18360696
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Quiz von Med Student , aktualisiert more than 1 year ago
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Erstellt von Med Student
vor etwa 5 Jahre
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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
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amylase
-
trypsin
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elastase
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gastrin
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phospholipase
Frage 3
Frage
Which is the most severe form of the acute pancreatitis
Antworten
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edematous
-
catarrhal
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phlegmonous
-
gangrenous
-
necrotizing
Frage 4
Frage
More than 75% of cases of the acute pancreatitis are attributable to
Antworten
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Viral or bacterial infection
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Hypercalcemia
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Hyperlipidemia and obesity
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NSAIDs and opioid analgetics
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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
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cholecystectomy
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pancreatectomy
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cholecystogastrostomy
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colostomy
-
appendicectomy
Frage 6
Frage
What are the cardinal clinical symptoms of the acute pancreatitis?
Antworten
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malaise and fatigue
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fever and chills
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paraumbilical pain and vomiting
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chest pain and dyspnea
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epigastric pain and diarrhea
Frage 7
Frage
What is the type of the pain of the acute pancreatitis?
Antworten
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crampy
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constant
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remittent
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migrating
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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
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mesenteric thrombosis
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steatonecrosis
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retroperitoneal bleeding
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infected ascites
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pseudocyst of the pancreas
Frage 9
Frage
Which of the following is the most important imaging test for diagnosing acute pancreatitis?
Antworten
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CT scan
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Ultrasonography
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Plain abdominal X-ray
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PET-CT
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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)
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lipase
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lactate dehydrogenase (LDH)
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alkaline phosphatase (ALP)
Frage 11
Frage
The initial management of the acute pancreatitis starts with
Antworten
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Fluid resuscitation and analgesics
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Antipyretics and antibiotics
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H2 blockers and PPIs
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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
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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
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pseudocysts have smaller size
-
pseudocysts don’t have epithelium-lined walls
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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
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fever
-
abdominal pain
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vomiting
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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
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Hartmann operation
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Whipple operation
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Ivor-Lewis operation
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Wertheim-Meigs operation
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Billroth operation
Frage 16
Frage
In which endocrine pancreatic neoplasm is observed the Zollinger-Ellison syndrome (severe and often multiple peptic ulcerations)?
Antworten
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Somatostatinoma
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Insulinoma
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Glucagonoma
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VIPoma
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Gastrinoma
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