A laboratory finding that would help confirm the diagnosis of hyperaldosteronism is
hypokalemia.
A thyroid gland that grows larger than normal is known as
goiter.
Premature infants are at greater risk for developing
necrotizing enterocolitis.
Celiac sprue is a malabsorptive disorder associated with
inflammatory reaction to gluten-containing foods.
Insulin binding to its receptor on target cells results in
increased facilitated cellular diffusion of glucose
Steatohepatitis is caused by an accumulation of ________ in the liver cells.
fat.
A patient who should be routinely evaluated for peptic ulcer disease is one who is
being treated with high-dose oral glucocorticoids
Chronic pancreatitis may lead to
diabetes mellitus.
Pathophysiologically, esophageal varices can be attributed to
portal hypertension
A patient presenting with muscle cramps, fatigue, anxiety, depression, and prolonged Q-T intervals on EKG may be showing symptoms of
hypoparathyroidism.
Fecal leukocyte screening would be indicated in a patient with suspected
enterocolitis.
The underlying pathogenic mechanism for type 2 diabetes is
insulin resistance and β-cell dysfunction
Jaundice is a common manifestation of
liver disease.
A tumor which results in excessive production and release of catecholamines is
pheochromocytoma.
A viral hepatitis screen with positive hepatitis B surface antigen (HBsAg) should be interpreted as ________ hepatitis B.
acute
Radioactive iodine treatment is the therapy of choice in patients with Graves disease. The patient should be expected to
need lifelong thyroid replacement therapy.
Rupture of esophageal varices is a complication of cirrhosis with portal hypertension and carries a high ________ rate.
mortality
Patients with acute pancreatitis are generally made NPO and may require continuous gastric suctioning in order to
remove the usual stimuli for pancreatic secretion.
Brain injury secondary to high serum bilirubin is called
kernicterus.
The definitive treatment for cholecystitis is
cholecystectomy.
Propylthiouracil may be used to treat hyperthyroidism, because it
inhibits thyroid hormone synthesis.
Congenital adrenal hyperplasia (adrenogenital syndrome) results from
blocked cortisol production
Acute right lower quadrant pain associated with rebound tenderness and systemic signs of inflammation are indicative of
appendicitis
Epigastric pain that is relieved by food is suggestive of
gastric ulcer
_______ is the most powerful predictor of developing type 2 diabetes mellitus.
Obesity
________ disease is a rare autosomal recessive disorder in which excessive amounts of copper accumulate in the liver.
Wilson
A type of insulin that would be most appropriate for acute management of hyperglycemia is
regular.
More than half of the initial cases of pancreatitis are associated with
alcoholism
A patient with a history of alcoholism presents with hematemesis and profound anemia. The expected diagnosis is
gastroesophageal varices.
Calcitonin is produced by thyroid parafollicular cells and increases bone formation by
osteoblasts.
An increased urine bilirubin is associated with
hepatitis.
A patient being treated for hepatic encephalopathy could be expected to receive a(n) ________ diet.
low-protein and high-fiber
Normal bile is composed of
water, electrolytes, and organic solutes.
Diabetic neuropathy is thought to result from
decreased myoinositol transport.
Hepatic encephalopathy is associated with
increased blood ammonia levels.
Growth hormone-deficient infants would display
normal birth length and weight.
The breakdown of stored glycogen in the liver and muscles is called
glycogenolysis.
A clinical finding consistent with a diagnosis of syndrome of inappropriate ADH secretion (SIADH) is
hyponatremia.
Hepatitis B is usually transmitted by exposure to
blood or semen.
Liver transaminase elevations in which aspartate aminotransferase (AST) is markedly greater than alanine aminotransferase (ALT) is characteristic of
alcohol-induced injury
Diabetes mellitus is the ________ leading cause of death and a major cause of disability in the United States.
seventh
A patient reporting vision changes, photophobia, and lid lag may be exhibiting signs of
Graves disease.
It is true that Graves disease is
associated with autoantibodies to TSH receptors.
What indicator is most helpful in evaluating long-term blood glucose management in patients with diabetes mellitus?
Glycosylated hemoglobin levels (HbA1c)
It is true that the synthesis of thyroid hormones
is inhibited by iodine deficiency.
It is true that growth hormone in excess in adults:
Results in the condition of acromegaly
A clinical finding that is consistent with a diagnosis of adrenocortical insufficiency is
hypoglycemia.
A clinical finding consistent with a hypoglycemic reaction is
tremors.
Myxedema coma is a severe condition associated with
hypothyroidism.
The most common causes of prehepatic jaundice are ________ and ineffective erythropoiesis.
hemolysis
Which symptom suggest the presence of a hiatal hernia?
Heartburn
An early indicator of colon cancer is
a change in bowel habits
What clinical finding would suggest an esophageal cause of a client's report of dysphagia?
chest pain during meals
A patient with chronic gastritis would likely be tested for
H. Pylori
Barrett esophagus is a
preneoplastic lesion
What finding would rule out a diagnosis of IBS in a patient with chronic diarrhea?
bloody stools
A patient receiving chemotherapy may be at a greater risk for development of
stomatits
Most gallstones are composed of
cholesterol.
Proton pump inhibitors may be used in the management of peptic ulcer disease to
decrease hydrochloric acid (HCl) secretion.
A patient with pancreatitis may experience muscle cramps secondary to
hypocalcemia.
A biliary cause of acute pancreatitis is suggested by an elevation in which serum laboratory results?
Alkaline phosphatase
Elevated serum lipase and amylase levels are indicative of
pancreatitis.
What finding should prompt further diagnostic testing in a child presenting with diarrhea?
Blood and mucus in the stools
The underlying pathogenic mechanism for type 1 diabetes is
pancreatic alpha-cell destruction.
Type 2 diabetes mellitus is often associated with
nonketotic hyperosmolality
The American Diabetes Association recommends a postprandial blood glucose level of ________ mg/dl for adults with diabetes
less than 180
A patient admitted with bleeding related to esophageal varices could be expected to receive a continuous intravenous infusion of
octreotide acetate.
An infusion of mannitol would be prescribed to treat
cerebral edema.
Antidiuretic hormone (ADH) increases
water reabsorption in the collecting tubule of the kidney.
Myxedema coma is a severe condition associated with
hypothyroidism.
Which response to an injection of ACTH indicates a primary adrenal insufficiency?
No change in serum glucocorticoid level
Congenital adrenal hyperplasia (adrenogenital syndrome) results from
blocked cortisol production.
The pain associated with chronic pancreatitis is generally described as ________ in nature.
steady and boring
What indicator is most helpful in evaluating long term blood glucose management in patients with diabetes mellitus?
glycosylated hemoglobin levels
Which are clinical findings usually associated with type 1 diabetes mellitus
Polyuris, Polydipsia, Polyphaga
An increase in ADH secretion occurs in response to
dehydration
Surgical removal of a gland may result in
hyposecretion.
The finding of hypotension, rigid abdomen, and absent bowel sounds in a patient with pancreatitis
indicates peritonitis with substantial risk for sepsis and shock
It is true that gallstones are
more common in women.
What effect would adrenocortical insufficiency have on an individual’s response to surgical stress?
More prone to hypotension
Clinical manifestations of Graves disease may include
tremor
The formation of active vitamin D
is impaired in renal failure.
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
hyperglycemia.
Dumping syndrome is commonly seen after __________ procedures.
gastric bypass
Diabetes insipidus is a condition that
results from inadequate ADH secretion.
The most common causes of prehepatic jaundice are ________ and ineffective erythropoiesis.
hemolysis
Aldosterone secretion is regulated by the presence of ________ in the circulation.
angiotensin II