Pancreatitis: Etiologies, Symptoms, and Treatment
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Questions and Answers

What is the leading cause of GI hospitalizations in the US?

  • Chronic pancreatitis
  • Pancreatic juice secretion
  • Acute pancreatitis (correct)
  • Alcohol consumption

Which cells are of interest in the exocrine functions of the pancreas?

  • Endocrine cells
  • Beta cells
  • Acinar cells (correct)
  • Ductal cells

How much alkaline fluid does the pancreas secrete per day?

  • 5-7L
  • 3-5L
  • 1-2L
  • 1.5-3L (correct)

What are the two main functions of the pancreas?

<p>Exocrine and endocrine (C)</p> Signup and view all the answers

What is the pH of the alkaline fluid secreted by the pancreas?

<p>pH&gt;8 (B)</p> Signup and view all the answers

Which organ is located behind the pancreas?

<p>Stomach (A)</p> Signup and view all the answers

What are the common diagnostic markers for acute pancreatitis?

<p>Pancreatic enzymes (D)</p> Signup and view all the answers

What is the overall fatality rate for acute pancreatitis?

<p>3-5% (B)</p> Signup and view all the answers

Which medication is NOT listed as a known cause of medication-induced acute pancreatitis?

<p>Metformin (A)</p> Signup and view all the answers

What is the preferred imaging study for diagnosing acute pancreatitis in ALL patients?

<p>Trans-abdominal US (D)</p> Signup and view all the answers

Which symptom is NOT commonly associated with chronic pancreatitis?

<p>Jaundice (D)</p> Signup and view all the answers

What is the initial fluid replacement rate recommended for managing acute pancreatitis according to the 2013 Guideline?

<p>200-500 ml/hr (C)</p> Signup and view all the answers

Which of the following statements about antibiotic prophylaxis for acute pancreatitis is true?

<p>It may increase the risk of superimposed fungal infection and antimicrobial resistance. (B)</p> Signup and view all the answers

Which treatment option is NOT recommended for managing chronic pancreatitis?

<p>High-dose opioid therapy (D)</p> Signup and view all the answers

What surgery may be considered for patients with symptoms refractory to pharmacologic treatment for chronic pancreatitis?

<p>Pancreatectomy (C)</p> Signup and view all the answers

Which vital signs are consistent with acute pancreatitis?

<p>Temperature 97°F, BP 86/54 mmHg, HR 102 beats/min, RR 26 breaths/min (B)</p> Signup and view all the answers

What laboratory values should you order to diagnose this patient with acute pancreatitis?

<p>Lipase and triglyceride levels (B)</p> Signup and view all the answers

What imaging do you want to order for this patient?

<p>CT scan of the abdomen (D)</p> Signup and view all the answers

Can you diagnose the patient with acute pancreatitis based on the provided information?

<p>Yes, as the CT scan shows evidence of acute pancreatitis (A)</p> Signup and view all the answers

What do you think is the etiology of this patient’s acute pancreatitis?

<p>Alcohol consumption (D)</p> Signup and view all the answers

Which reported symptoms are consistent with acute pancreatitis?

<p>Abdominal pain, nausea, vomiting, shortness of breath (B)</p> Signup and view all the answers

What laboratory values should you order to determine the etiology of acute pancreatitis?

<p>Triglyceride levels and urine alcohol levels (B)</p> Signup and view all the answers

Which items from the physical exam are consistent with acute pancreatitis?

<p><strong>LUQ</strong> pain, distended abdomen, reduced bowel sounds (A)</p> Signup and view all the answers

Are these correct to verify?

<p>No, Meropenem should not be ordered. (B)</p> Signup and view all the answers

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