The Pancreas- Surgical Diseases 4th Year- PMU

Med Student
Quiz by Med Student , updated more than 1 year ago
Med Student
Created by Med Student about 2 years ago
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Description

The Pancreas- Surgical Diseases

Resource summary

Question 1

Question
Flash cards are at https://quizlet.com/_6rw0ko
Answer
  • True
  • False

Question 2

Question
Which pancreatic enzyme has a leading role in the pathophysiology of the acute pancreatitis?
Answer
  • amylase
  • trypsin
  • elastase
  • gastrin
  • phospholipase

Question 3

Question
Which is the most severe form of the acute pancreatitis
Answer
  • edematous
  • catarrhal
  • phlegmonous
  • gangrenous
  • necrotizing

Question 4

Question
More than 75% of cases of the acute pancreatitis are attributable to
Answer
  • Viral or bacterial infection
  • Hypercalcemia
  • Hyperlipidemia and obesity
  • NSAIDs and opioid analgetics
  • Gall stones and alcohol

Question 5

Question
What kind of operative treatment Is recommended to the patients with several episodes of acute pancreatitis and gall-stone disease?
Answer
  • cholecystectomy
  • pancreatectomy
  • cholecystogastrostomy
  • colostomy
  • appendicectomy

Question 6

Question
What are the cardinal clinical symptoms of the acute pancreatitis?
Answer
  • malaise and fatigue
  • fever and chills
  • paraumbilical pain and vomiting
  • chest pain and dyspnea
  • epigastric pain and diarrhea

Question 7

Question
What is the type of the pain of the acute pancreatitis?
Answer
  • crampy
  • constant
  • remittent
  • migrating
  • none of the above

Question 8

Question
Grey Turner and Cullen’s. signs (flank and periumbilical ecchymosis) are associated with severe pancreatitis and both are indicative of
Answer
  • mesenteric thrombosis
  • steatonecrosis
  • retroperitoneal bleeding
  • infected ascites
  • pseudocyst of the pancreas

Question 9

Question
Which of the following is the most important imaging test for diagnosing acute pancreatitis?
Answer
  • CT scan
  • Ultrasonography
  • Plain abdominal X-ray
  • PET-CT
  • Doppler ultrasound

Question 10

Question
Which of the following is the most specific blood-test enzyme for the acute pancreatitis?
Answer
  • amylase
  • gamma glutamyl transferase (GGT)
  • lipase
  • lactate dehydrogenase (LDH)
  • alkaline phosphatase (ALP)

Question 11

Question
The initial management of the acute pancreatitis starts with
Answer
  • Fluid resuscitation and analgesics
  • Antipyretics and antibiotics
  • H2 blockers and PPIs
  • Blood and plasma transfusion
  • Corticosteroids

Question 12

Question
In which of the following cases the surgical treatment is indicated for acute pancreatitis?
Answer
  • significant necrosis of the pancreas and peripancreatic retroperitoneal space
  • infection of the pancreatic and parapancreatic necrosis
  • biliary pancreatitis with stones in the common bile duct
  • pancreatic hemorrhage
  • all of the above

Question 13

Question
What distinguishes pancreatic pseudocysts from true pancreatic cysts?
Answer
  • pseudocysts have smaller size
  • pseudocysts don’t have epithelium-lined walls
  • pseudocysts are always infected
  • pseudocysts communicate with other organs
  • all of the above

Question 14

Question
The most common symptom of the carcinoma of the head of the pancreas is
Answer
  • fever
  • abdominal pain
  • vomiting
  • constipation
  • jaundice

Question 15

Question
How is it called the surgical operation for a carcinoma of the head and the body of the pancreas (also known as pancreaticoduodenectomy)?
Answer
  • Hartmann operation
  • Whipple operation
  • Ivor-Lewis operation
  • Wertheim-Meigs operation
  • Billroth operation

Question 16

Question
In which endocrine pancreatic neoplasm is observed the Zollinger-Ellison syndrome (severe and often multiple peptic ulcerations)?
Answer
  • Somatostatinoma
  • Insulinoma
  • Glucagonoma
  • VIPoma
  • Gastrinoma
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