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- 1. Laboratory tests that are initially run to determine thepresence o any liver disease include:a. liver enzymes only.b. viral antigens and antibodies, serum cholesterol.c. hepatitis antigens and antibodies, coagulation times,and serum proteins.d. bilirubin, liver enzymes, prothrombin time (P ), andalbumin. 2-Blockage o the bile ducts or blockage o bile ow romwithin the liver due to in ammation will stop normal bileow. T is is re erred to as:a. hepatitis.b. hepatocellular carcinoma (HCC).c. cholestasis.d. cirrhosis 3-A woman visits her physician with symptoms o jaundice,hepatic pain, and chalky-appearing stools. Lab valuesindicate elevated conjugated bilirubin, alkaline phosphatase (ALP) and γ–glutamyltrans erase (GG ). T esendings are most likely due to:a. hemolytic anemia.b. ine ective erythropoiesis.c. cholestasis due to gallstones.d. Reye syndrome. 4- type o portal hypertension seen in the majority ocases is sinusoidal hypertension, which is most commonly caused by:a. blockage o…2 Which is not a sign of severe acute pancreatitis? A Total abdominal tenderness B Courvoisier's.sign C Cullen's sign D Grey Turner's sign E Shifting duliness positiveA leukemia patient has a relative who wants to donate blood for transfusion. Which of the following donor medical conditions would prevent this? A. A history of hepatitis C five years previously B. Cholecystitis requiring cholecystectomy one year previously C. Asymptomatic diverticulosis D. Crohn's disease in remission
- A patient with a history of peptic ulcer disease (PUD) is prescribed omeprazole (Prilosec). The nurse educates the patient about the medication's action, which is to: a) Increase gastric acid secretion b) Decrease gastric acid secretion c) Enhance gastric motility d) Promote gastric mucosal healingParalytic ileus is a possible postoperative complication. To check for it, which of the following should be done? a. Administer antibiotics b. Observe and monitor patient heart rate c. Monitor renal function d. Auscultate for bowel sounds every 4 hours6)Elderly women who have been taking indomethacin for many years suddenly vomited about 300 ml of coffee like gastric content last night with upper abdominal pain.Which of the following is the most valuable for a clear diagnosis? A Emergency endoscopy B X-ray barium penetration C H2 blocker test treatment D Drinking water ultrasound E Gastric juice analysis
- ln a stable patient, the management of a complete transection of the common bile duct distal to the insertion of the cystic duct would be optimally performed with a() A) Choledochoduodenostomy B) Loop choledochojejunostomy C) Primary end-to-end anastomosis of the transected bile duct D) Roux-en-Y choledochojejunostomy E) Bridging of the injury with a T tube1. A patient who is scheduled for repair of inguinal hernia has a history of obesity, smoker’s cough and heavy lifting following a previous inguinal repair. Based on the history, the MOST likely cause for the herniation is: a.Obesity b.Intestinal obstruction c.Failure of resected muscles in previous operations to heal properly d.Chronic cough and heavy lifting 2. Warm sitz bath is prescribed three or four times a day after hemorrhoidectomy. Implementation should be delayed until at least 12 hours postoperatively to avoid inducing: a.Constipation b.Hemorrhage c.Rectal spasm d.Urinary retention05 The home care nurse visits a client who has colitis. Which medication would the nurse identify as acting directly on the intestine to slow bowel motility, or to absorb excess fluid in the bowel? A. Antiflatulence agent B. Laxative c. Suppository D. Antidiarrheal agent
