Exam 16: Diseases of the Liver, Gallbladder, and Exocrine Pancreas

What medication is given with meals to assist with malabsorption?

Hepatitis A, the most common form of hepatitis, is generally transmitted via:

In end stages of liver disease, hepatic encephalopathy occurs Which of the following is not among the symptoms associated with this condition?

When the biliary tract is obstructed, the bile flow is interrupted What symptoms result?

SB is a 60-year-old retired sales associate.SB c/o abdominal pain, often severe, nausea, and vomiting.She then began to experience back pain and reports seeing a little oil in her stool.SB says that she is unable to eat anything because she just vomits it back up.Because of SB's persistent symptoms, she checked into the hospital and an ultrasound and CT scan was administered.SB was diagnosed with severe acute pancreatitis.SB was NPO until symptoms ceased and was given Demerol.By day 5, SB's N/V had not yet been alleviated.SB was scheduled for a nasogastric suctioning. Ht: 5'5"      Wt: 145#     UBW: 175# Dx: severe acute pancreatitis PMH: cholelithiasis s/p shock-wave lithotripsy Labs:

Ser Ca: 5 mg/dL	Amy: 122 U/L	Alb: 3.0 g/dL	Hct: 34%
Mg: 1.4 mEq/L	Lip: 65 U/L	Transferrin: 210 mg/dL	Hb: 12.3
TG: 387 mg/dL

Meds: Demerol Diet: NPO -SB has now progressed to chronic pancreatitis and is malabsorbing fat The registered dietitian has decided to initiate PN In his/her calculations for the PN prescription, how much fat should the dietitian recommend?

Jaundice is usually caused by which of the following?

Major complications that are associated with cirrhosis include all of the following except:

SB is a 60-year-old retired sales associate.SB c/o abdominal pain, often severe, nausea, and vomiting.She then began to experience back pain and reports seeing a little oil in her stool.SB says that she is unable to eat anything because she just vomits it back up.Because of SB's persistent symptoms, she checked into the hospital and an ultrasound and CT scan was administered.SB was diagnosed with severe acute pancreatitis.SB was NPO until symptoms ceased and was given Demerol.By day 5, SB's N/V had not yet been alleviated.SB was scheduled for a nasogastric suctioning. Ht: 5'5"      Wt: 145#     UBW: 175# Dx: severe acute pancreatitis PMH: cholelithiasis s/p shock-wave lithotripsy Labs:

Ser Ca: 5 mg/dL	Amy: 122 U/L	Alb: 3.0 g/dL	Hct: 34%
Mg: 1.4 mEq/L	Lip: 65 U/L	Transferrin: 210 mg/dL	Hb: 12.3
TG: 387 mg/dL

Meds: Demerol Diet: NPO -What would be the best way to feed her?

The overall 5-year patient survival rate for a liver transplant is _____

When glucose levels fall, the liver also produces additional glucose through the conversion of amino acids to glucose, which is called _____

Wernicke-Korsakoff syndrome is associated with excessive alcohol intake and a deficiency of which of the following vitamins?

All of the following are pathways in the liver that metabolize alcohol except _____

Theoretically, it is thought that certain types of amino acids are better utilized in hepatic encephalopathy Which amino acids are recommended to be avoided when the client is potentially encephalopathic?

Nonalcoholic fatty liver disease is mostly related to which of the following conditions?

Case Study JB is a 53 yo male who was recently divorced.He has experienced periods of depression and decreased appetite.Family reports history of heavy drinking habits and 15# weight lost.He was previously diagnosed with cirrhosis and portal hypertension and paracentesis and TIPS procedures were performed.Mr.JB's condition seems to have worsened; he c/o stomach pains, nausea, and vomiting at times.His abdomen is sore to touch and feels swollen.Mr.JB has developed ascites and pedal edema; his urinary output has decreased and he continues to lose weight.Mr.JB also c/o pain when swallowing food.Because of JB's persistent symptoms, he's been admitted to the hospital. A referral to the SLP for a MBS was also ordered and resulted in dysphagia, pureed diet recommended.By day 2 Mr.JB still c/o of nausea and no po intake has been reported.The MD rx'd dietary consult: RD to assess patient and recommend alternate means of nutrition support, currently NPO. Ht: 5'11''      Wt: 145#       UBW: 163# Dx: End-stage liver cirrhosis, dysphagia PMH: alcoholic cirrhosis, portal hypertension Labs:

Na: 134	Cl: 101	BUN: 4	Alb: 2.3	TG: 305	Transferrin: 101	NH4: 53
Glu: 139	AST: 45	ALT 48	Alk Phos: 40	Billirubin: 2.1
K: 5.2	CO2	Cr: 1.8	H/H: 11/35

Diet: NPO Meds: Neomycin, Aldactone, Lasix, Reglan -How will the registered dietitian determine JB's protein needs?

Pancreatitis is characterized by all of the following except _____

The most common sign of folate deficiency is:

A chronic liver disease in which healthy tissue is replaced by scar tissue is known as which of the following?

The _____ store(s) bile that is produced in the liver

An appropriate recommendation for a patient with chronic cholecystitis is to: