Exam 6 Digestive

What indicators/pointers are we trying to predict the course of acute pancreatitis? (select a combination of correct answers) T1. Ranson pointers, T2 Glashowski pointers, T3. Apache II pointer, T4. Child-Pugh-Turcott by-star, T5. Harwey Bradshaw. T1,T2,T3. T1,T3,T4. T1, T2, T5. T2, T3, T4. T3, T4, T5.

Surgical treatment of cystic changes in the pancreas is necessary: Asymptomatic pseudocysti at 4 cm high. Serous cystadenom at 4 cm high. For pancreatic cysts, 2cm in diameter, if the CEA is very low in the. In intraductal papillary neoplasm (IPMN) main water. In 1cm-high cysts described with transabdominal UZ.

Which of these interventions does notreduce the pain of chronic pancreatitis?. Opioid analgesics. Cessation of ethanol consumption. Proton pump inhibitors. Smoking cessation. None.

A 76-year-old patient with hyperthesis and hypertriglyceridaemia came to IPP for 2 days of wollen vomiting, pain under DRL, severely tense abdomen and constipation. He denies fever or jaundice. Laboratory: Leukocyte 13x109; AST 1,07ukat/L; aLT 0,95ukat/L; total bilirubin: 16umol/L; alkaline phosphatase 2.67 ukat/L; lipase 1,34ukat/L. the abdomen showed gallstones in the gallbladder and diffuse dilateted vein of the small intestine. What complication of gallstones is most likely, given the history and investigations?. Mirizzi syndrome. Paralytic ileus. Pancreatitis. Cholangitis. Ileus of the small intestine due to gallstones.

For pancreatic cancer, all the following EXCEPT: The thickest guy is tubular adenocarcinoma. It is more common in men than pti women. The majority of patients are treated surgically. Five-year survival is 4%. If it rises in the tail of the pancreas it usually causes locking jaundice.

What of these claims about primary sclerosing cholangitis (PSH) are true?. PSH is more common in women than in men. 50% of patients with PSH have chronic inflammatory bowel disease. Smokers have a higher risk of PSH than non-smokers. In most patients, the disease is treating the disease between the ages of 25 and 45. Close relatives of PSH patients do not have an increased rate for developing PSH compared to the general population.

The 47-year-old patient underwent an UZ abdomen due to prostate problems, describing liver and gallbladder steatosis, which has a 10mm large polyp. He's very concerned about the polyp. Ask for your advice. You are proposing treatment with ursodeoxycholic acid. Needs cholecystectomy. Because of the polyp needs an ultrasonic contor, initially every 6 months. Treatment not required. It should perform a CT scan with a contrast agent.

Which of these causes is most common for acute pancreatitis: Choledoholitiaza. Hypercalcaemia. Infection. Hereditary pancreatitis. Abdominal injury.

What are the complications of chronic pancreatitis?. Impaired glucose tolerance and malnutrition. Obesity. Malnutrition. Impaired glucose tolerance. None of the above.

In the face of cefala pancreatatoduectomy (op. After Whippl), surgeons do not remove: Dyslemic bile duct. Part of the stomach. Gallbladder. Pancreatic tail. Part of the duodenal.

What goes into acute cholangitis? T1. charcot triad (pain, fever, jaundice), T2. This is called sepsis, which originates from the bile dud, T3. It is treated with antibiotics and endoscopic procedure (ERCP), T4. is caused by choledoholitiase, T5. It is caused by a tumor of the pancreas head, T6. is caused by portal hypertension, T7. patients are usually treated outpatiently. T1, T3, T5. T1,T3,T4,T5,T7. T2,T3,T4. T1,T2,T3,T4,T5. T1,T2,T4,T5.

Which of these signsin may indicate that there is a difficult-to-run necrotising pancreatitis?. Jaundice. Fever. Erythematous cutaneous noduli. Hypotension. Hypothermia.

Diagnostical criteria for acute pancreatitis include (choose a combination of correct answers); T1. Typical clinical picture: severe acute pain in the upper abdomen; T2. More than three times the elevated serum amylafor or lipase; T3. CRP more than 150mg/L; T4. typical imaging diagnostics on an UZ or CT, T5. Typical ratio of liver transaminases ALT > 2x AST. T1,T2,T3. T1,T2. T3,T4. T1,T2,T4. T2,T3.

Any of the following symptoms or symptoms Signs can be found most often in acute pancreatitis?. Dyspnea. Pale skin. Hematemesis. Tense and sore tummy. Throat pain.

A 24-year-old overweight patient is coming to the IPP for pain in the upper right quadrant lasting four hours. Vital signs: temperature 37.2C, pulse 98/min, RR 118/78mmHg. When we check we see the icteric sclerosis, the abdomen is mild with deeppalpation in the right eye of the rye quadrant. Murphy's sign is negative. Laboratory: leukocytes 9x109, ALT 6,8ukat/L, AST 10 ukat/L, alkaline phosphatase 4,17 ukat/L, total bilirubin ?, lipase 0,4 ukat/L. The next day, he's completely pain-free. Control laboratory: ALT 5,9 ukat/L, AST 6,9 ukat/L, alkaline phosphatase 3,6 ukat/L, total bilirubin 30mmol/L. What is the most sensible next step in dealing with a patient?. EUZ. Abdominal CT. Laparoscopic cholecystectomy. ERCP. Manometrestry of Oddi's Sphinx.

Which of these factors is not associated with a higher risk of pancreatic cancer?. Chronic pancreatitis. Pancreatic cancer in one parent. Alcoholism. Eating a smoked and preserved diet. Weightgain.

What medicine will a patient with chronic alcohol pancreatitis not need?. Potent opiate analgesics. Nonsteroidal anti-inflammatory drugs. Somatostatin. Insulin. Oral preparation of pancreatic enzymes.

The most common form of cholecystitis is: Acute acalculation cholecystitis. Iatrogenic cholecystitis. Gangrenous cholecystitis. Chronic acalculation cholecystitis. Acute calculus cholecystitis.

What are the risk factors for developing chronic pancreatitis?. Obesity and racial insuperation. Ethanol and smoking. Acetylsalicylic acid, ibuprofen, ethanol and smoking. Hypertension. None of the above.

Select the correct claims that apply to cholecystlitiasis: T1. is asymptomatic in multiple and detect random, T2. may lead to couce with locking jaundice, T3. it is detected by ultrasound, T4. asymptomatic cholecystolithiasis is treated with surgery, T5. is a typical Couvoiser sign. T1,T2,T4. T1,T2,T3. T3,T4,T5. T2,T3,T4. T2,T4,T5.