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Chapter 23. Pancreatitis

Which one of the following are common causes of acute pancreatitis?

A. Hypertension, gallstones, diabetes mellitus

B. Chronic obstructive pulmonary disease, hypertriglyceridemia, medications

C. Ethanol abuse, gallstones, pregnancy

D. Hereditary predisposition, obesity, gallstones

E. Obesity, hypertension, hypertriglyceridemia

Complications of acute pancreatitis may include all of the following except:

A. Acute respiratory distress syndrome

B. Acute kidney injury

C. Abscess formation

D. Hypertension

E. Pancreatic infection

Which of the following are complications of chronic pancreatitis?

A. Ascites

B. Glucose intolerance

C. Malnutrition

D. Both B and C

Which of the following tests should be reviewed to work up a patient for pancreatitis?

A. Lipase, amylase, triglycerides

B. Amylase, serum calcium, hemoglobin

C. Triglycerides, hemoglobin, serum glucose

D. Alanine aminotransferase (ALT), lipase, serum magnesium

E. Serum calcium, lipase, C-reactive protein

Which of the following is not an indicator that the patient may require transfer to an ICU?

A. Systolic blood pressure less than80 mm Hg

B. Multiple organ dysfunction

C. Temperature greater than 38°C with altered mental status

D. Respiratory rate greater than 35 breaths/min

E. Food intolerance

Initial treatment of acute pancreatitis should include:

A. Enzyme supplementation

B. Fluid resuscitation

C. Empiric antibiotics

D. Full oral diet

E. Enrollment in alcohol abstinence counseling

Which of the following are risk factors for chronic pancreatitis?

A. Obesity and race

B. Hypertension, enalapril use


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