Pancreatic Disorders

Question 1

Answer 1

Question 2

Answer 2

Question 3

Answer 3

Question 4

Answer 4

Question 5

Answer 5

Question 6

Answer 6

Question 7

Answer 7

Question 8

Answer 8

Question 9

Answer 9

Question 10

Answer 10

Question 11

Describe the exocrine function of the pancreas

Answer 11

• secretions important for major digestive activity of GI tract
• secretes isosmotic alkaline fluid
• fluid contains approx 20 enzymes

Question 12

Describe the endocrine function of the pancreas

Answer 12

Maintains blood glucose levels
- beta cells produce insulin
- alpha cells produce glucagon

Question 13

Describe the pancreatic digestive enzymes

Answer 13

• lipase: fat digestion
• amylase: carb digestion
• protease: protein digestion

Question 14

Describe the etiology of acute pancreatitis

Answer 14

Question 15

Describe some complications of acute pancreatitis

Answer 15

Question 16

Describe the presentation and PE for acute pancreatitis

Answer 16

Question 17

Describe the labs & imaging for acute pancreatitis

Answer 17

Question 18

Describe the treatment of acute pancreatitis

Answer 18

Question 19

Describe the etiology of chronic pancreatitis

Answer 19

Question 20

Describe the presentation of chronic pancreatitis

Answer 20

Question 21

Describe the labs & imaging of chronic pancreatitis

Answer 21

Question 22

Describe the treatment of chronic pancreatitis

Answer 22

Question 23

Describe the etiology & RF of pancreatic cancer

Answer 23

Question 24

Describe the presentation of pancreatic cancer

Answer 24

Question 25

Describe the diagnosis of pancreatic cancer

Answer 25

Question 26

Describe the treatment of pancreatic cancer

Answer 26

Question 27

When can amylase & lipase levels be normal or only mildly elevated?

Answer 27

• if obtaining levels is delayed
• hypertriglyceridemia
• chronic pancreatitis
• renal failure

Question 28

When can an amylase be elevated

Answer 28

• hyperamylasemia
• renal insufficiency
• MUMPs
• pregnancy
• opiate use

Question 29

Describe why lipase is the test of choice for pancreatitis diagnosis

Answer 29

• more sensitive and specific
• remains elevated longer
• no correlation between severity of disease and degree of elevation