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Chapter 23. Pancreatitis

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

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A. Hypertension, gallstones, diabetes mellitus

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B. Chronic obstructive pulmonary disease, hypertriglyceridemia, medications

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C. Ethanol abuse, gallstones, pregnancy

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D. Hereditary predisposition, obesity, gallstones

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E. Obesity, hypertension, hypertriglyceridemia

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

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A. Acute respiratory distress syndrome

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B. Acute kidney injury

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C. Abscess formation

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D. Hypertension

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E. Pancreatic infection

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Which of the following are complications of chronic pancreatitis?

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A. Ascites

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B. Glucose intolerance

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C. Malnutrition

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D. Both B and C

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

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A. Lipase, amylase, triglycerides

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B. Amylase, serum calcium, hemoglobin

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C. Triglycerides, hemoglobin, serum glucose

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

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E. Serum calcium, lipase, C-reactive protein

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

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A. Systolic blood pressure less than80 mm Hg

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B. Multiple organ dysfunction

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

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D. Respiratory rate greater than 35 breaths/min

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E. Food intolerance

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Initial treatment of acute pancreatitis should include:

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A. Enzyme supplementation

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B. Fluid resuscitation

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C. Empiric antibiotics

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D. Full oral diet

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E. Enrollment in alcohol abstinence counseling

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Which of the following are risk factors for chronic pancreatitis?

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A. Obesity and race

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B. Hypertension, enalapril use

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