Pregunta 1
Pregunta
Flash cards are at
https://quizlet.com/_6rw0ko
Pregunta 2
Pregunta
Which pancreatic enzyme has a leading role in the pathophysiology of the acute pancreatitis?
Respuesta
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amylase
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trypsin
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elastase
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gastrin
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phospholipase
Pregunta 3
Pregunta
Which is the most severe form of the acute pancreatitis
Respuesta
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edematous
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catarrhal
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phlegmonous
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gangrenous
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necrotizing
Pregunta 4
Pregunta
More than 75% of cases of the acute pancreatitis are attributable to
Respuesta
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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
Pregunta 5
Pregunta
What kind of operative treatment Is recommended to the patients with several episodes of acute pancreatitis and gall-stone disease?
Respuesta
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cholecystectomy
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pancreatectomy
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cholecystogastrostomy
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colostomy
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appendicectomy
Pregunta 6
Pregunta
What are the cardinal clinical symptoms of the acute pancreatitis?
Pregunta 7
Pregunta
What is the type of the pain of the acute pancreatitis?
Respuesta
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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
Pregunta 8
Pregunta
Grey Turner and Cullen’s. signs (flank and periumbilical ecchymosis) are associated with severe pancreatitis and both are indicative of
Pregunta 9
Pregunta
Which of the following is the most important imaging test for diagnosing acute pancreatitis?
Respuesta
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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
Pregunta 10
Pregunta
Which of the following is the most specific blood-test enzyme for the acute pancreatitis?
Respuesta
-
amylase
-
gamma glutamyl transferase (GGT)
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lipase
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lactate dehydrogenase (LDH)
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alkaline phosphatase (ALP)
Pregunta 11
Pregunta
The initial management of the acute pancreatitis starts with
Respuesta
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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
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Corticosteroids
Pregunta 12
Pregunta
In which of the following cases the surgical treatment is indicated for acute pancreatitis?
Respuesta
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significant necrosis of the pancreas and peripancreatic retroperitoneal space
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infection of the pancreatic and parapancreatic necrosis
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biliary pancreatitis with stones in the common bile duct
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pancreatic hemorrhage
-
all of the above
Pregunta 13
Pregunta
What distinguishes pancreatic pseudocysts from true pancreatic cysts?
Respuesta
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pseudocysts have smaller size
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pseudocysts don’t have epithelium-lined walls
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pseudocysts are always infected
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pseudocysts communicate with other organs
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all of the above
Pregunta 14
Pregunta
The most common symptom of the carcinoma of the head of the pancreas is
Respuesta
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fever
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abdominal pain
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vomiting
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constipation
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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
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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
Pregunta 16
Pregunta
In which endocrine pancreatic neoplasm is observed the Zollinger-Ellison syndrome (severe and often multiple peptic ulcerations)?
Respuesta
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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