Quiz 6-Ch. 36, 37, 38, 40, 41
What finding should prompt further diagnostic testing in a child presenting with diarrhea?
Blood and mucus in the stools
Rupture of esophageal varices is a complication of cirrhosis with portal hypertension and carries a high _____ rate.
Mortality
Which response to an injection of ACTH indicates a primary adrenal insufficiency?
No change in serum glucocorticoid level
Growth hormone-deficient infants would display
Normal birth length and weight
A patient admitted with bleeding related to esophageal varices could be expected to receive a continuous intravenous infusion of
Octreotide acetate
Elevated serum lipase and amylase levels are indicative of
Pancreatitis
A tumor which results in excessive production and release of catecholamines is
Pheochromocytoma
In type 1 diabetes, respiratory compensation may occur through a process of
Respiratory alkalosis
An urgent surgical consult is indicated for the patient with acute abdominal pain and
absent bowel sounds
Acute right lower quadrant pain associated with rebound tenderness and systemic signs of inflammation are indicative of
appendicitis
Chronic pancreatitis may lead to
diabetes mellitus
Epigastric pain that is relieved by food is suggestive of
gastric ulcer
The most common causes of prehepatic jaundice are ______ and ineffective erythropoiesis.
hemolysis
Celiac sprue is a malabsorptive disorder associated with
inflammatory reaction to gluten-containing foods
A type of insulin that would be most appropriate for acute management of hyperglycemia is
regular
Diabetes insipidus is a condition that
results from inadequate ADH secretion
It is true that growth hormone excess in adults
results in the condition of acromegaly
Clinical manifestations of Graves disease may include
tremor
What clinical finding would suggest an esophageal cause of a client's report of dysphagia?
Chest pain during meals
An increased urine bilirubin is associated with
Hepatitis
What form of viral hepatitis is likely to be transmitted sexually ?
Hepatitis B
A patient with pancreatitis may experience muscle cramps secondary to
Hypocalcemia
A laboratory finding that would help confirm the diagnosis of hyperaldosteronism is
Hypokalemia
The finding of hypotension, rigid abdomen, and absent bowel sounds in a patient with pancreatitis
Indicates peritonitis with substantial risk for sepsis and shock
The underlying pathogenic mechanism for type 2 diabetes is
Insulin resistance and B-cell dysfunction
The formation of active vitamin D
Is impaired in renal failure
It is true that the synthesis of thyroid hormones
Is inhibited by iodine deficiency
Brain injury secondary to high serum bilirubin is called
Kernicterus
The American Diabetes Association recommends a postprandial blood glucose level of _____ mg/dL for adults with diabetes.
Less than 180
It is true that gallstones are
More common in women.
Most gallstones are composed of
cholesterol
The most common cause of mechanical bowel obstruction is
Adhesions
A biliary cause of acute pancreatitis is suggested by an elevation in which serum laboratory results?
Alkaline phosphate
It is true that Graves disease is
Associated with autoantibodies to TSH receptors
Proton pump inhibitors may be used in the management of peptic ulcer disease to
Decrease hydrochloric acid (HCI) secretion
Fecal leukocyte screening would be indicated in a patient with suspected
Enterocolitis
Dumping syndrome is commonly seen after ______ procedures.
Gastric bypass
The breakdown of stored glycogen in the liver and muscles is called
Glycogenolysis
What indicator is most helpful in evaluating long-term blood glucose management in patients with diabetes mellitus?
Glycosylated hemoglobin levels (HbA1c)
A patient reporting vision changes, photophobia, and lid lag may be exhibiting signs of
Graves disease