PATHO Check Your Understanding Week 6

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Which symptom suggests the presence of a hiatal hernia?

Heartburn

A patient with chronic gastritis would likely be tested for

Helicobacter pylori.

What form of viral hepatitis is likely to be transmitted sexually?

Hepatitis B

What effect would adrenocortical insufficiency have on an individual's response to surgical stress?

More prone to hypotension

The most common cause of mechanical bowel obstruction is

adhesions

Liver transaminase elevations in which aspartate aminotransferase (AST) is markedly greater than alanine aminotransferase (ALT) is characteristic of

alcohol-induced injury.

More than half of the initial cases of pancreatitis are associated with

alcoholism

Aldosterone secretion is regulated by the presence of ________ in the circulation.

angiotensin II

Acute right lower quadrant pain associated with rebound tenderness and systemic signs of inflammation are indicative of

appendicitis

Hepatitis with the presence of autoantibodies and positive antinuclear antibodies (ANA) is

autoimmune hepatitis.

A patient who should be routinely evaluated for peptic ulcer disease is one who is

being treated with high-dose oral glucocorticoids.

Ulcerative colitis is commonly associated with

bloody diarrhea.

Diabetic neuropathy is thought to result from

decreased myoinositol transport.

An increase in ADH secretion occurs in response to

dehydration

Chronic pancreatitis may lead to

diabetes mellitus.

Fecal leukocyte screening would be indicated in a patient with suspected

enterocolitis

Steatohepatitis is caused by an accumulation of ________ in the liver cells.

fat

A silent abdomen 3 hours after bowel surgery most likely indicates

functional bowel obstruction.

Epigastric pain that is relieved by food is suggestive of

gastric ulcer.

A patient with a history of alcoholism presents with hematemesis and profound anemia. The expected diagnosis is

gastroesophageal varices.

A patient with pancreatitis may experience muscle cramps secondary to

hypocalcemia

A clinical finding that is consistent with a diagnosis of adrenocortical insufficiency is

hypoglycemia

Myxedema coma is a severe condition associated with

hypothyroidism

Constipation in an elderly patient can be best treated by

increasing fiber in the diet.

The finding of hypotension, rigid abdomen, and absent bowel sounds in a patient with pancreatitis

indicates peritonitis with substantial risk for sepsis and shock.

Propylthiouracil may be used to treat hyperthyroidism, because it

inhibits thyroid hormone synthesis.

It is true that the synthesis of thyroid hormones

is inhibited by iodine deficiency.

Type 2 diabetes mellitus is often associated with

nonketotic hyperosmolality.

A patient admitted with bleeding related to esophageal varices could be expected to receive a continuous intravenous infusion of

octreotide acetate

Esophageal varices represent a complication of ________ hypertension.

portal

Barrett esophagus is a

preneoplastic lesion.

Clinical manifestations of hypoparathyroidism

result from decreased serum ionized calcium.

Diabetes insipidus is a condition that

results from inadequate ADH secretion.

Diabetes mellitus is the ________ leading cause of death and a major cause of disability in the United States.

seventh

Narcotic administration should be administered carefully in patients with acute pancreatitis related to potential for

sphincter of Oddi dysfunction.

A patient receiving chemotherapy may be at greater risk for development of

stomatitis

It is true that biliary cancer

tend to be asymptomatic and progress insidiously.

Clinical manifestations of Graves disease may include

tremor

Antidiuretic hormone (ADH) increases

water reabsorption in the collecting tubule of the kidney.

What clinical finding would suggest an esophageal cause of a client's report of dysphagia?

Chest pain during meals


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