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

Risk factors for gallstone formation include all of the following except

A. Female gender

B. Cystic fibrosis

C. Gastritis

D. Obesity

C. Gastritis

Patients with acute pancreatitis are closely monitored for the development of the potentially lethal complication of

A. Pancreatic rupture

B. Circulatory shock

C. Cardiac dysrhythmias

D. Stroke

B. Circulatory shock

Like acute pancreatitis, the development of chronic pancreatitis is most frequently associated with

A. Biliary disease

B. Diabetes

C. Alcohol abuse

D. Malnutrition

C. Alcohol abuse

A gallbladder attack is most often characterized by

A. Left upper quadrant pain

B. Pain recurring in 5-10 minute cycles

C. Pain with nausea and bloating

D. Steatorrhea

C. Pain with nausea and bloating

Chronic pancreatitis can result in all of the following except

A. Malabsorption

B. Diabetes mellitus

C. Inflammatory bowel disease

D. Pseudocyst formation

C. Inflammatory bowel disease

Chronic pancreatitis disrupts the organ's exocrine functions. Therapy for this condition involves digestive enzyme supplementation and

A. A low-fat diet

B. Insulin replacement

C. Glucagon supplementation

D. Fat-soluble vitamins

A. A low-fat diet

The pancreas has both endocrine and exocrine functions. Approximately how much of the mass of the pancreas is dedicated to exocrine function?

A. 5%

B. 25%

C. 75%

D. 95%

D. 95%

The primary hormone for stimulating secretion from the exocrine pancreas during a meal is

A. Cholecystokinin

B. Gastrin

C. Secretin

D. Insulin

C. Secretin

Patients can have cholelithiasis but remain asymptomatic.

True

Elevated serum amylase and lipase are characteristic of acute pancreatitis.

True

Patients can develop cholecystitis without having gallstone present.

True

The best diagnostic test for acute pancreatitis is an abdominal X-ray.

False

Gallbladder disease is usually treated by removal of the gallbladder.

True

In patients with chronic pancreatitis, therapeutic interventions include pain management.

True

Exiting the gallbladder, bile first travels through the __________ duct to join the ______ duct and form the _________ duct.

Cystic; Hepatic; Common bile

Gallstone formation is enhanced by _______ of bile.

Stasis or hypomotility

As an endocrine organ, the pancreas secretes ___________, __________, and ____________ into the bloodstream.

Insulin, Glucagon, Somatostatin (or amylin)

Most gallstones are made of _________.

Cholesterol

Patients who are unable to tolerate cholecystectomy may be treated with _______ or ________.

Lithotripsy, Chemodissolution

In pancreatitis, digestive enzymes released into pancreatic tissues are activated and the resulting process is called ___________.

Autodigestion

Approximately _______% of patients with acute cholecystitis have gall stones.

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