Pancreatitis

Question 1

what neutralizes gastric acid as the meal enters the small intestine?

Answer 1

bicarbonate

Question 2

what turns an entire meal to liquid for absorption?

Answer 2

digestive enzymes

Question 3

what signals the body to store ingested nutrients?

Answer 3

insulin

Question 4

what do the alpha cells secrete?

Answer 4

glucagon

Question 5

what do the beta cells secrete?

Answer 5

insulin

Question 6

what do the delta cells secrete?

Answer 6

somatostatin

Question 7

what do the centroacinar cells secrete?

Answer 7

bicarbonate

Question 8

what do the basophilic cells secrete?

Answer 8

digestive enzymes - lipase and amylase

Question 9

what are the digestive enzymes?

Answer 9

pancreatic lipase
pancreatic amylase
trypsinogen

Question 10

what are the two main etiologies of pancreatitis?

Answer 10

ethanol

gallstones

Question 11

which cells secrete glucagon?

Answer 11

alpha cells

Question 12

which cells secrete insulin?

Answer 12

beta

Question 13

which cells secrete somatostatin?

Answer 13

delta

Question 14

which cells secrete bicarbonate?

Answer 14

centroacinar

Question 15

which cells secrete digestive enzymes?

Answer 15

basophilic cells

Question 16

where does the pain radiate in pancreatitis?

Answer 16

back

Question 17

what are the classic exam findings for pancreatitis?

Answer 17

pain
tachycardia
epigastric tenderness
decreased bowel sounds

Question 18

what tests could be ordered for pancreatitis?

Answer 18

CT, US

Question 19

what should always be ordered before ordering contrast CT?

Answer 19

creatinine kinase

Question 20

what are the synthetic liver function markers?

Answer 20

albumin and PTIR

Question 21

what are the important treatments for pancreatitis?

Answer 21

NPO 
hydration 
pain control 
antibiotics 
enteral nutrition

Question 22

after acute pancreatitis illness has resolved, what factors should still be addressed?

Answer 22

ethanol
surgical consult re: cholecystectomy
rx / tx for hypertriglyceridemia

Question 23

the majority of clinical resolution for pancreatitis occurs in how many days?

Answer 23

3-7

Question 24

what is one of the main consequences of severe pancreatitis?

Answer 24

diabetes