Slow onset pain
B. Abrupt Pain
C. Blood Stool
D. Tachycardia & Pain
E. Dull, intermittent pain

Answer 19

Answer: B, C, D

Question 20

What are possible causes of a nonmechanical obstruction? SATA

A. Anesthesia
B. Stricture
C. Hernia
D. Narcotic Use

Answer 20

Answer: A, D

Question 21

Which condition is NOT a known cause of cirrhosis?

A. Obesity
B. Alcohol consumption
C. Blockage of the bile duct
D. Hepatitis C
E. All are known causes of Cirrhosis

Answer 21

Answer: E

Question 22

A patient with late-stage cirrhosis develops portal hypertension. Which of the following options below are complications that can develop from this condition? SATA

A. Increase albumin levels
B. Ascites
C. Splenomegaly
D. Fluid volume deficit
E. Esophageal varices

Answer 22

Answer: B, C, E

Question 23

During your morning assessment of a patient with cirrhosis, you note the patient is disoriented to person and place. In addition while assessing the upper extremities, the patient’s hands demonstrate a flapping motion. What lab result would explain these abnormal assessment findings?

A. Decreased magnesium level
B. Increased calcium level
C. Increased ammonia level
D. Increased creatinine level

Answer 23

Answer: C

Question 24

You are receiving report on a patient with cirrhosis. The nurse tells you the patient’s bilirubin levels are very high. Based on this, what assessment findings may you expect to find during your head-to-toe assessment? SATA

A. Frothy light-colored urine
B. Dark brown urine
C. Yellowing of the sclera
D. Dark brown stool
E. Jaundice of the skin

Answer 24

Answer: B, C, E

Question 25

Which of the following is NOT a role of the liver?

A. Removing hormones from the body
B. Producing bile
C. Absorbing water
D. Producing albumin

Answer 25

Answer: C

Question 26

Your recent admission has acute cholecystitis. The patient is awaiting a cholecystostomy. What signs and symptoms are associated with this condition? SATA

A. Right lower quadrant pain with rebound tenderness
B. Epigastric pain that radiates to the right scapula
C. Pain and fullness that increases after a greasy or spicy meal
D. LLQ pain
E. Nausea

Answer 26

Answer: B,C,E

Question 27

Which of the following are risk factors associated with gallbladder dysfunction? SATA

A. 46 year old
B. Female
C. Anorexia
D. Male
E. Obesity

Answer 27

Answer: A, B, E

Female, Forty, Fat, Fertile