Pages: 16-17 (Abdomen & GI = Liver, Gallbladder, Pancreas) Flashcards
Increased bowel sounds are associated with?
a. ) Late intestinal obstruction
b. ) Early intestinal obstruction
c. ) Normal
b.) Early intestinal obstruction
Absent bowel sounds are associated with?
a. ) Late intestinal obstruction
b. ) Early intestinal obstruction
c. ) Normal
a. ) Late intestinal obstruction
- a dynamic (paralytic) ileus
_____: refers to vomiting of blood?
a. ) Hematochesia
b. ) Hemoptysis
c. ) Hematemesis
d. ) Hematochromatosis
c.) Hematemesis
_____: refers to blood in stool?
a. ) Hematochesia
b. ) Hemoptysis
c. ) Hematemesis
d. ) Hematochromatosis
a.) Hematochesia
_____: refers to coughing up blood?
a. ) Hematochesia
b. ) Hemoptysis
c. ) Hematemesis
d. ) Hematochromatosis
b.) Hemoptysis
Which of the following is the MC cause of liver destruction (Cirrhosis)?
a. ) Hypertension
b. ) Bulimia
c. ) Hepatitis
d. ) Alcoholism
d.) Alcoholism
_____: causes yellowing of the skin, sclera, and mucous membranes?
a. ) Cirrhosis
b. ) Hepatitis
c. ) Jaundice
d. ) Liver cancer
c.) Jaundice
_____: causes portal hypertension, ascities, and esophageal varices?
a. ) Cirrhosis
b. ) Hepatitis
c. ) Jaundice
d. ) Liver cancer
a.) Cirrhosis
_____: is the MC site for metastatic disease?
a. ) Spleen
b. ) Liver
c. ) Gallbladder
d. ) Kidneys
b.) Liver
Which of the following is a Thiamin deficiency caused by Alcoholism?
a. ) Mallory Weiss syndrome
b. ) Wernicke Korsakoff syndrome
c. ) Hepatitis
d. ) Beri Beri
b.) Wernicke Korsakoff syndrome
Which of the following is a Thiamin deficiency, not caused by alcoholism?
a. ) Mallory Weiss syndrome
b. ) Wernicke Korsakoff syndrome
c. ) Hepatitis
d. ) Beri Beri
d.) Beri Beri
In which of the following conditions is the liver tender and enlarged but the edge remains soft and smooth?
a. ) Liver cancer
b. ) Hepatitis
c. ) Mallory Weiss syndrome
d. ) Wernicke Korsakoff syndrome
b.) Hepatitis
In which of the following conditions is the liver enlarged with a hard and irregular border?
a. ) Liver cancer
b. ) Hepatitis
c. ) Mallory Weiss syndrome
d. ) Wernicke Korsakoff syndrome
a.) Liver cancer
Which of the following is a specific tumor marker for hepatocellular carcinoma?
a. ) Alkaline phosphate
b. ) Creatine phosphokinase
c. ) Alpha Fetoprotein
d. ) Alanine transaminase
c.) Alpha Fetoprotein
Which type of Hepatitis is from food through fecal/oral route, self-limiting and the patient is considered NOT a carrier?
a. ) Hepatitis A
b. ) Hepatitis B
c. ) Hepatitis C
d. ) Hepatitis D
a.) Hepatitis A (aka: “Infectious Hepatitis” or “Restaurant Hepatitis”)
Which type of Hepatitis is from blood transfusions?
a. ) Hepatitis A
b. ) Hepatitis B
c. ) Hepatitis C
d. ) Hepatitis D
c.) Hepatitis C
Which type of Hepatitis is from dirty needles and sexual intercourse and the patient is considered a carrier for life?
a. ) Hepatitis A
b. ) Hepatitis B
c. ) Hepatitis C
d. ) Hepatitis D
b.) Hepatitis B
Which type of Hepatitis is the MC to become liver cancer?
a. ) Hepatitis A
b. ) Hepatitis B
c. ) Hepatitis C
d. ) Hepatitis D
b.) Hepatitis B
Which of the following is associated with Cholecystitis?
a. ) Grey Turner’s sign
b. ) Cullen sign
c. ) Murphy’s sign
d. ) Rovsing’s sign
c.) Murphy’s sign (aka: Inspiratory Arrest Sign)
Which of the following is associated with bleeding into the flank causing bluish coloration of the skin?
a. ) Grey Turner’s sign
b. ) Cullen sign
c. ) Murphy’s sign
d. ) Rovsing’s sign
a.) Grey Turner’s sign
Which of the following is associated with bluish periumbilical ecchymosis cause by intraperitoneal hemorrhage or seen with a ruptured ectopic pregnancy?
a. ) Grey Turner’s sign
b. ) Cullen sign
c. ) Murphy’s sign
d. ) Rovsing’s sign
b.) Cullen sign
_____: refers to a condition of the Posterior Pituitary gland in which there is insufficient ADH?
a. ) Diabetes Mellitus
b. ) Diabetes Insipidus
c. ) Hyperparathyroidism
d. ) Grave’s disease
b.) Diabetes Insipidus
Pancreatic cancer is usually located where on the pancreas?
a. ) Tail
b. ) Body
c. ) Head
d. ) Lobules
c.) Head
_____ bilirubin is water soluble?
a. ) Direct/Conjugated
b. ) Indirect/Unconjugated
a.) Direct/Conjugated
_____ bilirubin is non-water soluble?
a. ) Direct/Conjugated
b. ) Indirect/Unconjugated
b.) Indirect/Unconjugated
Increased amounts of _____ bilirubin in the blood may cause bilirubin in the urine (urobilinogen)?
a. ) Direct/Conjugated
b. ) Indirect/Unconjugated
a.) Direct/Conjugated
Increased in spleen disorders and hemolytic disease?
a. ) Direct/Conjugated
b. ) Indirect/Unconjugated
b.) Indirect/Unconjugated
Increased in duct obstruction (gallstones) hepatic disease and pancreatic disease?
a. ) Direct/Conjugated
b. ) Indirect/Unconjugated
a.) Direct/Conjugated
Which type of anemia is associated with Indirect/Unconjugated bilirubin?
a. ) Sickle cell anemia
b. ) Iron deficiency anemia
c. ) Thalassemia
d. ) Hemolytic anemia
d.) Hemolytic anemia
What “sign(s)” are associated with Acute Pancreatitis?
- Cullens sign
- Grey Turner’s Sign
What “sign(s)” are associated with Cholecystitis?
- Murphy’s sign (aka: “Inspiratory Arrest sign”)
Which of the following is associated with gallbladder disease in which the patient is asked to inhale while the examiner’s fingers are hooked under the liver border at the bottom of the rib cage?
a. ) Grey Turner’s sign
b. ) Cullen sign
c. ) Murphy’s sign
d. ) Rovsing’s sign
c.) Murphy’s sign (aka: “Inspiratory Arrest sign”)
What is the pain referral site for Cholecystitis?
a. ) RLQ
b. ) RUQ
c. ) LLQ
d. ) LUQ
b.) RUQ
Which of the following is a condition in which the pancreas does not produce a sufficient amount of insulin to take the sugar our of the blood and transport it to the tissues of the body?
a. ) Diabetes Mellitus
b. ) Diabetes Insipidus
c. ) Hyperparathyroidism
d. ) Grave’s disease
a.) Diabetes Mellitus
Which type of Diabetes Mellitus characteristically seen in thin juveniles, under 30 y/o?
a. ) Type I
b. ) Type II
a.) Type I
Which type of Diabetes Mellitus characteristically seen in obese adults, over 40 y/o?
a. ) Type I
b. ) Type II
b.) Type II
Which type of Diabetes Mellitus is Insulin Dependent?
a. ) Type I
b. ) Type II
a.) Type I
Which type of Diabetes Mellitus is Non-Insulin Dependent?
a. ) Type I
b. ) Type II
b.) Type II
Which of the following presents with dark urine, clay colored stools, and jaundice?
a. ) Cholecystitis
b. ) Cirrhosis
c. ) Acute pancreatitis
d. ) Pancreatic cancer
d.) Pancreatic cancer
Which of the following is the most common cause of Gallbladder disease?
a. ) Nephrolithiasis
b. ) Pancreatolithiasis
c. ) Cholelithiasis
d. ) Phlebitis
c.) Cholelithiasis
Which of the following is most commonly seen in overweight females over 40 y/o?
a. ) Cholecystitis
b. ) Cirrhosis
c. ) Acute pancreatitis
d. ) Pancreatic cancer
a.) Cholecystitis
What is the key characteristic difference between Diabetes Mellitus and Diabetes Insipidus?
Diabetes Insipidus has polydypsia (thirst), polyuria (urination), but NOT polyphagia (hunger)
Patient that has increased amylase and lipase in there lab work has which of the following?
a. ) Cholecystitis
b. ) Cirrhosis
c. ) Acute pancreatitis
d. ) Pancreatic cancer
c.) Acute pancreatitis
What is the site of pain referral for Acute Pancreatitis?
epigastric pain (T10-T12)
- knife like
- viscerosomatic
