The Pancreas- Surgical Diseases 4th Year- PMU

Beschreibung

The Pancreas- Surgical Diseases
Med Student
Quiz von Med Student , aktualisiert more than 1 year ago
Med Student
Erstellt von Med Student vor mehr als 5 Jahre
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6

Zusammenfassung der Ressource

Frage 1

Frage
Flash cards are at https://quizlet.com/_6rw0ko
Antworten
  • True
  • False

Frage 2

Frage
Which pancreatic enzyme has a leading role in the pathophysiology of the acute pancreatitis?
Antworten
  • amylase
  • trypsin
  • elastase
  • gastrin
  • phospholipase

Frage 3

Frage
Which is the most severe form of the acute pancreatitis
Antworten
  • edematous
  • catarrhal
  • phlegmonous
  • gangrenous
  • necrotizing

Frage 4

Frage
More than 75% of cases of the acute pancreatitis are attributable to
Antworten
  • Viral or bacterial infection
  • Hypercalcemia
  • Hyperlipidemia and obesity
  • NSAIDs and opioid analgetics
  • Gall stones and alcohol

Frage 5

Frage
What kind of operative treatment Is recommended to the patients with several episodes of acute pancreatitis and gall-stone disease?
Antworten
  • cholecystectomy
  • pancreatectomy
  • cholecystogastrostomy
  • colostomy
  • appendicectomy

Frage 6

Frage
What are the cardinal clinical symptoms of the acute pancreatitis?
Antworten
  • malaise and fatigue
  • fever and chills
  • paraumbilical pain and vomiting
  • chest pain and dyspnea
  • epigastric pain and diarrhea

Frage 7

Frage
What is the type of the pain of the acute pancreatitis?
Antworten
  • crampy
  • constant
  • remittent
  • migrating
  • none of the above

Frage 8

Frage
Grey Turner and Cullen’s. signs (flank and periumbilical ecchymosis) are associated with severe pancreatitis and both are indicative of
Antworten
  • mesenteric thrombosis
  • steatonecrosis
  • retroperitoneal bleeding
  • infected ascites
  • pseudocyst of the pancreas

Frage 9

Frage
Which of the following is the most important imaging test for diagnosing acute pancreatitis?
Antworten
  • CT scan
  • Ultrasonography
  • Plain abdominal X-ray
  • PET-CT
  • Doppler ultrasound

Frage 10

Frage
Which of the following is the most specific blood-test enzyme for the acute pancreatitis?
Antworten
  • amylase
  • gamma glutamyl transferase (GGT)
  • lipase
  • lactate dehydrogenase (LDH)
  • alkaline phosphatase (ALP)

Frage 11

Frage
The initial management of the acute pancreatitis starts with
Antworten
  • Fluid resuscitation and analgesics
  • Antipyretics and antibiotics
  • H2 blockers and PPIs
  • Blood and plasma transfusion
  • Corticosteroids

Frage 12

Frage
In which of the following cases the surgical treatment is indicated for acute pancreatitis?
Antworten
  • significant necrosis of the pancreas and peripancreatic retroperitoneal space
  • infection of the pancreatic and parapancreatic necrosis
  • biliary pancreatitis with stones in the common bile duct
  • pancreatic hemorrhage
  • all of the above

Frage 13

Frage
What distinguishes pancreatic pseudocysts from true pancreatic cysts?
Antworten
  • pseudocysts have smaller size
  • pseudocysts don’t have epithelium-lined walls
  • pseudocysts are always infected
  • pseudocysts communicate with other organs
  • all of the above

Frage 14

Frage
The most common symptom of the carcinoma of the head of the pancreas is
Antworten
  • fever
  • abdominal pain
  • vomiting
  • constipation
  • jaundice

Frage 15

Frage
How is it called the surgical operation for a carcinoma of the head and the body of the pancreas (also known as pancreaticoduodenectomy)?
Antworten
  • Hartmann operation
  • Whipple operation
  • Ivor-Lewis operation
  • Wertheim-Meigs operation
  • Billroth operation

Frage 16

Frage
In which endocrine pancreatic neoplasm is observed the Zollinger-Ellison syndrome (severe and often multiple peptic ulcerations)?
Antworten
  • Somatostatinoma
  • Insulinoma
  • Glucagonoma
  • VIPoma
  • Gastrinoma
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