Chapter 12 Liver, Gallbladder, and Pancreatic Diseases and Disorders
1. The liver is the largest organ in the body. a. True b. False
FALSE
12. Bacterial hepatitis is the most prevalent liver disease. a. True b. False
FALSE
13. Occasional use of alcohol leads to hepatitis. a. True b. False
FALSE
14. Vaccines are available for all types of hepatitis. a. True b. False
FALSE
16. About 75 percent of people infected with hepatitis C will develop chronic hepatitis. a. True b. False
FALSE
17. Hepatitis A always leads to chronic hepatitis. a. True b. False
FALSE
2. Bile is continually produced in the gallbladder. a. True b. False
FALSE
21. Another name for hepatitis E is the "delta virus." a. True b. False
FALSE
22. Cirrhosis is characterized by the replacement of normal liver cells with nonfunctioning fibrous scar tissue known as "hobnail liver." a. True b. False
FALSE
23. Cirrhosis is more common in females than in males. a. True b. False
FALSE
27. Liver cancer is preventable. a. True b. False
FALSE
28. Cholecystitis is not preventable, as it shows a genetic link. a. True b. False
FALSE
29. The best treatment for dissolving stones in cholelithiasis is to decrease fat intake in the diet. a. True b. False
FALSE
5. Amylase breaks down protein. a. True b. False
FALSE
60. The advantage of doing a laparoscopic cholecystectomy over a traditional abdominal incision includes: a. a longer recovery time. b. less discomfort. c. a longer hospital stay. d. more discomfort
B
33. The liver receives blood from the portal system via the: a. aortic artery. b. brachial artery. c. hepatic artery. d. pulmonary artery.
C
34. Bile is stored in: a. the liver. b. the pancreas. c. the gallbladder. d. all of the above.
C
35. The gallbladder lies under the: a. pancreas. b. diaphragm. c. liver. d. lung.
C
39. Which of the following would indicate impaired liver function? a. low alkaline phosphatase b. low bilirubin c. low albumin d. elevated amylase and lipase
C
40. The test performed to evaluate the liver for size, shape, and position is: a. an MRI. b. a flat plate of the abdomen. c. an ultrasound. d. a UGI
C
54. Removal of excessive abdominal fluid is called: a. pleurocentesis. b. thoracentesis. c. abdominocentesis. d. hepatocentesis.
C
55. Edema in patients suffering from cirrhosis is found in the: a. face. b. hands. c. feet. d. abdomen.
C
59. Cholecystitis is diagnosed by: a. chest X-ray. b. UGI. c. cholecystogram. d. cholecystoscopy
C
32. The functions of the liver include all of the following EXCEPT the: a. production of cholesterol. b. metabolism of carbohydrates, fats, and protein. c. detoxification of drugs and other toxins. d. storage of bile.
D
36. Which digestive enzyme does the pancreas secrete? a. trypsin b. amylase c. lipase d. all of the above
D
38. Common symptoms of gallbladder disease include: a. right upper quadrant (RUQ) pain. b. nausea and vomiting. c. excessive gas. d. all of the above.
D
41. Symptoms of hepatitis include: a. jaundice. b. malaise. c. anorexia. d. all of the above.
D
42. Urine from patients with hepatitis appears: a. yellow. b. white. c. clear. d. dark.
D
43. Treatment of viral hepatitis includes: a. drinking large amounts of alcohol. b. rest. c. adequate nutrition. d. b and c.
D
44. Symptoms of fulminant hepatitis include: a. high fever. b. skin and mucous membrane hemorrhage. c. confusion. d. all of the above.
D
48. People at high risk for developing hepatitis B include: a. drug addicts. b. homosexuals. c. health care workers. d. all of the above.
D
50. Cirrhosis of the liver is: a. chronic. b. irreversible. c. degenerative. d. all of the above
D
51. Symptoms of cirrhosis include: a. loss of appetite. b. myalgia. c. weight gain. d. a and b.
D
52. Varicosities are found in: a. the esophagus. b. the rectum. c. the anterior abdominal wall. d. all of the above.
D
53. Ascites is an accumulation of fluid in the: a. liver. b. pancreas. c. thoracic cavity. d. abdominal cavity.
D
56. As a result of cirrhosis, the cirrhotic liver is not capable of inactivating estrogen; thus the male develops feminizing effects that include: a. gynecomastia. b. spider angiomas. c. testicular atrophy. d. all of the above.
D
57. Treatment of cirrhosis includes: a. no alcohol consumption. b. an adequate nutrition. c. vitamin and mineral supplements. d. all of the above
D
30. In some cases, pancreatitis may not be preventable. a. True b. False
TRUE
4. The pancreas is both an endocrine and an exocrine gland. a. True b. False
TRUE
6. Lipase breaks down fats. a. True b. False
TRUE
7. Trypsin breaks down protein. a. True b. False
TRUE
8. Jaundice may be a symptom of both liver and gallbladder diseases. a. True b. False
TRUE
9. Bilirubin can be broken down in the skin by exposure to sunlight or direct lighting. a. True b. False
TRUE
31. The largest organ in the body is the: a. skin. b. liver. c. pancreas. d. gallbladder.
A
37. Jaundice is a _____ color to the skin. a. yellow b. red c. gray d. blue
A
45. Prevention of hepatitis includes: a. good hygiene. b. no special care for handling needles. c. no special care for handling body secretions. d. b and c.
A
46. Vaccine is available for hepatitis: a. A. b. C. c. D. d. E.
A
58. Secondary liver tumors are a result of metastasis from the: a. breast. b. brain. c. kidneys. d. adrenal glands.
A
47. Hepatitis A is spread by: a. sexual contact. b. the fecal-oral route. c. transfusions. d. contaminated needles.
B
49. Hepatitis B is spread by all of the following ways EXCEPT: a. transplacental. b. fecal-oral. c. blood transfusions. d. contaminated needles.
B
25. Esophageal varices are prone to rupture, leading to massive hemorrhage, shock, and death. a. True b. False
TRUE
26. Hepatitis is preventable. a. True b. False
TRUE
3. Bile travels from the gallbladder to the duodenum via the cystic duct and common bile duct. a. True b. False
TRUE
10. Excessive bilirubin filtered out of the blood by the kidneys causes dark-brown urine. a. True b. False
TRUE
11. Liver diseases can be severe enough to result in liver failure. a. True b. False
TRUE
15. The different types of hepatitis include A, B, C, D, and E. a. True b. False
TRUE
18. Hepatitis B carriers are a threat to others but are also at high risk to develop chronic hepatitis and cirrhosis. a. True b. False
TRUE
19. Hepatitis C differs from hepatitis B in that it attacks the RNA of a cell, whereas hepatitis B attacks the DNA. a. True b. False
TRUE
20. Hepatitis E is spread through the fecal-oral route. a. True b. False
TRUE
24. Portal hypertension is the result of blood backing up, increasing the pressure in the portal vein. a. True b. False
TRUE
