Pancreas Clicker Questions

Question 1

Jimmy is diagnosed with EPI, most likely from PAA. What treatments do you not recommend? A) Low fat diet prescription diet B) Cobalamine supplementation C) Pancreatic enzyme-enteric coated D) Metronidazole, 28 day course E) Antacid treatment, to increase gastric pH

Answer 1

A) Low fat diet prescription diet

Question 2

15 month old MN GSD, Jimmy, presents to your clinical with a history of chronic diarrhea. The dog has a low BCS (2/5). The fecal score is 7/9 (putty like) and pale. MDB results are normal. What is the next diagnostic test you would consider appropriate? A) Abdominal US B) Starved cPL C) Starved cTLI D) Cobalamine conc. E) Dietary trial (exclusion diet) F) Intestinal biopsies

Answer 2

C) Starved cTLI D) Cobalamine conc.

Question 3

Which is not a short-term prognosticator in the case of biliary mucoceles? A) Hyperlactatemia B) Hypotension C) GB rupture D) Anemia

Answer 3

C) GB rupture

Question 4

The most important risk factor for the development of biliary mucoceles are? A) Hyperlipidemia B) Hypothyroidism C) Diabetes mellitus D) Pancreatitis

Answer 4

A) Hyperlipidemia

Question 5

A 10 yo, MN, Golden retriever presents to your clinic with PuPd. Biochemistry detected a 4x TN ALKP and mild hypoglycemia (BG 3.4 mmol/L, RI 3.5-5.5 mmol/L). Ultrasound detects the following lesion. What is your tentative diagnosis? A) Lymphoma B) Hepatocellular carcinoma C) Hemangiosarcoma D) Biliary cystadenoma

Answer 5

B) Hepatocellular carcinoma

Question 6

A 9 yo Persian presents to your clinic with anorexia and icterus. The abdomen is painful and the liver enlarged. Ultrasound findings below. Biopsy confirms neutrophils periportal but not beyond the limiting plate. Dx? A) Chronic lymphocytic cholangitis B) Acute suppurative cholangitis C) Hepatic lipidosis D) Cholelith

Answer 6

B) Acute suppurative cholangitis