18360696
Descripción
Test por Med Student , actualizado hace más de 1 año
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Creado por Med Student
hace alrededor de 5 años
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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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