QUESTIONS AND ANSWERS PROVIDED FOR
EXAM PREPARATION 2024 UPDATE
1. When highly acidic chyme enters the duodenum, which
hormone stimulates the release of pancreatic secretions that
contains very high bicarbonate ion content?
a. gastrin
b. secretin
c. cholecystokinin
d. histamine: B
2. Which of the following is contained in pancreatic exocrine
secretions?
a. bicarbonate ion
b. hydrochloric acid
c. activated digestive enzymes
d. insulin: A
3. An alkaline environment is required in the duodenum to:
a. activate pepsinogen
b. activate intestinal and pancreatic enzymes
c. activate bile salts
d. produce mucus: B
4. The visceral peritoneum:
a. lines the abdominal wall
b. hangs from the stomach over the loops of small intestine
c. contains many pain receptors
d. forms the outer covering of the stomach and intestines
, PATHOPHYSIOLOGY QUIZ 8, STUDY
QUESTIONS AND ANSWERS PROVIDED FOR
EXAM PREPARATION 2024 UPDATE
e. covers the kidneys and bladder: D
5. Prolonged vomiting cause a state of acidosis due to:
a. catabolism of proteins and lipids
b. continued loss of gastric secretions
c. loss of pancreatic enzymes
d. retention of sodium ions and water: A
6. Which of the following would a perforated gastric ulcer likely
cause?
a. severe anemia
b. chemical peritonitis
c. severe gastric hemorrhage
d. pyloric obstruction: B
7. Following gastric resection, the onset of nausea, cramps,
and dizziness immediately after meals indicates:
a. a large volume of chyme has entered the intestines, causing
distention
b. severe hypoglycemia has developed
c. the pylorus is restricting the flow of chyme
d. bile and pancreatic secretions are irritating the small intestine:
A
8. What is the major effect when a gallstone obstructs the cystic
duct?
a. intrahepatic jaundice
, PATHOPHYSIOLOGY QUIZ 8, STUDY
QUESTIONS AND ANSWERS PROVIDED FOR
EXAM PREPARATION 2024 UPDATE
b. acute pancreatitis
c. severe colicky pain in upper right quadrant
d. inflammation and infection in the gall bladder: C
9. What causes massive inflammation and necrosis in acute
pancreatitis?
a. formation of multiple thrombi and ischemia
b. infection by intestinal microbes
c. immune complex reaction
d. activation and spread of proteolytic enzymes: D
1 0. How does chemical peritonitis and shock frequently result
from acute pancreatitis?
a. Inflammation and increased vascular permeability of the
peritoneum affect fluid balance.
b. Erosions in the intestinal wall causes release of bacteria.
c. Fat necrosis and hypocalcemia develop.
d. Secretions from the pancreas and intestine become more
acidic.: A 1 1 . Stools that are more liquid and contain
mucus, frank blood, and pus are typical of:
a. \diverticulitis
b. ulcerative colitis
c. Crohn's disease
d. celiac disease: B