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Acute and Chronic Pancreatitis- Part 3
See all quizzes of Acute and Chronic Pancreatitis at here:
Acute and Chronic Pancreatitis- Part 1| Acute and Chronic Pancreatitis- Part 2| Acute and Chronic Pancreatitis- Part 3| Acute and Chronic Pancreatitis- Part 4| Acute and Chronic Pancreatitis- Part 5| Acute and Chronic Pancreatitis- Part 6
1. Which of the following about pancreatitis is false ?
A. Risk of acute pancreatitis is greater with gallstone <5 mm
than larger stones
B. ~ 25% of acute pancreatitis will have recurrence
C. Cystic fibrosis is a cause of recurrent pancreatitis
D. None of the above
2. Which of the following about acute pancreatitis is false ?
A. Pancreatic isoamylase & lipase remain elevated for 7-14 days
B. Serum amylase is higher in gallstone pancreatitis
C. Serum lipase higher in alcohol-associated pancreatitis
D. None of the above
3. Hyperglycemia in acute pancreatitis is due to ?
A. Decreased insulin release
B. Increased glucagon release
C. Increased output of adrenal glucocorticoids & catecholamines
D. All of the above
4. Hypocalcemia may occur in which of the following conditions ?
A. Burns
B. Tumor lysis
C. Pancreatitis
D. All of the above
5.Markers of poor prognosis in severe pancreatitis is ?
A. Elevated serum LDH levels (> 500 U/dL)
B. Azotemia
C. Hypoxemia (arterial PO2 <=60 mm Hg)
D. All of the above
6. Laboratory studies in acute pancreatitis may show ?
A. Leukocytosis
B. Hypocalcemia
C. Hyperglycemia
D. All of the above
7. Risk factor for severity in acute pancreatitis is ?
A. Age > 60 years
B. Obesity (BMI > 30)
C. Comorbid disease
D. All of the above
8. Which of the following is not included in the bedside index of
severity (BISAP) in acute pancreatitis ?
A. Pao2 < 60 mmHg
B. Blood urea nitrogen (BUN) > 22 mg %
C. Age > 60 years
D. Impaired mental status
9.Indicators of a severe attack of pancreatitis are all except ?
A. Age > 70 years
B. Body mass index (BMI) < 25
C. Hematocrit > 44%
D. Admission C-reactive protein > 150 mg/L
10. Differential diagnosis of acute pancreatitis include ?
A. Perforated viscus
B. Dissecting aortic aneurysm
C. Connective tissue disorders with vasculitis
D. All of the above
11. Which of the following is true in diabetic ketoacidosis ?
A. Elevated total serum amylase levels
B. Pancreatic isoamylase levels not elevated
C. Serum lipase not elevated
D. All of the above
12. Which investigation is most helpful in differentiating acute
cholecystitis from acute pancreatitis ?
A. Serum Lipase
B. Upper GI Endoscopy
C. Radionuclide scanning
D. FP abdomen
13. Which of the following determines outcome in majority of
difficult to manage cases of acute pancreatitis ?
A. Gastrointestinal bleeding (>500 mL/day)
B. PO2 <= 60 mmHg
C. Systolic blood pressure < 90 mmHg
D. Serum creatinine >2.0 mg/dL
14. Abdominal CT of acute pancreatitis patient showed one
peripancreatic fluid collection and necrosis of one-third of
pancreas – what is the CT severity index ?
A. 4
B. 5
C. 6
D. 7
15. Multiple factor scoring system for acute pancreatitis is ?
A. Ranson
B. Imrie
C. APACHE II
D. All of the above
16. Bedside Index of Severity in Acute Pancreatitis (BISAP)
incorporates how many clinical and laboratory parameters ?
A. 3
B. 5
C. 7
D. 9
17.Noninfectious etiology of systemic inflammatory response
syndrome (SIRS) include which of the following ?
A. Pancreatitis
B. Adrenal insufficiency
C. Pulmonary embolism
D. All of the above
18. SOFA score stands for ?
A. Septic organ failure assessment
B. Surgical organ failure assessment
C. Symptomatic organ failure assessment
D. Sequential organ failure assessment
19. Test that is more specific for acute pancreatitis than serum
amylase and lipase is ?
A. Urine Trypsinogen activation peptide (TAP)
B. Trypsinogen-2
C. Abdominal CT & MRI
D. All of the above
20. Which of the following tests is more specific for the diagnosis
of acute pancreatitis ?
A. Serum amylase
B. Serum lipase
C. Trypsinogen activation peptide
D. Trypsinogen-4
21`. At 24 hours after admission, the most sensitive & specific
predictor of severe acute pancreatitis is ?
A. APACHE II score >=8
B. C-reactive protein level >150 mg/dl
C. PMN elastase >300 μg/liter
D. Urinary TAP >35 nmol/liter
22. Pancreatic-duct disruption is suspected when ?
A. Fluid collections with very high levels of pancreatic enzymes
B. Pseudocysts
C. Ascites or pleural effusions
D. All of the above
23. Recurrent pancreatitis in the absence of biliary disease,
alcoholism, and toxic or metabolic causes suggests ?
A. Pancreas divisum
B. Duct-obstructing masses
C. Genetic susceptibility
D. Any of the above
24.Test that identifies early pancreatic duct disruption is ?
A. CT abdomen
B. MRI abdomen
C. Transabdominal ultrasound
D. All of the above
25. Biliary sludge is made up of ?
A. Cholesterol crystals
B. Calcium bilirubinate granules
C. Gall bladder mucus
D. All of the above
