Chapter 37: Alterations in Function of the Gallbladder and Exocrine Pancreas

Chapter 37: Alterations in Function of the Gallbladder and Exocrine Pancreas

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. Normal bile is composed of
a. water, electrolytes, and organic solutes.
b. proteins.
c. bile acids.
d. phospholipids.
ANS: A
Normal bile is composed primarily of water, electrolytes, and organic solutes. Bile has a low protein content. The low amount of
protein in bile contains bile acids, pigment, cholesterol, and phospholipids. Phospholipids are part of the low protein content in bile.
REF: Pg. 742
2. Patients with acute pancreatitis are generally made NPO and may require continuous gastric suctioning in order to
a. prevent abdominal distention.
b. remove the usual stimuli for pancreatic secretion.
c. prevent hyperglycemia associated with loss of insulin secretion.
d. prevent mechanical obstruction of the intestine.
ANS: B
Conservative management is indicated for mild to moderate cases of acute pancreatitis. In general, withholding oral feedings,
providing nasogastric suction, and providing careful volume replacement with IV fluids are indicated. Gastric suctioning is not
indicated for preventing abdominal distention. Hyperglycemia is not influenced by the presence of gastric suctioning. Continuous
gastric suctioning may be used in the presence of a significant ileus.
REF: Pg. 749 | Pg. 752
3. Most gallstones are composed of
a. bile.
b. cholesterol.
c. calcium.
d. uric acid salts.
ANS: B
The majority of gallstones among patients are cholesterol stones. Cholesterol eventually precipitates from supersaturated bile. Most
gallstones are not composed of calcium. Uric acid salts are not the primary composition of gallstones.
REF: Pgs. 744-745
4. Elevated serum lipase and amylase levels are indicative of
a. gallbladder disease.
b. appendicitis.
c. pancreatitis.
d. peritonitis.
ANS: C
The laboratory evaluation of acute pancreatitis begins with measurements of serum pancreatic enzymes. Serum lipase and amylase
levels rise more or less in tandem. Elevated serum lipase and amylase levels are not indicative of gallbladder disease. Appendicitis
is not related to lipase and amylase levels. Peritonitis is not caused by elevated serum lipase or amylase levels.