quiz 6

Steatohepatitis is caused by an accumulation of ________ in the liver cells. a. ferritin b. fat c. acetaminophen d. bile 38

b

Insulin binding to its receptor on target cells results in a. glycogen breakdown within target cells. b. gluconeogenesis. c. increased active transport of glucose into the cell. d. increased facilitated cellular diffusion of glucose. 41

d

A patient being treated for hepatic encephalopathy could be expected to receive a(n) ________diet. A. low-protein and high-fiber B. high-protein and high-carbohydrate C. high-sodium D. unrestricted 38

A

A thyroid gland that grows larger than normal is known as a. goiter. b. cretinism. c. myxedema. d. colloidosis.

A

It is true that growth hormone in excess in adults: a. Results in the condition of acromegaly. b. Leads to abnormally tall stature c. Is associated with hypoglycemia d. Is usually asymptomatic 40

a

Normal bile is composed of A. water, electrolytes, and organic solutes. B. proteins. C. bile acids. D. phospholipids. 37

a

An increase in ADH secretion occurs in response to a. decreased serum osmolality b. dehydration c. hypervolemia d. hyponatremia 40

B

Hepatitis with the presence of autoantibodies and positive antinuclear antibodies (ANA) is A. hepatitis D. B. autoimmune hepatitis. C. hepatitis A. D. hepatitis B. 38

B

It is true that the synthesis of thyroid hormones a. is increased by thyrotropin-inhibiting factor. b. is inhibited by iodine deficiency. c. is stimulated by ACTH. d. occurs in perifollicular C cells. 40

B

The most common causes of prehepatic jaundice are ________ and ineffective erythropoiesis. a. canalicular bilirubin transport b. hemolysis c. metabolism d. fibrosis 38

B

A tumor which results in excessive production and release of catecholamines is a. Conn syndrome. b. Cushing disease. c. pheochromocytoma. d. goiter 40

C

Hepatic encephalopathy is associated with a. hyperbilirubinemia. b. hyperuricemia. c. increased blood ammonia levels. d. toxic effects of alcohol on brain cells. 38

C

A type of insulin that would be most appropriate for acute management of hyperglycemia is a. Ultralente. b. NPH. c. Semilente. d. regular. 41

D

Clinical manifestations of hypoparathyroidism a. are similar to those occurring with hypermagnesemia. b. result from decreased neuromuscular excitability. c. are similar to those occurring with hypokalemia. d. result from decreased serum ionized calcium. 40

D

Liver transaminase elevations in which aspartate aminotransferase (AST) is markedly greater than alanine aminotransferase (ALT) is characteristic of a. viral hepatitis. b. acetaminophen toxicity. c. cirrhosis. d. alcohol-induced injury. 38

D

Pathophysiologically, esophageal varices can be attributed to A. elevated bilirubin. B. diminished protein metabolism. C. fluid accumulation. D. portal hypertension. 38

D

Propylthiouracil may be used to treat hyperthyroidism, because it a. suppresses production of autoantibodies. b. destroys thyroid gland cells. c. inhibits the release of TSH. d. inhibits thyroid hormone synthesis. 40

D

A laboratory finding that would help confirm the diagnosis of hyperaldosteronism is a. hypokalemia. b. hyperglycemia. c. hypernatremia. d. hyperkalemia. 40

a

Diabetes mellitus is the ________ leading cause of death and a major cause of disability in the United States. a. seventh b. second c. fourth d. first ch 41

a

It is true that Graves disease is a. associated with autoantibodies to TSH receptors. b. characterized by high serum TSH levels. c. a secondary endocrine disorder. d. untreatable. 40

a

A clinical finding that is consistent with a diagnosis of adrenocortical insufficiency is a. moon face. b. hypoglycemia. c. hypokalemia. d. hypertension.

b

A patient presenting with muscle cramps, fatigue, anxiety, depression, and prolonged Q-T intervals on EKG may be showing symptoms of a. SIADH. b. hypoparathyroidism. c. diabetes insipidus. d. hyperparathyroidism. 40

b

A patient reporting vision changes, photophobia, and lid lag may be exhibiting signs of a. myxedema. b. Graves disease. c. Addison disease. d. Cushing syndrome. 40

b

Diabetic neuropathy is thought to result from a. deficient neuronal insulin receptors. b. elevated HbA1c. c. decreased myoinositol transport. d. neuronal demyelination. 41

c

Myxedema coma is a severe condition associated with a. hyperthermia. b. pheochromocytoma. c. hypothyroidism. d. acute cortisol insufficiency.

c

The breakdown of stored glycogen in the liver and muscles is called a. glycolysis. b. glycogenolysis. c. gluconeogenesis. d. glycogenesis. 41

c

What indicator is most helpful in evaluating long-term blood glucose management in patients with diabetes mellitus? a. Urine glucose levels b. Clinical manifestations of hyperglycemia c. Glycosylated hemoglobin levels (HbA1c) d. Blood glucose levels

c

A clinical finding consistent with a hypoglycemic reaction is a. acetone breath. b. hyperventilation. c. warm, dry skin. d. tremors. 41

d

A clinical finding that is consistent with a diagnosis of adrenocortical insufficiency is a. hypokalemia. b. moon face. c. hypertension. d. hypoglycemia.

d

A viral hepatitis screen with positive hepatitis B surface antigen (HBsAg) should be interpreted as ________ hepatitis B. A. recovered from B. immunity to C. chronic active D. acute 38

d