The Pancreas- Surgical Diseases 4th Year- PMU

Descripción

The Pancreas- Surgical Diseases
Med Student
Test por Med Student , actualizado hace más de 1 año
Med Student
Creado por Med Student hace más de 5 años
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6

Resumen del Recurso

Pregunta 1

Pregunta
Flash cards are at https://quizlet.com/_6rw0ko
Respuesta
  • True
  • False

Pregunta 2

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

Pregunta 3

Pregunta
Which is the most severe form of the acute pancreatitis
Respuesta
  • edematous
  • catarrhal
  • phlegmonous
  • gangrenous
  • necrotizing

Pregunta 4

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

Pregunta 5

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

Pregunta 6

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

Pregunta 7

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

Pregunta 8

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

Pregunta 9

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

Pregunta 10

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

Pregunta 11

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

Pregunta 12

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

Pregunta 13

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

Pregunta 14

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

Pregunta 15

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

Pregunta 16

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