Question 1

A benign primary liver neoplasm originating in hepatocytes is known as a/an _______.

Accepted Answer

A)  fibroma 
B)  adenoma 
C)  hemangioma 
D)  cholangioma 
A)  fibroma 
B)  adenoma 
C)  hemangioma 
D)  cholangioma B

Question 2

The home health physical therapist assistant (PTA)is currently treating a patient with a diagnosis of hepatic encephalopathy.The patient reports that yesterday he had unusual black/tarry stools.What should the PTA do after learning this information?

Accepted Answer

A)  proceed with treatment 
B)  decrease intensity of treatment 
C)  contact the referring physician/supervising physical therapist 
D)  increase intensity of treatment 
A)  proceed with treatment 
B)  decrease intensity of treatment 
C)  contact the referring physician/supervising physical therapist 
D)  increase intensity of treatment C

Question 3

Which of the following is not a sign of drug-related hepatotoxicity?

Accepted Answer

A)  complaints of fatigue 
B)  light-colored urine 
C)  jaundice 
D)  right upper quadrant pain or discomfort 
A)  complaints of fatigue 
B)  light-colored urine 
C)  jaundice 
D)  right upper quadrant pain or discomfort B

Question 4

Which of the following is not a symptom associated with acute cholangitis and Charcot's triad?

Accepted Answer

A)  pain 
B)  fever 
C)  jaundice 
D)  nausea 
A)  pain 
B)  fever 
C)  jaundice 
D)  nausea

Question 5

Which condition/dysfunction is not associated with jaundice?

Accepted Answer

A)  blood transfusion 
B)  excessive drug intake 
C)  alcohol-related hepatitis 
D)  rheumatoid arthritis 
A)  blood transfusion 
B)  excessive drug intake 
C)  alcohol-related hepatitis 
D)  rheumatoid arthritis

Question 6

The PTA is providing intervention for a patient in the hospital diagnosed with acute pancreatitis.The patient asks the PTA what positions may relieve the abdominal pain.Which of the following is incorrect advice to give this patient?

Accepted Answer

A)  Lean forward while sitting. 
B)  Sit straight up. 
C)  Use the spine position with the legs extended. 
D)  Lie on the left side in a fetal-flexed position. 
A)  Lean forward while sitting. 
B)  Sit straight up. 
C)  Use the spine position with the legs extended. 
D)  Lie on the left side in a fetal-flexed position.

Question 7

One of the first symptoms of liver cirrhosis could be which of the following?

Accepted Answer

A)  swelling of the belly 
B)  bilateral swelling of the bilateral feet and ankles 
C)  bilateral swelling of the bilateral hands 
D)  complaints of left shoulder pain 
A)  swelling of the belly 
B)  bilateral swelling of the bilateral feet and ankles 
C)  bilateral swelling of the bilateral hands 
D)  complaints of left shoulder pain

Question 8

Decerebrate posturing is indicative of what stage of hepatic encephalopathy?

Accepted Answer

A)  stage I 
B)  stage II 
C)  stage III 
D)  stage IV 
A)  stage I 
B)  stage II 
C)  stage III 
D)  stage IV

Question 9

Where is the site of referred pain from the hepatic and biliary systems?

Accepted Answer

A)  right hip 
B)  left hip 
C)  right shoulder 
D)  left shoulder 
A)  right hip 
B)  left hip 
C)  right shoulder 
D)  left shoulder

Question 10

What type of hepatitis is least likely to advance to chronic hepatitis or cirrhosis?

Accepted Answer

A)  hepatitis A 
B)  hepatitis B 
C)  hepatitis C 
D)  hepatitis D 
A)  hepatitis A 
B)  hepatitis B 
C)  hepatitis C 
D)  hepatitis D

Question 11

Why is the liver one of the most common sites of metastases from other primary cancers?

Accepted Answer

A)  Bile attracts cancer cells. 
B)  Gastrointestinal fluids are made in the liver. 
C)  The liver is a central organ. 
D)  The liver filters all blood. 
A)  Bile attracts cancer cells. 
B)  Gastrointestinal fluids are made in the liver. 
C)  The liver is a central organ. 
D)  The liver filters all blood.

Question 12

What is the most common location of obstruction by gall stones?

Accepted Answer

A)  cystic duct 
B)  tail of pancreas 
C)  duct of Wirsung 
D)  common bile duct 
A)  cystic duct 
B)  tail of pancreas 
C)  duct of Wirsung 
D)  common bile duct

Question 13

Flapping tremor can be observed in several conditions.Which of the following conditions is not normally associated with flapping tremor?

Accepted Answer

A)  diabetes 
B)  liver failure 
C)  respiratory failure 
D)  heart failure 
A)  diabetes 
B)  liver failure 
C)  respiratory failure 
D)  heart failure

Question 14

What type of hepatitis does not have a vaccine available?

Accepted Answer

A)  hepatitis A 
B)  hepatitis B 
C)  hepatitis C 
D)  hepatitis D 
A)  hepatitis A 
B)  hepatitis B 
C)  hepatitis C 
D)  hepatitis D

Question 15

After diagnosis of viral hepatitis,the affected individual should avoid alcohol and over-the-counter drugs for how long?

Accepted Answer

A)  at least 1 month 
B)  at least 6 months 
C)  at least 1 year 
D)  at least 5 years 
A)  at least 1 month 
B)  at least 6 months 
C)  at least 1 year 
D)  at least 5 years

Question 16

The PTA is beginning intervention for a patient in the inpatient setting.The patient is diagnosed with ascites secondary to liver cirrhosis.What is the most effective treatment option for this patient?

Accepted Answer

A)  liver transplant 
B)  antibiotics 
C)  sodium restriction 
D)  diuretic use 
A)  liver transplant 
B)  antibiotics 
C)  sodium restriction 
D)  diuretic use

Question 17

In men,how many alcoholic drinks per day over a 5-year period can lead to liver disease?

Accepted Answer

A)  1 
B)  2 
C)  4 
D)  7 
A)  1 
B)  2 
C)  4 
D)  7

Question 18

Which of the following is true regarding aging and the hepatic system?

Accepted Answer

A)  The liver increases in size and weight with advancing age. 
B)  There is increased blood flow to the liver as we age. 
C)  Aging has little effect on the gall bladder size or function. 
D)  The pancreas will increase in size as we age. 
A)  The liver increases in size and weight with advancing age. 
B)  There is increased blood flow to the liver as we age. 
C)  Aging has little effect on the gall bladder size or function. 
D)  The pancreas will increase in size as we age.

Question 19

What type of cancer has the lowest 5-year survival rate?

Accepted Answer

A)  hepatic cancer 
B)  pancreatic cancer 
C)  lung cancer 
D)  Hodgkin's lymphoma 
A)  hepatic cancer 
B)  pancreatic cancer 
C)  lung cancer 
D)  Hodgkin's lymphoma

Question 20

What organ stores and concentrates bile?

Accepted Answer

A)  liver 
B)  pancreas 
C)  gall bladder 
D)  stomach 
A)  liver 
B)  pancreas 
C)  gall bladder 
D)  stomach

Exam 12: The Hepatic, Pancreatic, and Biliary Systems

A benign primary liver neoplasm originating in hepatocytes is known as a/an _______.

The home health physical therapist assistant (PTA)is currently treating a patient with a diagnosis of hepatic encephalopathy.The patient reports that yesterday he had unusual black/tarry stools.What should the PTA do after learning this information?

Which of the following is not a sign of drug-related hepatotoxicity?

Which of the following is not a symptom associated with acute cholangitis and Charcot's triad?

Which condition/dysfunction is not associated with jaundice?

The PTA is providing intervention for a patient in the hospital diagnosed with acute pancreatitis.The patient asks the PTA what positions may relieve the abdominal pain.Which of the following is incorrect advice to give this patient?

One of the first symptoms of liver cirrhosis could be which of the following?

Decerebrate posturing is indicative of what stage of hepatic encephalopathy?

Where is the site of referred pain from the hepatic and biliary systems?

What type of hepatitis is least likely to advance to chronic hepatitis or cirrhosis?

Why is the liver one of the most common sites of metastases from other primary cancers?

What is the most common location of obstruction by gall stones?

Flapping tremor can be observed in several conditions.Which of the following conditions is not normally associated with flapping tremor?

What type of hepatitis does not have a vaccine available?

After diagnosis of viral hepatitis,the affected individual should avoid alcohol and over-the-counter drugs for how long?

The PTA is beginning intervention for a patient in the inpatient setting.The patient is diagnosed with ascites secondary to liver cirrhosis.What is the most effective treatment option for this patient?

In men,how many alcoholic drinks per day over a 5-year period can lead to liver disease?

Which of the following is true regarding aging and the hepatic system?

What type of cancer has the lowest 5-year survival rate?

What organ stores and concentrates bile?

Introduction to Concepts of Pathology

Problems Affecting Multiple Systems

Injury, Inflammation, and Healing

The Immune System

Infectious Disease

Oncology

The Integumentary System

The Endocrine and Metabolic Systems

The Cardiovascular System

The Hematologic System

The Respiratory System

Introduction to Pathology of the Musculoskeletal System

Genetic and Developmental Disorders

Infectious Diseases of the Musculoskeletal System

Musculoskeletal Neoplasms

Bone, Joint, and Soft Tissue Diseases and Disorders

Introduction to Central Nervous System Disorders

Infectious Disorders of the Central Nervous System

Degenerative Diseases of the Central Nervous System

Stroke

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Cerebral Palsy

The Peripheral Nervous System

Behavioral, Social, and Environmental Factors Contributing to Disease and Dysfunction

The Psychosocial-Spiritual Impact on Health Care

Environmental and Occupational Medicine

The Gastrointestinal System

The Renal and Urologic Systems

Central Nervous System Neoplasms

Epilepsy

Headache

The Male Genital or Reproductive System

The Female Genital or Reproductive System

Vestibular Disorders

Laboratory Tests and Values

Filters