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The Pancreas- Surgical Diseases

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The Pancreas- Surgical Diseases 4th Year- PMU

Question 1 of 16

1

Flash cards are at
https://quizlet.com/_6rw0ko

Select one of the following:

  • True
  • False

Explanation

Question 2 of 16

1

Which pancreatic enzyme has a leading role in the pathophysiology of the acute pancreatitis?

Select one of the following:

  • amylase

  • trypsin

  • elastase

  • gastrin

  • phospholipase

Explanation

Question 3 of 16

1

Which is the most severe form of the acute pancreatitis

Select one of the following:

  • edematous

  • catarrhal

  • phlegmonous

  • gangrenous

  • necrotizing

Explanation

Question 4 of 16

1

More than 75% of cases of the acute pancreatitis are attributable to

Select one of the following:

  • Viral or bacterial infection

  • Hypercalcemia

  • Hyperlipidemia and obesity

  • NSAIDs and opioid analgetics

  • Gall stones and alcohol

Explanation

Question 5 of 16

1

What kind of operative treatment Is recommended to the patients with several episodes of acute pancreatitis and gall-stone disease?

Select one of the following:

  • cholecystectomy

  • pancreatectomy

  • cholecystogastrostomy

  • colostomy

  • appendicectomy

Explanation

Question 6 of 16

1

What are the cardinal clinical symptoms of the acute pancreatitis?

Select one of the following:

  • malaise and fatigue

  • fever and chills

  • paraumbilical pain and vomiting

  • chest pain and dyspnea

  • epigastric pain and diarrhea

Explanation

Question 7 of 16

1

What is the type of the pain of the acute pancreatitis?

Select one of the following:

  • crampy

  • constant

  • remittent

  • migrating

  • none of the above

Explanation

Question 8 of 16

1

Grey Turner and Cullen’s. signs (flank and periumbilical ecchymosis) are associated with severe pancreatitis and both are indicative of

Select one of the following:

  • mesenteric thrombosis

  • steatonecrosis

  • retroperitoneal bleeding

  • infected ascites

  • pseudocyst of the pancreas

Explanation

Question 9 of 16

1

Which of the following is the most important imaging test for diagnosing acute pancreatitis?

Select one of the following:

  • CT scan

  • Ultrasonography

  • Plain abdominal X-ray

  • PET-CT

  • Doppler ultrasound

Explanation

Question 10 of 16

1

Which of the following is the most specific blood-test enzyme for the acute pancreatitis?

Select one of the following:

  • amylase

  • gamma glutamyl transferase (GGT)

  • lipase

  • lactate dehydrogenase (LDH)

  • alkaline phosphatase (ALP)

Explanation

Question 11 of 16

1

The initial management of the acute pancreatitis starts with

Select one of the following:

  • Fluid resuscitation and analgesics

  • Antipyretics and antibiotics

  • H2 blockers and PPIs

  • Blood and plasma transfusion

  • Corticosteroids

Explanation

Question 12 of 16

1

In which of the following cases the surgical treatment is indicated for acute pancreatitis?

Select one of the following:

  • 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

Explanation

Question 13 of 16

1

What distinguishes pancreatic pseudocysts from true pancreatic cysts?

Select one of the following:

  • pseudocysts have smaller size

  • pseudocysts don’t have epithelium-lined walls

  • pseudocysts are always infected

  • pseudocysts communicate with other organs

  • all of the above

Explanation

Question 14 of 16

1

The most common symptom of the carcinoma of the head of the pancreas is

Select one of the following:

  • fever

  • abdominal pain

  • vomiting

  • constipation

  • jaundice

Explanation

Question 15 of 16

1

How is it called the surgical operation for a carcinoma of the head and the body of the pancreas (also known as pancreaticoduodenectomy)?

Select one of the following:

  • Hartmann operation

  • Whipple operation

  • Ivor-Lewis operation

  • Wertheim-Meigs operation

  • Billroth operation

Explanation

Question 16 of 16

1

In which endocrine pancreatic neoplasm is observed the Zollinger-Ellison syndrome (severe and often multiple peptic ulcerations)?

Select one of the following:

  • Somatostatinoma

  • Insulinoma

  • Glucagonoma

  • VIPoma

  • Gastrinoma

Explanation

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