Gallbladder Disorders/Pancreatic Disorders

Question 1

Female, Fat, Fertile (pregnant) Forty are risk factors for?

Answer 1

Gallstones

Question 2

Gallstones are divided into?

Answer 2

Cholesterol and Pigmented

Question 3

Cholesterol stone is MC in the?

Answer 3

West

Question 4

Jaundice Fever and RUQ?

Answer 4

Cholangitis

Question 5

Cholesterol stone is radiolucent or opaque?

Answer 5

Cholesterol stone is radiolucent

Question 6

Pigmented stone is radiolucent or opaque?

Answer 6

Opaque

Question 7

Causes of Cholesterol stones?

Answer 7

Crohns=>destroys terminal ileum, decreased bile acid=>increased cholesterol stones

Estrogen=>Increased HMG-CoA and Increased LDL receptors

Cholestyramine=>decreased bile acids=>increased cholesterol

Question 8

Cholecystitis MCC?

Answer 8

blocking the cystic duct=>infection

Question 9

inspiratory arrest on RUQ palpation due to pain is seen in?

Answer 9

Cholecystitis

Question 10

RUQ pain that radiates to the R. Scapula?

Answer 10

Acute Cholecystitis

Question 11

Rokitanksy-Aschoff sinus formation and vague RUQ?

Answer 11

Chronic Cholecystitis

Question 12

Cholecystitis can lead to _______ which leads to_______?

Answer 12

porcelain gallbladder (calcified gallbaldder)=>Gallbladder carcinoma

Question 13

Acute pancreatitis MCC?

Answer 13

Alcohol and Gallstones

Question 14

Acute pancreatitis presentation?

Answer 14

epigastric abdominal pain radiating to back

Question 15

Acute pancreatitis labs?

Answer 15

Lipase (higher specificity)

Question 16

First enzyme to be activated is?

Answer 16

Trypsin

Question 17

Complication of acute pancreatitis?

Answer 17

Pseudocyst

Question 18

Chronic pancreatitis MC adult? MC child?

Answer 18

Adult=>alcohol

child=>CF

Question 19

Chronic Pancreatitis leads to?

Answer 19

Pancreatic insufficiency=>steatorrhea, fat soluble vitamin

Question 20

Pancreatic adenocarcinoma are most common in?

Answer 20

pancreatic head (head of pancreas)

Question 21

Pancreatic cancer marker?

Answer 21

CA 19-9 tumor marker

Question 22

PC Two biggest risk factors?

Answer 22

Tobacco use

ƒChronic pancreatitis (especially > 20 years)

Question 23

Pancreatic cancer presents with?

Answer 23

Obstructive jaundice with palpable,
nontender gallbladder

Migratory thrombophlebitis

Question 24

Elderly Female who is thin that has DM?

Answer 24

Think pancreatic cancer that knocked out islets

Question 25

Edited**

What is the pathogenesis of acute pancreatitis?

Answer 25

Ductal obstruction (via edema/ischemia) OR direct parenchymal injury=>

acinar cell damage=>

intra-acinar conversion of trypsinogen-> trypsin

=>activation of other enzymes=>
i.e. fat necrosis-lipases
autodigestion-proteases
vascular damage-elastase (liquefactive necrosis)