quiz 5

Fecal leukocyte screening would be indicated in a patient with suspected a. lactose intolerance. b. giardiasis. c. laxative abuse. d. enterocolitis.

d

Proton pump inhibitors may be used in the management of peptic ulcer disease to A. increase gastric motility. B. inhibit secretion of pepsinogen. C. neutralize gastric acid. D. decrease hydrochloric acid (HCl) secretion.

d

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

B

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

The most common cause of mechanical bowel obstruction is a. volvulus. b. intussusception. c. adhesions. d. fecal impaction.

C

Untreated acute cholecystitis may lead to ________ of the gallbladder wall. a. gangrene b. distention c. infection d. inflammation

D

Which symptom suggests the presence of a hiatal hernia? a. Nausea b. Abdominal cramps c. Diarrhea d. Heartburn

D

Ulcerative colitis is commonly associated with a. fistula formation between loops of bowel. b. malabsorption of nutrients. c. inflammation and scarring of the submucosal layer of the bowel. d. bloody diarrhea.

d

What laboratory data would support a diagnosis of hemochromatosis? a. Positive antinuclear antibody b. Deficient protease inhibitor c. Elevated urine copper d. Elevated ferritin

d

Constipation in an elderly patient can be best treated by a. increasing fiber in the diet. b. maintaining a low-fiber diet. c. maintaining the current level of activity. d. fecal disimpaction.

A

A patient with chronic gastritis would likely be tested for a. occult blood. b. lymphocytes. c. Helicobacter pylori. d. herpes simplex.

C

Barrett esophagus is a a. gastrin-secreting lesion. b. benign condition. c. preneoplastic lesion. d. gastrin-secreting tumor.

C

A silent abdomen 3 hours after bowel surgery most likely indicates a. peritonitis. b. mechanical bowel obstruction. c. perforated bowel. d. functional bowel obstruction.

D

Dumping syndrome is commonly seen after __________ procedures. A. appendectomy B. intestinal biopsy C. colonoscopy D. gastric bypass D

D

Esophageal varices represent a complication of ________ hypertension. a. primary b. pregnancy-induced c. secondary d. portal

D

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

A patient who should be routinely evaluated for peptic ulcer disease is one who is a. being treated with high-dose oral glucocorticoids. b. taking six to eight tablets of acetaminophen per day. c. experiencing chronic diarrhea. d. routinely drinking alcoholic beverages.

a

Acute right lower quadrant pain associated with rebound tenderness and systemic signs of inflammation are indicative of A. appendicitis. B. peritonitis. C. cholecystitis. D. gastritis.

a

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

a

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

a

Rupture of esophageal varices is a complication of cirrhosis with portal hypertension and carries a high ________ rate. a. mortality b. cure c. insurance d. morbidity

a

What finding should prompt further diagnostic testing in a child presenting with diarrhea? a. Blood and mucus in the stools b. Periumbilical discomfort c. Frequent, large-volume diarrhea d. Greenish, watery diarrhea

a

Premature infants are at greater risk for developing a. pseudomembranous colitis. b. diverticular disease. c. appendicitis. d. necrotizing enterocolitis.

d

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

What form of viral hepatitis is likely to be transmitted sexually? a. Hepatitis E b. Hepatitis B c. Hepatitis C d. Hepatitis A

b

Celiac sprue is a malabsorptive disorder associated with a. deficient production of pancreatic enzymes. b. megacolon at regions of autonomic denervation. c. inflammatory reaction to gluten-containing foods. d. ulceration of the distal colon and rectum.

c

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

c

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

c

The most common cause of mechanical bowel obstruction is a. intussusception. b. fecal impaction. c. adhesions. d. volvulus.

c

What finding would rule out a diagnosis of irritable bowel syndrome in a patient with chronic diarrhea? a. Negative stool leukocytes b. Abdominal pain and distention c. Bloody stools d. Intermittent constipation

c

Celiac sprue is a malabsorptive disorder associated with a. deficient production of pancreatic enzymes. b. megacolon at regions of autonomic denervation. c. ulceration of the distal colon and rectum. d. inflammatory reaction to gluten-containing foods.

d

A biliary cause of acute pancreatitis is suggested by an elevation in which serum laboratory results? a. Glucose b. Amylase c. Lipase d. Alkaline phosphatase

d

A patient receiving chemotherapy may be at greater risk for development of a. esophageal varices. b. Mallory-Weiss syndrome. c. gastroesophageal reflux. d. stomatitis.

d

A patient who should be routinely evaluated for peptic ulcer disease is one who is a. experiencing chronic diarrhea. b. routinely drinking alcoholic beverages. c. taking six to eight tablets of acetaminophen per day. d. being treated with high-dose oral glucocorticoids.

d

A patient with pancreatitis may experience muscle cramps secondary to a. hypermagnesemia. b. alkalosis. c. hyperglycemia. d. hypocalcemia.

d

Constipation in an elderly patient can be best treated by a. fecal disimpaction. b. maintaining the current level of activity. c. maintaining a low-fiber diet. d. increasing fiber in the diet.

d

Epigastric pain that is relieved by food is suggestive of a. dysphagia. b. cardiac angina. c. pancreatitis. d. gastric ulcer.

d