REVIEW LECTURE QUIZ 7 EO1 Flashcards
- Patients with acute pancreatitis are generally made NPO and may require continuous gastric suctioning in order to
remove the usual stimuli for pancreatic secretion.
- Antidiuretic hormone (ADH) increases
water reabsorption from the collecting duct.
- A clinical finding consistent with a hypoglycemic reaction is
trembling
- Diabetic neuropathy is thought to result from
decreased myoinositol transport
- In comparison to triiodothyronine (T 3), the hormone thyroxine (T 4)
more abundant in the circulation
- It is true that the synthesis of thyroid hormones
is inhibited by iodine deficiency.
- Liver transaminase elevations in which aspartate aminotransferase (AST) is markedly greater than alanine aminotransferase (ALT) is characteristic of
alcohol-induced injury.
- An early indicator of colon cancer is
change in bowel habits
- It is true that Graves’ disease is
associated with autoantibodies to TSH receptors
- Barrett esophagus is a
preneoplastic lesion
- The formation of active vitamin D
impaired in renal failure
- Rupture of esophageal varices is a complication of cirrhosis with portal hypertension and carries a high _____ rate.
mortality
- Dumping syndrome is commonly seen after _______ procedures.
gastric bypass
- Chronic cholecystitis can lead to (Select all that apply.)
biliary sepsis, calcified gallbladder, and porcelain gallbladder
- A viral hepatitis screen with positive hepatitis B surface antigen (HBsAg) should be interpreted as ______ hepatitis B.
Acute
- Hepatitis B is usually transmitted by exposure to
Blood or semen
- Hepatic encephalopathy is associated with hepatic
failure or severe chronic disease
_____ disease is a rare autosomal recessive disorder in which excessive amounts of copper accumulate in the liver.
Wilsons
- Which are hormones that increase serum glucose level? (Select all that apply.)
- Glucagon
- Growth Hormone
- Catecholamine
- Corticosteroid
- Steatohepatitis is caused by an accumulation of _____ in the liver cells.
fat
- Which are clinical findings usually associated with type 1 diabetes mellitus? (Select all that apply.)
- Polyuris
- Polydipsia
- Polyphaga
- Diabetes mellitus is the _____ leading cause of death and a major cause of disability in the United States.
seventh
- Which is not a complication of Gestational Diabetes Mellitus?
Development of seizures late term
- The breakdown of stored glycogen in the liver and muscles is called
glycogenolysis
- Which of the following is not an Insulin action?
- Synthesis of fatty acids in skeletal muscle.
- Inhibit glycogenesis
- Which one is false about screening for diabetes?
TRUE: (From the PowerPoint)
* All adults older than age 45 should be screened at least every 3 years for type 2.
* Individuals with risk factors should be screened earlier or more frequently.
* No screening requirements for type 1.
- Which is false about Diabetic Ketoacidosis?
- Oliguria
- Extreme hyperglycemia that presents with blood glucose>600 mg/dL
TRUE: (From PowerPoint)
Continued insulin deficiency leads to lipolysis of tissues-metabolism of fats leads to free fatty acids (FFA)
FFAs ketones ketoacidosis (deep, labored resp. “fruity” odor occur (Kussmaul resp.)
Excess ketones metabolic acidosis
Occurs w/ Type 2 DM severe stress, sepsis, stroke, or myocardial infarction.
Acidosis-induced hyperkalemia may occur
Excess Potassium excreted as sodium, magnesium & phosphorus hypovolemia & dehydration.
Lactic acidosis
Hypovolemic shock if untreated.
- Which is false about Nonketotic Hyperglycemic Hyperosmolar Syndrome (NHHS)?
- Dehydration
TRUE: (From PowerPoint)
Can be life-threatening
Hyperglycemia untreated persistent glycosuria w/ osmotic diuresis.
More common in type 2 DM
- Which is false about complications of Insulin Therapy?
- Lipoatrophy
- Lipohypertrophy
- Insulin edema
- Insulin resistance: exacerbated by obesity
- Ulcerative colitis is commonly associated with
bloody diarrhea.
- Epigastric pain that is relieved by food is suggestive of
gastric ulcer
- A silent abdomen 3 hours after bowel surgery most likely indicates
functional bowel obstruction.
- Celiac sprue is a malabsorptive disorder associated with
inflammatory reactions to gluten containing foods.
- Which symptom suggests the presence of a hiatal hernia?
Heartburn
- Fecal leukocyte screening would be indicated in a patient with suspected
enterocolitis
- Premature infants are at greater risk for developing
necrotizing enterocolitis
- Which response to an injection of ACTH indicates a primary adrenal insufficiency?
No change in serum glucocorticoid level
- Crohn disease is associated with what complications? (Select all that apply.)
- Fistulas
- Osteoporosis
- Malabsorption
- It is true that biliary cancer
tends to be asymptomatic and progress insidiously
Narcotic administration should be administered carefully in patients with acute pancreatitis related to the potential for
sphincter of Oddi dysfunction.
