18360696
Description
Quiz by Med Student , updated more than 1 year ago
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Created by Med Student
over 5 years ago
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Question 1
Question
Flash cards are at
https://quizlet.com/_6rw0ko
Answer
- True
- False
Question 2
Question
Which pancreatic enzyme has a leading role in the pathophysiology of the acute pancreatitis?
Answer
-
amylase
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trypsin
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elastase
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gastrin
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phospholipase
Question 3
Question
Which is the most severe form of the acute pancreatitis
Answer
-
edematous
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catarrhal
-
phlegmonous
-
gangrenous
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necrotizing
Question 4
Question
More than 75% of cases of the acute pancreatitis are attributable to
Answer
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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
Question 5
Question
What kind of operative treatment Is recommended to the patients with several episodes of acute pancreatitis and gall-stone disease?
Answer
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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
Question 6
Question
What are the cardinal clinical symptoms of the acute pancreatitis?
Answer
-
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
Question 7
Question
What is the type of the pain of the acute pancreatitis?
Answer
-
crampy
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constant
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remittent
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migrating
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none of the above
Question 8
Question
Grey Turner and Cullen’s. signs (flank and periumbilical ecchymosis) are associated with severe pancreatitis and both are indicative of
Answer
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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
Question 9
Question
Which of the following is the most important imaging test for diagnosing acute pancreatitis?
Answer
-
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
Question 10
Question
Which of the following is the most specific blood-test enzyme for the acute pancreatitis?
Answer
-
amylase
-
gamma glutamyl transferase (GGT)
-
lipase
-
lactate dehydrogenase (LDH)
-
alkaline phosphatase (ALP)
Question 11
Question
The initial management of the acute pancreatitis starts with
Answer
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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
Question 12
Question
In which of the following cases the surgical treatment is indicated for acute pancreatitis?
Answer
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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
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all of the above
Question 13
Question
What distinguishes pancreatic pseudocysts from true pancreatic cysts?
Answer
-
pseudocysts have smaller size
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pseudocysts don’t have epithelium-lined walls
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pseudocysts are always infected
-
pseudocysts communicate with other organs
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all of the above
Question 14
Question
The most common symptom of the carcinoma of the head of the pancreas is
Answer
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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
Question 15
Question
How is it called the surgical operation for a carcinoma of the head and the body of the pancreas (also known as pancreaticoduodenectomy)?
Answer
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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
Question 16
Question
In which endocrine pancreatic neoplasm is observed the Zollinger-Ellison syndrome (severe and often multiple peptic ulcerations)?
Answer
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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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