Pancreatic Clinical Pathology

Question 1

what is malassimilation?

Answer 1

failure to take up nutrients from the digestive tract

Question 2

how are lipids broken down?

Answer 2

lipase
bile acids

Question 3

what is folate?

Answer 3

water-soluble B vitamin: B9

Question 4

what can deficiencies or defective absorption of cobalamin (vitamin B12) cause?

Answer 4

anemia
CNS degeneration

Question 5

how do you get cobalamin?

Answer 5

intake from diet: bound to proteins

Question 6

what is the gold standard for detecting pancreatitis?

Answer 6

histopathology

Question 7

what blood tests can be used to look for pancreatitis?

Answer 7

amylase
lipase
pancreatic lipase

Question 8

what do amylases do?

Answer 8

break down complex carbohydrates (starch and glycogen)

Question 9

what is a marked increase in serum amylase (hyperamylasemia) suggestive of?

Answer 9

pancreatic disease
more than mild increase

Question 10

what inactivates and excretes serum lipases?

Answer 10

kidney

Question 11

what can corticosteroids do with lipase activity?

Answer 11

can increases up to 5x

Question 12

is lipase or amylase considered a more sensitive indicator of pancreatic necrosis?

Answer 12

lipase more sensitive

Question 13

what can happen with liver enzymes in pancreatitis?

Answer 13

pancreatitis can cause increased liver enzymes and bilirubin