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Anatomy of the Pancreas
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Anatomy of the Pancreas

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Questions and Answers

What is the location of the pancreas in the body?

  • Retroperitoneal organ (correct)
  • Anterior abdominal wall
  • Pelvic region
  • Peritoneal cavity

    • What is the main function of the exocrine part of the pancreas?

  • Producing hormones for digestion
  • Synthesizing digestive enzymes (correct)
  • Storing bile
  • Regulating blood sugar levels

    • What is the name of the spot where the pancreatic and bile ducts release their secretions into the intestine?

  • Ampulla of Vater (correct)
  • Common bile duct
  • Duodenal papilla
  • Pancreatic duct

    • What is the most common cause of acute pancreatitis?

    <p>Gallstones in the bile duct</p> Signup and view all the answers

    What is the function of B cells in the islets of Langerhans?

    <p>Producing insulin</p> Signup and view all the answers

    What percentage of pancreatitis cases are caused by postoperative iatrogenic pancreatitis?

    <p>1-3%</p> Signup and view all the answers

    Which of the following enzymes is activated first in the autodigestion process of acute pancreatitis?

    <p>Trypsin</p> Signup and view all the answers

    What is the most common cause of idiopathic pancreatitis?

    <p>Passage of minute stones through the sphincter of Oddi</p> Signup and view all the answers

    What is the result of the release of kallikrein and chymotrypsin in acute pancreatitis?

    <p>Increased capillary membrane permeability</p> Signup and view all the answers

    Which of the following medications is a known cause of drug-induced pancreatitis?

    <p>Corticosteroids</p> Signup and view all the answers

    What is the normal function of the acinar cells in the pancreas?

    <p>To synthesize and secrete digestive enzymes to assist in the breakdown of starch, fat, and proteins</p> Signup and view all the answers

    What is the primary function of the enzyme elastase?

    <p>Dissolution of elastic fibers of blood vessels and ducts</p> Signup and view all the answers

    What is the likely cause of hypocalcemia in severe cases of pancreatic enzyme imbalance?

    <p>Binding of calcium with fatty acid and soap</p> Signup and view all the answers

    What is the primary symptom that distinguishes pancreatic enzyme imbalance from other abdominal conditions?

    <p>Severe epigastric pain relieved by the prayer's position</p> Signup and view all the answers

    What is the likely cause of cyanosis in severe cases of pancreatic enzyme imbalance?

    <p>Release of interleukins and cytokines</p> Signup and view all the answers

    What is the likely cause of shock in severe cases of pancreatic enzyme imbalance?

    <p>Hypovolemia and circulating kinins</p> Signup and view all the answers

    What is the systemic response caused by the proteolytic activity of liberated enzymes?

    <p>Systemic inflammatory response syndrome (SIRS) and multiorgan failure</p> Signup and view all the answers

    What is the primary indication for surgical intervention in cases of pancreatitis?

    <p>Doubtful diagnosis after exploration</p> Signup and view all the answers

    Which of the following is a nursing diagnosis related to pancreatic obstruction?

    <p>Acute Pain</p> Signup and view all the answers

    What is the primary goal of nursing management in patients with pancreatitis?

    <p>Achieve afebrile status</p> Signup and view all the answers

    Which of the following is a symptom of pancreatitis, according to the nursing diagnosis?

    <p>All of the above</p> Signup and view all the answers

    Why is fluid volume deficit a concern in patients with pancreatitis?

    <p>Due to nausea, vomiting, and fever</p> Signup and view all the answers

    What is the recommended frequency for monitoring vital signs in patients with pancreatitis?

    <p>Every 2 hours</p> Signup and view all the answers

    What is the diagnostic level of serum Amylase?

    <p>&gt; 1000 somogyi units</p> Signup and view all the answers

    What is the benefit of performing CT scan with IV contrast?

    <p>It reveals enlargement of the pancreas and peripancreatic edema</p> Signup and view all the answers

    What is the significance of performing CT scan at least 48 hours after the onset of symptoms?

    <p>To detect the extent of pancreatic necrosis</p> Signup and view all the answers

    What does the presence of hemorrhagic fluids and pancreatic enzymes in paracentesis indicate?

    <p>Pancreatitis</p> Signup and view all the answers

    What is the goal of conservative treatment in severe cases of pancreatitis?

    <p>To support different body systems</p> Signup and view all the answers

    What is the role of Laparotomy in the diagnosis of pancreatitis?

    <p>To diagnose pancreatitis</p> Signup and view all the answers

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