Chapter 37 Review

A biliary cause of acute pancreatitis is suggested by an elevation in which serum laboratory results? A. Lipase B. Amylase C. Glucose D. Alkaline phosphatase

D

Narcotic administration should be administered carefully in patients with acute pancreatitis related to potential for A. respiratory depression. B. narcotic dependency. C. sphincter of Oddi dysfunction. D. allergic reaction.

C

More than half of the initial cases of pancreatitis are associated with A. trauma. B. stones. C. alcoholism. D. high cholesterol.

C

A patient with pancreatitis may experience muscle cramps secondary to A. alkalosis. B. hyperglycemia. C. hypocalcemia. D. hypermagnesemia.

C

Elevated serum lipase and amylase levels are indicative of A. gallbladder disease. B. appendicitis. C. pancreatitis. D. peritonitis.

C

The pain associated with chronic pancreatitis is generally described as ________ in nature. A. sharp and constant B. steady and boring C. intermittent and burning D. intermittent and stabbing

B

Untreated acute cholecystitis may lead to ________ of the gallbladder wall. A. gangrene B. infection C. distention D. inflammation

A

It is true that biliary cancer A. is most often cured by surgery. B. respond well to chemotherapy. C. are identifiable and treatable when diagnosed early. D. tend to be asymptomatic and progress insidiously

D

The definitive treatment for cholecystitis is A. lithotripsy of stones. B. chemical dissolution of stones. C. antibiotics and anti-inflammatories. D. cholecystectomy.

D

The most challenging aspect of treatment for chronic pancreatitis is A. pancreatectomy. B. strict dietary avoidance of fats. C. abstinence from alcohol. D. pain control.

D

Most gallstones are composed of A. bile. B. cholesterol. C. calcium. D. uric acid salts.

B

Chronic pancreatitis may lead to A. diabetes mellitus. B. Crohn disease. C. gallstones. D. celiac sprue.

A

Normal bile is composed of A. water, electrolytes, and organic solutes. B. proteins. C. bile acids. D. phospholipids.

A

It is true that gallstones are A. a minimal risk for Native Americans. B. more common in women. C. more common in men. D. at highest risk among Asians.

B

Patients with acute pancreatitis are generally made NPO and may require continuous gastric suctioning in order to A. prevent abdominal distention. B. remove the usual stimuli for pancreatic secretion. C. prevent hyperglycemia associated with loss of insulin secretion. D. prevent mechanical obstruction of the intestine.

B

The finding of hypotension, rigid abdomen, and absent bowel sounds in a patient with pancreatitis A. is an expected finding and requires no specific intervention. B. indicates peritonitis with substantial risk for sepsis and shock. C. requires immediate surgical intervention. D. is an unusual finding in pancreatitis and indicates misdiagnosis.

B