CGRN Hepatobiliary and Pancreatic Disorders 3

Question 1

Which endoscopic procedure is used to treat acute gallstone pancreatitis complicated by cholangitis?

Accepted Answer

ERCP with sphincterotomy and stone extraction

Answer

ERCP with sphincterotomy and stone extraction within 24-72 hours is the standard of care for gallstone pancreatitis complicated by cholangitis or persistent biliary obstruction.

Question 2

A patient with known Wilson's disease presents with neuropsychiatric symptoms and liver disease. Which finding on slit-lamp exam confirms the diagnosis?

Accepted Answer

Kayser-Fleischer rings

Answer

Kayser-Fleischer rings are golden-brown copper deposits in Descemet's membrane of the cornea, seen in nearly all Wilson's disease patients with neurological involvement.

Question 3

A nurse is preparing a patient for endoscopic ultrasound (EUS)-guided drainage of a pancreatic pseudocyst. Which nursing assessment is most important pre-procedure?

Accepted Answer

Verify NPO status and review coagulation parameters including INR and platelet count

Answer

EUS-guided drainage is an invasive procedure requiring adequate NPO status to minimize aspiration risk and normal coagulation to prevent bleeding complications.

Question 4

Which condition is most strongly associated with the development of primary sclerosing cholangitis (PSC)?

Accepted Answer

Ulcerative colitis

Answer

Approximately 70-80% of PSC patients have concurrent ulcerative colitis, making it the strongest associated inflammatory bowel disease condition.

Question 5

A patient with hemochromatosis is found to have a serum ferritin of 2,800 ng/mL and transferrin saturation of 72%. What is the first-line treatment?

Accepted Answer

Therapeutic phlebotomy weekly until ferritin < 50 ng/mL

Answer

Therapeutic phlebotomy is the cornerstone treatment for hereditary hemochromatosis, removing approximately 250 mg of iron per unit of blood until ferritin is normalized to below 50 ng/mL.

CGRN - Certified Gastroenterology Registered Nurse Practice Test

CGRN - Certified Gastroenterology Registered Nurse Practice Test

CGRN Hepatobiliary and Pancreatic Disorders 3