week 7 check your understanding (3)

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

Elevated ferritin

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

autoimmune hepatitis.

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

cholecystectomy.

Chronic pancreatitis may lead to diabetes mellitus. Crohn disease. gallstones. celiac sprue.

diabetes mellitus.

The breakdown of stored glycogen in the liver and muscles is called glycolysis. glycogenesis. glycogenolysis. gluconeogenesis.

glycogenolysis.

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

goiter.

The signs and symptoms of adrenocortical hormone excess may occur from either a primary or secondary disorder. A symptom associated with primary Cushing syndrome is hyperpigmentation. hypotension. hyperglycemia. hyperkalemia.

hyperglycemia.

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

indicates peritonitis with substantial risk for sepsis and shock.

The underlying pathogenic mechanism for type 2 diabetes is pancreatic β-cell destruction. insulin resistance and β-cell dysfunction. lack of exercise and chronic overeating. impaired glucose transport into cells.

insulin resistance and β-cell dysfunction.

Type 2 diabetes mellitus is often associated with nonketotic hyperosmolality. childhood. autoimmune destruction of the pancreas. ketoacidosis.

nonketotic hyperosmolality.

Growth hormone-deficient infants would display low birth length and weight. normal birth length and weight. high birth length and weight. normal length and low weight.

normal birth length and weight.

The underlying pathogenic mechanism for type 1 diabetes is pancreatic β-cell destruction. lack of insulin receptors. lack of exercise and chronic overeating. impaired glucose transport into cells.

pancreatic β-cell destruction.

Elevated serum lipase and amylase levels are indicative of gallbladder disease. appendicitis. pancreatitis. peritonitis.

pancreatitis.

A tumor which results in excessive production and release of catecholamines is goiter. pheochromocytoma. Conn syndrome. Cushing disease.

pheochromocytoma.

Pathophysiologically, esophageal varices can be attributed to elevated bilirubin. diminished protein metabolism. fluid accumulation. portal hypertension.

portal hypertension.

Diabetes insipidus is a condition that results from inadequate ADH secretion. is characterized by oliguria. is associated with anterior pituitary dysfunction. leads to glycosuria.

results from inadequate ADH secretion.

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

stomatitis.

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

tremors.

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

Blood and mucus in the stools