Pancreatic Quiz week 5 Flashcards
Which condition is most likely to be associated with leukocytosis on CBC?
a. cholelithiasis
b. acute cholecystitis
c. choledocholithiasis
d. gastroparesis
b. acute cholecystitis
Because this is an acute inflammatory and sometimes infectious process, the patient may also have a fever.
In which of the following conditions might you expect a patient to present with jaundice?
a. acute cholecystitis
b. cholelithiasis
c. choledocholithiasis
c. choledocholithiasis
Which condition is associated with biliary pain, jaundice, and fever with chills?
a. cholelithiasis
b. cholangitis
c. choledocholithiasis
d. acute cholecystitis
b. cholangitis
Which condition is associated with a gallstone(s) getting stuck in the common bile duct?
a. choledocholithiasis
b. acute cholecystitis
c. cholelithiasis
d. gallbladder sludge
a. choledocholithiasis
Which is more common in patients with gallbladder sludge and cholelithiasis?
a. The patient is asymptomatic.
b. The patient has biliary colic.
a. The patient is asymptomatic.
Two-thirds of patients with cholelithiasis and most patients with gallbladder sludge have no symptoms - in these cases the gallbladder problems are most likely findings noted incidentially on abdominal imaging. That being said, if a patient does present with biliary colic, it should make you think that they probably have a gallstone issue.
Biliary colic is often triggered by eating fatty foods and typically resolves within a few hours.
True
False
True
Biliary colic is the term for episodes of RUQ or epigastric abdominal pain that is usually abrupt in onset and subsides within a few hours when due to cholelithiasis. It may be anywhere from mild to quite severe in intensity. Though often described as having an aching quality it can also be sharp. It is commonly precipitated by eating fatty foods. The classic radiation pattern is to the R shoulder blade.
Which lab result is more suggestive of obstructive liver disease?
a. alkaline phosphatase
b. AST
c. ALT
d. CCK (cholecystokinin)
a. alkaline phosphatase
The most common cause of acute pancreatitis is the same as the most common cause of chronic pancreatitis.
True
False
False
The most common cause of acute pancreatitis is gallstones. The most common cause of chronic pancreatitis is alcoholism.
Hypertriglyceridemia and trauma are potential causes of acute pancreatitis.
True
False
True
What is the medical term for excess fat in the stool?
Steatorrhea
Stools with excessive amounts of fat are classically described by patients as floating, bulky, and malodorous. They may also be pale in color and have an oily appearance.
Steatorrhea is most likely to occur in chronic pancreatitis rather than in hepatocellular disease.
True
False
True
Think of it as a common finding in chronic pancreatitis. It is not common in hepatitis but could occur if there is a severe limitation in bile production. Ultimately, any condition that impairs the body’s ability to digest and absorb fat can lead to steatorrhea.
Which of the following describes the position that may provide some pain relief in a patient with pancreatitis?
a. leaning forward
b. lying supine
a. leaning forward - also, lying in the fetal position
What is the preferred imaging study for evaluation of possible pancreatitis?
a. abdominal X-ray
b. abdominal ultrasound
c. abdominal CT scan
c. abdominal CT scan
Which degree of elevation of amylase and lipase is most suggestive of acute pancreatitis?
a. anything over the upper limit of normal
b. >2x the upper limit of normal
c. >3x the upper limit of normal
d. >
c. >3x the upper limit of normal
Painless jaundice” in a patient over 50 years of age is a catch phrase suggestive of which of the following conditions?
a. acute pancreatitis
b. gastric cancer
c. choledocholithiasis
d. pancreatic cancer
d. pancreatic cancer
