Liver, GI, Biliary Flashcards
What are primary/common causes of Liver Dysfunction? SATA.
A. Alcohol use
B. Hepatitis
C. Stress
D. Increased intake of carbohydrates
Answer: A,B
LUQ pain is associated with
A. Cholycystitis
B. Acute Pancreatitis
C. Diverticulitis
D. Acute Appendicitis
Answer: B
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: C
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: B
Where are blood products broken down?
A. Bone Marrow
B. Liver
C. Spleen
D. Kidney
Answer: C
Define Cirrhosis
A. Enlargement of liver
B. Jaundice
C. Hepatomegaly
D. Fibrosis/scarring of liver
Answer: D
What is the transmission route for Hepatits A?
Hepatits C?
A: Fecal Oral
C: Blood and Sexual Contact
What is your most effective prevention for hepatitis A?
During which phase of Viral Hepatitis will jaundice appear?
A. Prodromal/Pre Icterus
B. Icterus
C. Recovery
D. Post ictal
Answer: B
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: B, C
All will be high except Albumin!
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: B, C, D
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: C
T/F: Diverticulosis is acute inflammation and perforations in the colon.
False
Which IBD disorder is associated with skipped lesions?
A. Chron’s Disease
B. Ulcerative Colitis
Answer: A
Which IBD disorder is associated with fissures that have a “cobblestone appearance”?
A. Chron’s Disease
B. Ulcerative Colitis
Answer: A
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: B, C
If the layer that sits over the abdominal contents becomes infected, what is this called?
A. Abdominitis
B. Cholitis
C. Neoplasm
D. Peritonitis
Answer: D
Define Volvulus
A. Sleepy Bowel
B. Twisted Bowel
C. Bowel telescopes into itself
D. Bowel protrudes through intestinal wall
Answer: B
Define Intussusception
A. Sleepy Bowel
B. Twisted Bowel
C. Bowel telescopes into itself
D. Bowel protrudes through intestinal wall
Answer: C
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: B, C, D
What are possible causes of a nonmechanical obstruction? SATA
A. Anesthesia
B. Stricture
C. Hernia
D. Narcotic Use
Answer: A, D
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: E
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: B, C, E
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: C
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: B, C, E
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: C
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: B,C,E
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: A, B, E
Female, Forty, Fat, Fertile
