Author Question: A 48-year-old woman has been diagnosed with extrahepatic cholestasis following a thorough history, ... (Read 74 times)

rachel9 · **on:** Jun 25, 2018

A 48-year-old woman has been diagnosed with extrahepatic cholestasis following a thorough history, ultrasound, and blood work.

Which of the following symptoms most likely caused her to seek medical treatment, and what consequence to her health problem would the medical team anticipate?
A)
Complaints of lower flank pain with consequences of impaired fat metabolism
B)
Anorexia with consequences of impaired drug metabolism and blood filtration
C)
Skin xanthomas (focal accumulations of cholesterol) with consequences of increased risk of bleeding due to deficient clotting factors
D)
Pruritus with consequences of deficient levels of fat-soluble vitamins

Question 2

Which of the following clients would be most reasonably expected to have the highest basal metabolic rate (BMR), assuming none is obese or malnourished?

A)
A 22-year-old man, 69 inches tall, who has a sedentary lifestyle
B)
A 47-year-old woman, 65 inches tall, who swims 1 mile four times a week
C)
A 29-year-old woman, 61 inches tall, who is pregnant and on bed rest
D)
A 60-year-old man, 72 inches tall, who is recovering from heart surgery

Laurenleakan · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
D

Feedback:

Pruritus is the most common symptom of cholestasis, and deficiencies in fat-soluble vitamins such as A, D, and K are frequent. Flank pain is not a noted complaint, and bile does not contribute to drug metabolism, blood filtration, or clotting factor production.

Answer to Question 2

Ans:
D

Feedback:

Although age, sex, physical state, and pregnancy are contributing factors, variations in BMR among individuals are chiefly related to skeletal muscle mass and body size. Therefore, regardless of health and fitness status, the tallest and heaviest person in any sample will probably have the highest BMR.