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PATH370 Pathophysiology
Week 6 Understanding Assignment
Question 1It is true that biliary cancer
is most often cured by surgery.
respond well to chemotherapy.
are identifiable and treatable when diagnosed early.
tend to be asymptomatic and progress insidiously.
Question 2The most common cause of mechanical bowel obstruction is
volvulus.
intussusception.
adhesions.
fecal impaction.
Question 3Chronic pancreatitis may lead to
diabetes mellitus.
Crohn disease.
gallstones.
celiac sprue.
Question 4An urgent surgical consult is indicated for the patient with acute abdominal pain and
vomiting.
CVA tenderness.
absent bowel sounds.
borborygmi.
Question 5Normal bile is composed of
water, electrolytes, and organic solutes.
proteins.
bile acids.
phospholipids.
Question 6Untreated acute cholecystitis may lead to ________ of the gallbladder wall.
gangrene
infection
distention
inflammation
Question 7Jaundice is a common manifestation of
malabsorption syndromes.
anemia.
liver disease.
cholecystitis.
Question 8Constipation in an elderly patient can be best treated by
maintaining a low-fiber diet.
maintaining the current level of activity.
fecal disimpaction.
increasing fiber in the diet.
Question 9A patient admitted with bleeding related to esophageal varices could be expected to receive a continuous intravenous infusion of
glucose.
octreotide acetate.
anticoagulants.
proton pump inhibitors.
Question 10The pain associated with chronic pancreatitis is generally described as ________ in nature.
sharp and constant
steady and boring
intermittent and burning
intermittent and stabbing
Question 11A viral hepatitis screen with positive hepatitis B surface antigen (HBsAg) should be interpreted as ________ hepatitis B.
recovered from
immunity to
chronic active
acute
Question 12Ulcerative colitis is commonly associated with
bloody diarrhea.
malabsorption of nutrients.
fistula formation between loops of bowel.
inflammation and scarring of the submucosal layer of the bowel.
Question 13The most challenging aspect of treatment for chronic pancreatitis is
pancreatectomy.
strict dietary avoidance of fats.
abstinence from alcohol.
pain control.
Question 14Brain injury secondary to high serum bilirubin is called
hepatic encephalopathy.
hepatic meningitis.
kernicterus.
encephalitis.
Question 15More than half of the initial cases of pancreatitis are associated with
trauma.
stones.
alcoholism.
high cholesterol.
Question 16Dumping syndrome is commonly seen after __________ procedures.
appendectomy
intestinal biopsy
colonoscopy
gastric bypass
Question 17The most common causes of prehepatic jaundice are ________ and ineffective erythropoiesis.
hemolysis
metabolism
fibrosis
canalicular bilirubin transport
Question 18What form of viral hepatitis is likely to be transmitted sexually?
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis E
Question 19Narcotic administration should be administered carefully in patients with acute pancreatitis related to potential for
respiratory depression.
narcotic dependency.
sphincter of Oddi dysfunction.
allergic reaction.
Question 20Hepatitis B is usually transmitted by exposure to
hepatitis vaccine.
feces.
blood or semen.
contaminated food.
Question 21A patient reporting vision changes, photophobia, and lid lag may be exhibiting signs of
Addison disease.
Cushing syndrome.
myxedema.
Graves disease.
Question 22Steatohepatitis is caused by an accumulation of ________ in the liver cells.
fat
bile
acetaminophen
ferritin
Question 23It is true that Graves disease is
a secondary endocrine disorder.
associated with autoantibodies to TSH receptors.
characterized by high serum TSH levels.
untreatable.
Question 24Growth 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.
Question 25The underlying pathogenic mechanism for type 1 diabetes is
pancreatic -cell destruction.
lack of insulin receptors.
lack of exercise and chronic overeating.
impaired glucose transport into cells.
Question 26Myxedema coma is a severe condition associated with
hypothyroidism.
hyperthermia.
acute cortisol insufficiency.
pheochromocytoma.
Question 27What effect would adrenocortical insufficiency have on an individuals response to surgical stress?
More prone to hyperglycemia
Decreased sensitivity to anesthesia
More susceptible to hypertensive crisis
More prone to hypotension
Question 28A clinical finding consistent with a hypoglycemic reaction is
acetone breath.
warm, dry skin.
tremors.
hyperventilation.
Tremors are a sign of hypoglycemia. Acetone breath is not a sign of hypoglycemia. Diaphoresis (excessive sweating) is a sign of hypoglycemia. Hyperventilation does not indicate hypoglycemia.
Question 29Clinical manifestations of Graves disease may include
tremor.
cold intolerance.
lethargy.
weight gain.
Question 30Hepatitis with the presence of autoantibodies and positive antinuclear antibodies (ANA) is
hepatitis D.
autoimmune hepatitis.
hepatitis A.
hepatitis B.
Question 31A thyroid gland that grows larger than normal is known as
cretinism.
myxedema.
goiter.
colloidosis.
Question 32Congenital adrenal hyperplasia (adrenogenital syndrome) results from
cortisol excess.
testosterone-secreting tumor.
exogenous androgens.
blocked cortisol production.
Question 33It is true that the synthesis of thyroid hormones
is increased by thyrotropin-inhibiting factor.
occurs in perifollicular C cells.
is stimulated by ACTH.
is inhibited by iodine deficiency.
Question 34________ is the most powerful predictor of developing type 2 diabetes mellitus.
Aging
Obesity
Sedentary lifestyle
Cardiovascular disease
Question 35An infusion of mannitol would be prescribed to treat
varices.
encephalopathy.
peritonitis.
cerebral edema.
Question 36 Diabetic neuropathy is thought to result from
decreased myoinositol transport.
elevated HbA1c.
deficient neuronal insulin receptors.
neuronal demyelination.
Question 37Celiac sprue is a malabsorptive disorder associated with
inflammatory reaction to gluten-containing foods.
megacolon at regions of autonomic denervation.
ulceration of the distal colon and rectum.
deficient production of pancreatic enzymes.
Question 38Proton pump inhibitors may be used in the management of peptic ulcer disease to
increase gastric motility.
inhibit secretion of pepsinogen.
neutralize gastric acid.
decrease hydrochloric acid (HCl) secretion.
Question 39Radioactive iodine treatment is the therapy of choice in patients with Graves disease. The patient should be expected to
achieve full recovery after treatment.
need short-term thyroid replacement therapy.
need lifelong thyroid replacement therapy.
receive lifelong iodine treatment.
Question 40It is true that growth hormone excess in adults
results in the condition of acromegaly.
leads to abnormally tall stature.
is associated with hypoglycemia.
is usually asymptomatic.

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