Chapter 37: Alterations in Function of the Gallbladder and Exocrine Pancreas

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

A deficiency of lipid digestion or absorption commonly results in a. steatorrhea. b. constipation. c. hyperlipidemia. d. cholelithiasis.

A

Chronic pancreatitis may lead to a. diabetes mellitus. b. Crohn disease. c. gallstones. d. celiac sprue.

A

The definitive treatment for cholecystitis is a. lithotripsy of stones. b. chemical dissolution of stones. c. antibiotics and antiinflammatories. d. cholecystectomy.

D

Most gallstones are composed of a. bile. b. cholesterol. c. calcium. d. uric acid salts.

B

Patients with acute pancreatitis are generally not allowed to eat and may require continuous gastric suctioning 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

A patient with pancreatitis may experience muscle cramps and laryngospasm 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 usual treatment for chronic pancreatitis includes a. pancreatectomy. b. strict dietary avoidance of fats. c. abstinence from alcohol. d. long-term narcotic administration for pain.

C

A biliary cause of acute pancreatitis is suggested by which of the following laboratory results? a. Elevated serum lipase b. Elevated serum amylase c. Elevated serum glucose d. Elevated serum alkaline phosphatase

D

Bile salts enzymatically digest lipids in the small intestine. True/False

F

The pain of cholecystitis commonly radiates to the left upper quadrant and left shoulder. True/False

F

Alcohol abuse is the primary risk factor for chronic pancreatitis. True/False

T

Cholelithiasis is present in 90% of patients who have acute cholecystitis. True/False

T

The exocrine pancreas is stimulated to secrete in response to secretin and cholecystokinin. True/False

T