Gallbladder & Pancreas Sys path

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Questions and Answers

What is the most common type of gallstone people develop?

  • Mixed gallstones
  • Calcium gallstones
  • Cholesterol gallstones (correct)
  • Pigment gallstones

Which test is considered the gold standard for confirming gallstones or gallbladder inflammation?

  • Ultrasound
  • CT scan
  • HIDA scan (correct)
  • MRI

What condition results from long-term alcohol abuse and damages the pancreas?

  • Cirrhosis
  • Fatty liver disease
  • Chronic pancreatitis (correct)
  • Alcoholic hepatitis

What autoimmune disease attacks the liver's bile ducts?

<p>Primary Biliary Cholangitis (B)</p> Signup and view all the answers

What is the biggest risk factor for pancreatic cancer?

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

A man with a history of drinking heavily comes in with upper abdominal pain that moves to his back. The pain worsens after eating. His blood tests show high amylase and lipase. What is the most likely diagnosis?

<p>Pancreatitis (B)</p> Signup and view all the answers

What is the most common complication of gallstones?

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

Which sign is linked with gallbladder inflammation?

<p>Murphy's sign (C)</p> Signup and view all the answers

Women are more likely than men to get acute pancreatitis due to gallstones.

<p>False (B)</p> Signup and view all the answers

What is the primary defect in cystic fibrosis?

<p>Defective chloride channel function (A)</p> Signup and view all the answers

A person has sudden right upper abdominal pain spreading to the shoulder, feels nauseous but hasn’t eaten any fatty meals, and her belly is tender with deep breaths (Murphy’s sign). What is the most likely diagnosis?

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

What is the survival rate for pancreatic cancer?

<p>5-10% (A)</p> Signup and view all the answers

What movements or tests can reveal aggravating or relieving factors for pancreatitis?

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

What is Cholelithiasis?

<p>Formation of stones in the gallbladder (B)</p> Signup and view all the answers

Which demographic does Cholelithiasis affect the most?

<p>Middle-aged women (C)</p> Signup and view all the answers

What are the 4 F's associated with Cholelithiasis?

<p>Fat, Female, Forty, Fertile (A)</p> Signup and view all the answers

What is the ideal treatment for Cholelithiasis?

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

How should a registered massage therapist (RMT) treat someone with cholelithiasis?

<p>Use gentle and relaxing techniques while avoiding the abdominal area (B)</p> Signup and view all the answers

What is Cholecystitis?

<p>Inflammation of the gallbladder (A)</p> Signup and view all the answers

What is the difference between Cholecystitis and Cholelithiasis?

<p>Cholecystitis is inflammation of the gallbladder, while Cholelithiasis is the presence of gallstones. (A)</p> Signup and view all the answers

What are common causes of acute cholecystitis?

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

What is the most common cause of chronic cholecystitis?

<p>Prolonged exposure to high-fat diet (A)</p> Signup and view all the answers

A patient comes into an RMT's clinic stating that they have pain in the Upper Right Quadrant, nausea, and vomiting. The RMT performs a Murphy's Test, which is positive. What condition could it be?

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

What is the best way to diagnose Cholecystitis?

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

Massage is a useful way to treat Cholecystitis.

<p>False (B)</p> Signup and view all the answers

What is Primary Biliary Cholangitis?

<p>An autoimmune liver disease that slowly destroys the bile ducts (A)</p> Signup and view all the answers

Common symptoms of Primary Biliary Cholangitis include which of the following? (Select all that apply)

<p>Fatigue (A), Jaundice (B), Dry eyes (D)</p> Signup and view all the answers

If the patient has Primary Biliary Cholangitis, what type of treatment should they receive?

<p>Ursodeoxycholic acid (B), Liver Transplant (@)</p> Signup and view all the answers

What is the primary difference between Primary Biliary Cholangitis and Primary Sclerosing Cholangitis?

<p>Primary Biliary Cholangitis is an autoimmune disease, while Primary Sclerosing Cholangitis is associated with inflammatory bowel disease. (A)</p> Signup and view all the answers

Which condition could be caused by Primary Sclerosing Cholangitis or Primary Biliary Cholangitis?

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

Which demographic is more likely to get Primary Sclerosing Cholangitis?

<p>Males over 40 (D)</p> Signup and view all the answers

Which ethnicity is most likely to develop Primary Sclerosing Cholangitis?

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

What is pancreatitis and what is a common cause?

<p>Inflammation of the pancreas, commonly caused by excessive alcohol consumption (A)</p> Signup and view all the answers

Pancreatitis can only be acute.

<p>False (B)</p> Signup and view all the answers

Chronic pancreatitis is most commonly caused by which of the following?

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

Acute Pancreatitis is most commonly caused by which of the following?

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

What is the difference between acute and chronic pancreatitis when it comes to signs and symptoms?

<p>Acute pancreatitis typically presents with severe, sudden abdominal pain while chronic pancreatitis presents with persistent abdominal pain and digestive issues. (A)</p> Signup and view all the answers

How is pancreatitis diagnosed?

<p>Through abdominal ultrasound and blood tests (A)</p> Signup and view all the answers

What is the prognosis of pancreatitis?

<p>Generally good with proper treatment (D)</p> Signup and view all the answers

What does pancreatitis treatment usually require?

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

A patient comes in stating that they have pancreatitis. How should the RMT proceed?

<p>Refer the patient to their physician for treatment (B)</p> Signup and view all the answers

What percentage of malignant tumors of the pancreas are adenocarcinomas?

<p>95% (B)</p> Signup and view all the answers

A patient comes into your RMT clinic stating that they are experiencing abdominal pain for no reason and showing signs of jaundice. As an RMT, what is your clinical impression of the patient?

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

What is the Whipple procedure and why would it be used?

<p>A procedure to remove the head of the pancreas along with part of the small intestine and other structures, commonly used for pancreatic cancer (B)</p> Signup and view all the answers

What are the contraindications of pancreatic cancer within massage therapy?

<p>No contraindications (D)</p> Signup and view all the answers

Flashcards

Cholesterol Gallstones

Formed from cholesterol, they are the most prevalent type of gallstones.

HIDA scan

A nuclear medicine scan using a radioactive tracer to assess the function of the gallbladder and bile ducts.

Chronic Pancreatitis

Long-term alcohol abuse that causes inflammation and damage to the pancreas, leading to impaired function.

Primary Biliary Cholangitis

An autoimmune condition where the immune system attacks and damages the bile ducts in the liver.

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Pancreatic Cancer Risk Factor

Using tobacco products greatly increases risk.

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Pancreatitis Diagnosis

Most likely pancreatitis due to the history, symptoms, and lab results.

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Cholecystitis

Inflammation of the gallbladder, often caused by gallstones blocking the cystic duct.

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Murphy's Sign

Pain upon palpation of the right upper quadrant during deep inspiration, indicative of gallbladder inflammation.

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Cystic Fibrosis Defect

Defective chloride channel, causing thick mucus buildup in various organs, including the pancreas.

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Acute Cholecystitis

Acute inflammation of the gallbladder, typically due to gallstone obstruction.

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Pancreatic Cancer Survival

Poor, only 5-10% of patients are still alive 5 years after diagnosis.

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Pancreatitis Aggravating/Relieving Factors

Physical exam maneuvers to identify factors that worsen or alleviate the patient's abdominal pain.

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