Sunday, October 02, 2005

N2 GI quiz

Open-Book Quizzes Chapter 16
1.
Patients presenting with pancreatitis may also present with any of the following except:
A. Alcoholism
B. An unknown cause (idiopathic)
C. Biliary obstruction
D. Hepatitis
2.
A 36-year-old male presents with extreme abdominal pain and a history of peptic ulcer disease. Upon assessment, you note his abdomen is rigid and board-like with absent bowel sounds. You suspect:
A. Acute gastric perforation
B. Acute pancreatitis
C. Bowel obstruction
D. Lower gastrointestinal bleed
3.
A 24-year-old female is admitted with jaundice, brownish urine, weakness, nausea, and vomiting. She is febrile upon admission. You realize these are all signs of:
A. Cirrhosis
B. Hepatitis
C. Pancreatitis
D. Splenomegaly
4.
Upon receiving the initial laboratory values on a patient who has exhibited gastrointestinal bleeding for 2 days, you expect:
A. Decreased BUN
B. Hypokalemia
C. Hypoglycemia
D. Hypernatremia
5.
In today's society a frequent risk factor for gastrointestinal bleeding is:
A. Acetaminophen (Tylenol)
B. Coffee and caffeine sodas
C. Nonsteroidal anti-inflammatory drugs
D. Nutritional supplements
6.
A mechanism of the liver that breaks down stored glycogen during episodes of hypoglycemia is ____________.

7.
A patient with acute pancreatitis should be monitored for ___________, a low serum calcium level.

8.
Portal hypertension leads to the development of __________________, which can result in profuse upper gastrointestinal bleeding.

9.
Blood clotting components are formed in this organ, therefore hepatic failure may lead to _______________.

10.
Match each description to the correct term related to gastrointestinal alterations.
1.
Alcoholic (Laƫnnec's)
2.
Biliary
3.
Cardiac cirrhosis
4.
Hepatitis A
5.
Hepatitis B
6.
Hepatitis C
7.
Hepatitis D
8.
Hepatitis E
9.
Postnecrotic
1 2 3 4 5 6 7 8 9
A.
An important cause of transfusion-related hepatitis
1 2 3 4 5 6 7 8 9
B.
Cirrhosis commonly caused by long-term obstruction of bile ducts
1 2 3 4 5 6 7 8 9
C.
Cirrhosis resulting from long-term alcohol abuse.
1 2 3 4 5 6 7 8 9
D.
Cirrhosis, which results in the massive death of liver cells and is associated with liver cancer
1 2 3 4 5 6 7 8 9
E.
Hepatitis, common in developing countries, and spread via oral-fecal route
1 2 3 4 5 6 7 8 9
F.
Most common type of viral hepatitis; mild and spread via oral-fecal route
1 2 3 4 5 6 7 8 9
G.
Most commonly caused by severe long-term, right-sided heart failure
1 2 3 4 5 6 7 8 9
H.
Serum hepatitis, transmitted via blood and body fluid; health care personnel are at high risk
1 2 3 4 5 6 7 8 9
I.
This hepatitis always occurs with hepatitis B and relies on the virus to spread

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