Quiz
Biliary disorders
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Perguntas do quiz (30)
1How much bile does the gallbladder usually store?
- A60-100 mL
- B30-60 mL
- C20-50 mL
- D5-10 mL
2Bile leaves the ____ via the ____ duct and enters the _____ via the _____ duct.
- Aliver; hepatic; gallbladder; cystic
- Bgallbladder; cystic; liver; hepatic
- Cliver; anterior; gallbladder; cystic
- Dliver; common; gallbladder; receiving
3The two main functions of the gallbladder are to (store/produce) bile and to (concentrate/dilute) bile.
- Astore; concentrate
- Bproduce; dilute
- Cstore; dilute
- Dproduce; concentrate
4Fat enters the ________, which causes intestinal mucosa to secrete _________. This stimulates gallbladder contraction.
- Aduodenum; cholecystokinin (CCK)
- Bduodenum; motilin
- Cstomach; cholecystokinin (CCK)
- Dstomach; motilin
5Cholinergic braches of the _____ nerve mediate gallbladder contraction.
- AVagus
- BLumbar
- CThoracic
- DPhrenic
6How much bile does the liver secrete each day on average?
- A700-1200 mL
- B100-200 mL
- C800-1000 mL
- D1000-1500 mL
7Bile is an _______ substance.
- AAlkaline
- BAcidic
8What is the function of bile salts?
- ATo produce primary bile acids
- BTo emulsify and absorb fats
- CTo produce secondary bile acids
- DTo stimulate contraction of the gallbladder
9Why are gallstones harmful?
- AThey release toxins into the gallbladder, which impairs the digestive system
- BThey can be ejected from the gallbladder and become lodged in the cystic duct or anywhere in the biliary tree and obstruct the flow of bile
- CThey can travel into the stomach and disrupt the acidic environment needed to absorb fat-soluble vitamins
- DThey cause an inflammatory response in the gallbladder, which triggers the liver to abruptly stop it's production of bile
10Cholelithiasis can cause the formation of gallstones.
- AVerdadeiro
- BFalso
11Where might gallstones be found? Select all that apply.
- AHepatic duct
- BGallbladder
- CCystic duct
- DCommon bile duct
12What does it mean if a patient is diagnosed with choledocholithiasis?
- AThey have gallstones lodged in the common bile duct
- BThey have gallstones lodged in the hepatic duct
- CThey have gallstones present in the body of the gallbladder
- DThey are in what is known as a "Lithogenic" state, in which conditions favor gallstone formation
13Which type of gallstone is most common?
- ACholesterol gallstones
- BBlack pigmented gallstones
- CBrown pigmented gallstones
- DMixed stones
14Which of the following can decrease your risk of forming gallstones?
- ANuts
- BUnsaturated fat
- CInsoluble fiber
- DSaturated fat
- ERefined carbohydrates
1560-80% of people with cholelithiasis are asymptomatic.
- AVerdadeiro
- BFalso
16From the following list, select the two cardinal manifestations of cholelithiasis.
- AEpigastric and right upper quadrant pain
- BIntolerance to fatty foods
- CJaundice
- DFlatulence
- ENausea and vomiting
- FHeartburn
17Ultrasound detects gallstones in 95% of cases.
- AVerdadeiro
- BFalso
18Which form of diagnostic imaging is most useful in detecting gallstones in the common bile duct?
- AUltrasound
- BGallbladder nuclear scanning (cholescintigram)
- CEndoscopic retrograde cholangio-pancreatography (ERCP)
- DMagnetic resonance cholangio-pancreatography (MRCP)
19A combination of surgical and non-surgical treatments are recommended for both asymptomatic and symptomatic patients with gallstones.
- AVerdadeiro
- BFalso
20From the following, select all correct contraindications for a laproscopic cholecystectomy.
- Astones are in the CBD
- Bstones are in the gallbladder
- Cclient's physique does not allow access to the gallbladder
- Dstones are primarily pigmented, not cholesterol
21Patients with acute cholecystitis often present with nausea and vomiting. What is responsible for this manifestation?
- AImpulse transmitted to vomiting center from distention of bile duct
- BImpulse transmitted to vomiting center from distention of the gallbladder
- CImpulse transmitted to vomiting center from inflammation of gallbladder walls
- DBuild up of toxins, secondary to necrosis of parenchymal tissue
22A patient presents to the ER with acute pain in the supscapular region that started suddenly. The patient is also complaining of nausea, vomiting, and has a low grade fever. You suspect this patient has acute cholecystitis. Which diagnostic study will likely be done first?
- ABiliary ultrasound
- BAbdominal xray
- CMRI
- DERCP
234-8% of patients with acute cholecystitis are acalculous (no stones). From the following, select all common causes of the acute inflammation.
- ASevere burns
- BMultiple transfusions
- CBacterial sepsis
- DProlonged childbirth (postpartum period)
- EDebilitating systemic diseases (e.g. TB, CVD)
2450% of cases of acute acalculous cholecystitis have no apparent precipitating factors.
- AVerdadeiro
- BFalso
25Chronic cholecystitis is almost always associated with gallstones (95% of cases). Which of the following populations has the highest incidence of this condition?
- AMiddle-aged and older obese women
- BOlder obese men
- COlder men and women with poorly managed diabetes
- DObese children
26Which of the following statements is INCORRECT regarding gallbladder function?
- AWithin 30 minutes of eating, the gallbladder forces bile into the stomach.
- BCholinergic branches of the vagus nerve mediate gallbladder contraction.
- CCholecystokinin and motilin provide hormonal regulation of gallbladder contraction.
- DThe sphincter of Oddi controls the flow of bile from the gallbladder.
27A patient was admitted to the hospital with a diagnosis of acute cholecystitis due to cholethiasis. The client complains of severe abdominal pain, nausea, and has vomited 3 times. What is the priority nursing diagnosis for this client?
- AImbalanced nutrition: less than body requirements related to vomiting
- BDeficient fluid volume related to vomiting
- CInfection related to gallbladder inflammation
- DAcute pain related to biliary spasm
28A male client with cholelithiasis has a gallstone lodged in the common bile duct. When assessing this client, the nurse expects to note:
- Ayellow sclerae
- Blight amber urine
- Ccircumoral pallor
- Dblack, tarry stools
29Which of the following descriptions best describes Murphy's sign?
- APeriumbilical eccymosis exists
- BOn deep palpation and release, pain is elicited
- COn deep inspiration, pain is elicited and breathing stops
- DAbdominal muscles are tightened in anticipation of palpation
30Which of the following factors should be the main focus of nursing management for a client hospitalized for cholecystitis?
- AAdministration of antibiotics
- BAssessment for complications (e.g. infection, n/v, sepsis)
- CHealth teaching
- DPreparation for surgery
Informações
- Descrição
- Quiz to prep for Biliary Disorders lecture.
- Autor
- Ash Lig
- Idioma
- English
- Visualizações
- 69
- Etiquetas
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