Pathoma: Exocrine Pancreas

Question 1

What is annular pancreas?

Answer 1

A condition in which the pancreas wraps around the duodenum and obstructs it

Question 2

What kinds of necrosis occur in acute pancreatitis?

Answer 2

Fat necrosis (from lipase release onto pancreatic fat) and liquefactive necrosis from zymogen release onto pancreatic cells

Question 3

Hyper-____________ and hyper-______________ can trigger acute pancreatitis.

Answer 3

calcemia (because calcium activates pancreatic enzymes); lipidemia

Question 4

What virus can cause acute pancreatitis?

Answer 4

Mumps

Question 5

Acute pancreatitis can lower what serum electrolyte?

Answer 5

Calcium, because calcium gets absorbed in saponification

Question 6

Why does pancreatitis cause DIC and ARDS?

Answer 6

Because the pancreatic enzymes activate clotting factors (DIC) and eat away at the protein lining of the alveoli

Question 7

Pancreatic insufficiency is a characteristic of _____________.

Answer 7

chronic pancreatitis

Question 8

True or false: amylase and lipase remain elevated in chronic pancreatitis.

Answer 8

False. Acinar atrophy, which occurs in chronic pancreatitis, leads to decreased production and release of amylase and lipase.

Question 9

Diabetes in a thin, elderly person should raise suspicion of ___________.

Answer 9

pancreatic adenocarcinoma in the body or tail of the pancreas (where there are more endocrine cells)

Question 10

What is the Whipple procedure?

Answer 10

A surgical treatment for pancreatic cancer in which the gallbladder and head of the pancreas are removed