Pancreatitis — Flashcards
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Disseminated Intravascular Coagulation (DIC) is almost always secondary to another disease, which may be remembered with "STOP Making New Thrombi" S:_____, _____ T: Trauma O: *Obstetric complications P: Pancreatitis (acute) Making: Malignancy New: Nephrotic syndrome Thrombi: Transfusion
In addition to parotitis, mumps may also present with _____, pancreatitis, and aseptic meningitis
Parotitis can present with elevated serum _____
The causes of acute pancreatitis may be remembered with the mnemonic "I GET PP SMASHED": [https://www.ankingmed.com/congratulations] I: _____ G: Gallstones E: Ethanol T: Trauma (e.g. automobile accident in children - seatbelt injury) P: Posterior duodenal ulcer rupture P: Pancreas Divisum S: Steroids M: Mumps A: Autoimmune disease S: Scorpion sting H: HYPERcalcemia or Hypertriglyceridemia/Hyperchylomicronemia E: ERCP (endoscopic retrograde cholangiopancreatography) D: Drugs (e.g. sulfa drugs, NRTIs, protease inhibitors)
What age group is most commonly affected by pancreatic adenocarcinoma? _____
What is the prognosis of pancreatic adenocarcinoma? _____
Complications of acute pancreatitis include _____ due to activation of coagulation factors
What is the level of insulin in a patient with type 2 diabetes (elevated, decreased, normal)? _____
MEN _____ is associated with parathyroid adenomas
What is the serum calcium level in primary hyperparathyroidism? _____
Pancreatitis US Medical PG Flashcards - Medical Study Cards
Master Pancreatitis with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Pancreatitis Flashcard Deck - 115 Cards
Flashcard 1: Disseminated Intravascular Coagulation (DIC) is almost always secondary to another disease, which may be remembered with "STOP Making New Thrombi" S:_____, _____ T: Trauma O: *Obstetric complications P: Pancreatitis (acute) Making: Malignancy New: Nephrotic syndrome Thrombi: Transfusion
Answer: Sepsis
Extra: * Pancreas shaped hair= Pancreatitis -> DIC Watch Acquired Coagulation Defects [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-blood-coagulation/videos/medical-pathophysiology-blood-and-coagulation-coagulopathies-and-platelet-disorders-acquired-coagulation-defects?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/hematology-and-oncology/videos/coagulation-and-fibrinolysis?index=9] https://onlinemeded.org/spa/heme-onc/hemostasis/acquire?ref=anki
Flashcard 2: In addition to parotitis, mumps may also present with _____, pancreatitis, and aseptic meningitis
Answer: orchitis
Extra: https://onlinemeded.org/spa/pediatrics/peds-infectious-rashes/acquire?ref=anki
Flashcard 3: Parotitis can present with elevated serum _____
Answer: amylase
Extra: https://onlinemeded.org?ref=anki
Flashcard 4: The causes of acute pancreatitis may be remembered with the mnemonic "I GET PP SMASHED": [https://www.ankingmed.com/congratulations] I: _____ G: Gallstones E: Ethanol T: Trauma (e.g. automobile accident in children - seatbelt injury) P: Posterior duodenal ulcer rupture P: Pancreas Divisum S: Steroids M: Mumps A: Autoimmune disease S: Scorpion sting H: HYPERcalcemia or Hypertriglyceridemia/Hyperchylomicronemia E: ERCP (endoscopic retrograde cholangiopancreatography) D: Drugs (e.g. sulfa drugs, NRTIs, protease inhibitors)
Answer: Idiopathic
Extra: Watch Acute & Chronic Pancreatitis [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pediatrics-hepatobiliary/videos/medical-pathophysiology-hepatobiliary-pancreatic-disease-acute-and-chronic-pancreatitis?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gastroenterology/videos/pancreatic-and-biliary-pathology?index=3] https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki
Flashcard 5: What age group is most commonly affected by pancreatic adenocarcinoma? _____
Answer: Elderly
Extra: * Old man with gray hair and gray beard Watch Pancreatic Cancer & Islet Cell Tumors [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pediatrics-hepatobiliary/videos/medical-pathophysiology-hepatobiliary-pancreatic-disease-pancreatic-cancer-and-islet-cell-tumors?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gastroenterology/videos/pancreatic-and-biliary-pathology?index=5] https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki Atlas:
Flashcard 6: What is the prognosis of pancreatic adenocarcinoma? _____
Answer: Very poor (1-year survival < 10%)
Extra: Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gastroenterology/videos/pancreatic-and-biliary-pathology?index=5] https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki Atlas:
Flashcard 7: Complications of acute pancreatitis include _____ due to activation of coagulation factors
Answer: DIC
Extra: * Pancreatic enzymes chew on coagulation factors-> induces inflammation and coagulation cascade -> DIC Watch Acute & Chronic Pancreatitis [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pediatrics-hepatobiliary/videos/medical-pathophysiology-hepatobiliary-pancreatic-disease-acute-and-chronic-pancreatitis?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gastroenterology/videos/pancreatic-and-biliary-pathology?index=3] https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki
Flashcard 8: What is the level of insulin in a patient with type 2 diabetes (elevated, decreased, normal)? _____
Answer: Variable; increased early in disease, but may be decreased later in disease due to β cell exhaustion
Extra: Watch Diabetes Mellitus Pathogenesis & Acute Clinical Manifestations [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-endocrine/videos/medical-pathophysiology-endocrine-diabetes-diabetes-mellitus-pathogenesis-and-acute-clinical-manifestations?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki
Flashcard 9: MEN _____ is associated with parathyroid adenomas
Answer: 1
Extra: Watch Parathyroid Gland Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-endocrine/videos/medical-pathophysiology-endocrine-thyroid-and-parathyroid-parathyroid-gland-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch Multiple Endocrine Neoplasia (MEN) [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-endocrine/videos/medical-pathophysiology-endocrine-thyroid-and-parathyroid-multiple-endocrine-neoplasia-men?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/endocrinology/men-syndromes/acquire?ref=anki
Flashcard 10: What is the serum calcium level in primary hyperparathyroidism? _____
Answer: Increased (due to increased PTH)
Extra: Watch Parathyroid Gland Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-endocrine/videos/medical-pathophysiology-endocrine-thyroid-and-parathyroid-parathyroid-gland-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/nephrology/videos/electrolytes?index=6] https://onlinemeded.org/spa/endocrinology?ref=anki
Flashcard 11: The Trousseau sign is _____ upon inflation of a blood pressure cuff; it is an indicator of hypocalcemia
Answer: carpopedal spasm
Extra: * Carpopedal spasm- spasmodic contraction of the hands and feet Watch Parathyroid Gland Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-endocrine/videos/medical-pathophysiology-endocrine-thyroid-and-parathyroid-parathyroid-gland-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/nephrology/videos/electrolytes?index=6] https://onlinemeded.org/spa/nephrology/calcium/acquire?ref=anki
Flashcard 12: Adult T-cell leukemia/lymphoma may present with _____ bone lesions and hypercalcemia
Answer: lytic (punched-out)
Extra: Watch Acute Lymphoblastic Leukemia (ALL), Chronic Lymphocytic Leukemia (CLL), Hairy Cell Leukemia & Adult T cell Leukemia [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-myeloid-lymphoid/videos/medical-pathophysiology-myeloid-and-lymphoid-lymphoid-and-plasma-cell-disorders-acute-lymphoblastic-leukemia-all-chronic-lymphocytic-leukemia-cll-hairy-cell-leukemia-and-adult-t-cell-leukemia?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/hematology-and-oncology/videos/leukemias-and-lymphomas?index=11] https://onlinemeded.org/spa/hematology-oncology/leukemia/acquire?ref=anki Other:
Flashcard 13: Will a diabetic ketoacidosis patient present with hyper- or hypo-glycemia? _____
Answer: Hyperglycemia (usually >300 mg/dL)
Extra: Watch Diabetic Ketoacidosis (DKA) & Hyperosmolar Hyperglycemic State (HHS) [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-endocrine/videos/medical-pathophysiology-endocrine-diabetes-diabetic-ketoacidosis-dka-and-hyperosmolar-hyperglycemic-state-hhs?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki
Flashcard 14: Pancreatitis secondary to alcohol abuse may present with what hematology complication? _____
Answer: Macrocytosis (MCV >100)
Extra: * Although the macrocytosis of alcoholism may be secondary to poor nutrition with a resulting folate or vitamin B-12 deficiency, it is more often due to direct toxicity of the alcohol on the marrow Watch Acute & Chronic Pancreatitis [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pediatrics-hepatobiliary/videos/medical-pathophysiology-hepatobiliary-pancreatic-disease-acute-and-chronic-pancreatitis?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org?ref=anki
Flashcard 15: In a single parathyroid adenoma, the other 3 normal parathyroid glands undergo _____ *bonus: why?
Answer: atrophy
Extra: Watch Parathyroid Gland Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-endocrine/videos/medical-pathophysiology-endocrine-thyroid-and-parathyroid-parathyroid-gland-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/endocrine?ref=anki
Flashcard 16: Are serum amylase and lipase useful serum markers for chronic pancreatitis? _____
Answer: No (may or may not be elevated)
Extra: * b/c the vast majority of the pancreas has been destroyed leading to decreased levels of amylase and lipase, thus, a decrease in these levels is not specific for acute episodes as they are chronically decreased Watch Acute & Chronic Pancreatitis [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pediatrics-hepatobiliary/videos/medical-pathophysiology-hepatobiliary-pancreatic-disease-acute-and-chronic-pancreatitis?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gastroenterology/videos/pancreatic-and-biliary-pathology?index=4] https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki Atlas:
Flashcard 17: Does hyperosmolar hyperglycemia non-ketotic syndrome present with ketoacidosis? Why? _____
Answer: No, ketone production is inhibited by presence of insulin
Extra: * type 2 DM produce some insulin -> inhibits hormone sensitive lipase -> no lipolysis or fatty acid breakdown -> no ketone bodies Watch Diabetic Ketoacidosis (DKA) & Hyperosmolar Hyperglycemic State (HHS) [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-endocrine/videos/medical-pathophysiology-endocrine-diabetes-diabetic-ketoacidosis-dka-and-hyperosmolar-hyperglycemic-state-hhs?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki
Flashcard 18: Ketoacidosis may cause the breath to have a(n) _____ odor due to exhaled acetone
Answer: fruity
Extra: https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki
Flashcard 19: Which hyperparathyroidism(s) present with increased secretion of PTH? _____
Answer: All three :) (1,2, & 3)
Extra: Watch Parathyroid Gland Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-endocrine/videos/medical-pathophysiology-endocrine-thyroid-and-parathyroid-parathyroid-gland-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/endocrine?ref=anki
Flashcard 20: Pancreatic pseudocysts may _____, causing hemorrhage and release of enzymes into the abdominal cavity
Answer: rupture
Extra: Watch Acute & Chronic Pancreatitis [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pediatrics-hepatobiliary/videos/medical-pathophysiology-hepatobiliary-pancreatic-disease-acute-and-chronic-pancreatitis?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki Atlas:
Flashcard 21: Pancreatic adenocarcinoma often presents with _____ abdominal pain that radiates to the back
Answer: epigastric
Extra: Watch Pancreatic Cancer & Islet Cell Tumors [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pediatrics-hepatobiliary/videos/medical-pathophysiology-hepatobiliary-pancreatic-disease-pancreatic-cancer-and-islet-cell-tumors?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gastroenterology/videos/pancreatic-and-biliary-pathology?index=5] https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki Atlas:
Flashcard 22: _____ presents with mild hypercalcemia and hypocalciuria with normal or increased PTH levels
Answer: Familial hypocalciuric hypercalcemia
Extra: Watch Calcium Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-renal/videos/medical-pathophysiology-renal-volume-electrolyte-and-acidbase-disorders-calcium-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/nephrology/calcium/acquire?ref=anki - Higher than normal [Ca] needed to suppress PTH - Hypocalciuria = want to suck out more [Ca] to suppress the PTH
Flashcard 23: Pancreatic insufficiency causes malabsorption of fat, fat-soluble vitamins, and vitamin _____
Answer: B12
Extra: Watch Megaloblastic Anemia Folate Deficiency & Vitamin B Deficiency [https://dashboard.sketchy.com/study/medical/courses/medical-biochemistry/units/medical-biochemistry-clinical-genetics/videos/medical-biochemistry-clinical-genetics-autosomal-recessive-diseases-autosomal-recessive-diseases?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gastroenterology/videos/pancreatic-and-biliary-pathology?index=2] https://onlinemeded.org/spa/gastroenterology/malabsorption/acquire?ref=anki
Flashcard 24: The major risk factors for pancreatic adenocarcinoma are - smoking - _____
Answer: chronic pancreatitis (especially > 20 years)
Extra: * Old man smoking * Chronic Pancreatitis sponge next to cancer crabs on beach Watch Pancreatic Cancer & Islet Cell Tumors [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pediatrics-hepatobiliary/videos/medical-pathophysiology-hepatobiliary-pancreatic-disease-pancreatic-cancer-and-islet-cell-tumors?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gastroenterology/videos/pancreatic-and-biliary-pathology?index=5] https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki
Flashcard 25: Which parathyroid disorder is characterized by "stones, bones, groans, and psychiatric undertones"? _____
Answer: Primary hyperparathyroidism
Extra: - Stones from hypercalciuria - Bones from increased bone resorption - Groans from constipation - Psychiatric undertones from depression Watch Parathyroid Gland Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-endocrine/videos/medical-pathophysiology-endocrine-thyroid-and-parathyroid-parathyroid-gland-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/nephrology/videos/electrolytes?index=6] https://onlinemeded.org/spa/nephrology/calcium/acquire?ref=anki
Flashcard 26: Pancreatic adenocarcinoma may cause _____
Answer: Cushing syndrome
Extra: * due to ectopic secretion of ACTH Watch Pancreatic Cancer & Islet Cell Tumors [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pediatrics-hepatobiliary/videos/medical-pathophysiology-hepatobiliary-pancreatic-disease-pancreatic-cancer-and-islet-cell-tumors?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gastroenterology/videos/pancreatic-and-biliary-pathology?index=8] https://onlinemeded.org?ref=anki
Flashcard 27: Primary hyperparathyroidism is most commonly caused by a(n) _____
Answer: parathyroid adenoma (which secretes excess PTH)
Extra: https://onlinemeded.org/spa/endocrinology?ref=anki
Flashcard 28: Treatment of pancreatic adenocarcinoma includes the _____ procedure, chemotherapy, and radiation
Answer: Whipple
Extra: Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gastroenterology/videos/pancreatic-and-biliary-pathology?index=5] https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki Atlas:
Flashcard 29: What pathology is commonly associated with glucosuria? _____
Answer: Diabetes mellitus
Extra: Watch Diabetes Mellitus Pathogenesis & Acute Clinical Manifestations [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-endocrine/videos/medical-pathophysiology-endocrine-diabetes-diabetes-mellitus-pathogenesis-and-acute-clinical-manifestations?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/nephrology/videos/fluid-and-filtration-physiology?index=8] https://onlinemeded.org/spa/endocrine/diabetes/acquire?ref=anki
Flashcard 30: _____ is characterized by hypercalcemia, hypophosphatemia, and increased circulating levels of PTH
Answer: Primary hyperparathyroidism
Extra: * NOTE: Raised Calci-yum ice cream held by professor (sketchy wrong) Watch Parathyroid Gland Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-endocrine/videos/medical-pathophysiology-endocrine-thyroid-and-parathyroid-parathyroid-gland-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/nephrology/calcium/acquire?ref=anki
Flashcard 31: Most common cause of chronic pancreatitis is _____
Answer: alcoholism (95%)
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 32: What do you do if pt. presents with severe acute pancreatits with poor Ransons criteria and ? _____
Answer: ICU and monitor w/ CT scans
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 33: How do you dx a pancreatic pseudocyst? _____
Answer: CT
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 34: Acute pancreatitis and persistent fever/leukocytosis = pancreatic _____ Acute pancreatitis + mass symptoms (feel a mass/early satiety) = pancreatic _____
Answer: abscess
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 35: (-) ketones or acidosis and glucose > 800 mg/dL is suggestive of _____
Answer: hyperglycemic hyperosmolar non-ketotic coma (HHNK)
Extra: https://onlinemeded.org/spa/endocrinology/diabetic-emergencies/acquire?ref=anki
Flashcard 36: What is the likely diagnosis in a patient with hypercalcemia, elevated PTH, and low urine Ca2+? _____
Answer: Familial hypocalciuric hypercalcemia
Extra: https://onlinemeded.org/spa/nephrology/calcium/acquire?ref=anki
Flashcard 37: A dilated transverse colon and cut-off sign at the splenic flexure can be seen in _____
Answer: acute pancreatitis
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 38: What nutrition support is given in pancreatitis patients if NPO exceeds 5-7 days? _____
Answer: Enteral nutrition (NJ tube)
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 39: How does the PaO2/FiO2 ratio change in patients with ARDS? _____
Answer: Decreased (< 300 mmHg)
Extra: https://onlinemeded.org/spa/pulmonology/ards/acquire?ref=anki
Flashcard 40: Pancreatitis complication with mass (palpable) sx's (dyspnea, ascites, and early satiety)? _____
Answer: Pancreatic pseudocyst
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 41: Acute pancreatitis may present with absent bowel sounds due to _____
Answer: ileus
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 42: What are the most common causes of pancreatitis? (2) _____
Answer: Gallstones and EtOH
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 43: Edematous pancratitis = _____ hematocrit Hemorrhagic pancreatitis = _____ hematocrit
Answer: ↑
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 44: What is the best initial imaging modality for patients with suspected chronic pancreatitis? _____
Answer: Abdominal CECT scan
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 45: What position relieves pancreatitis pain? _____
Answer: Leaning forward
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 46: What imaging modality is most useful for diagnosing acute pancreatitis if laboratory testing (amylase/lipase) is unclear? _____
Answer: Contrast-enhanced CT scan
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki nearly 30% of patients have an ileus with bowel gas that prevents ultrasound from fully visualizing the pancreas
Flashcard 47: A(n) _____ bite can cause pancreatitis
Answer: Black Widow spider
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 48: _____ = onset in less than a day _____ = onset over > 5 days
Answer: DKA
Extra: https://onlinemeded.org?ref=anki
Flashcard 49: Perioral tingling, Trousseau sign and Chvostek sign are all caused by _____
Answer: hypocalcemia
Extra: https://onlinemeded.org/spa/nephrology/calcium/acquire?ref=anki
Flashcard 50: What is presentation of pancreatitis? _____
Answer: Boring epigastric pain radiating to the back, typically after heavy meal/EtOH
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 51: Acute pancreatitis and ↑ AST/ALT/ALP = _____
Answer: gallstones
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 52: What should you do if a patient with severe pancreatitis develops a fever and leukocytosis three weeks into their hospitalization? IVF/cultures/IV antibiotics → _____
Answer: Contrast CT (for necrotic tissue or peripancreatic abscess)
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 53: What is a late sequelae cx of pancreatitis? _____
Answer: Pancreatic pseudocyst
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 54: How do the following laboratory values change in patients with an exogenous insulin use? Serum insulin: _____ C-peptide level: _____
Answer: Increased
Extra: https://onlinemeded.org/spa/endocrinology/diabetic-emergencies/acquire?ref=anki
Flashcard 55: What is the next step in management for an older patient with a significant smoking history that presents with painful, pruritic red streaks on the arm, with a similar episode two weeks prior on the chest that self-resolved, and mild epigastric pain? _____
Answer: Abdominal CT
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 56: What is tx of acute pancreatits? _____
Answer: Bowel rest, fluids, and analgesia (IVF+ NPO+morphine)
Extra: https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki
Flashcard 57: What insulin regimen is considered the best for the day-to-day management of diabetes? _____
Answer: Basal-Bolus
Extra: https://onlinemeded.org/spa/endocrinology/insulin-management/acquire?ref=anki
Flashcard 58: What is the single most prognostic lab for pancreatitis? _____
Answer: BUN
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 59: A(n) _____ bite can cause muscle pain, abdominal pain, and pancreatitis
Answer: Black Widow spider
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 60: How are pancreaticopleural fistulas managed? _____
Answer: Bowel rest (to promote fistual closure by avoiding pancreatic stimulation)
Extra: https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki
Flashcard 61: DKA = usually type _____ diabetes
Answer: 1
Extra: https://onlinemeded.org/spa/endocrinology/diabetic-emergencies/acquire?ref=anki
Flashcard 62: Severe sepsis, obstetric complications, cancer, burns, trauma, major surgery, acute pancreatitis, APL Are all possible causes of _____
Answer: DIC
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 63: Symptoms of spontaneous episodic hypoglycemia that resolve with glucose administration or rest should raise concern for the _____
Answer: Whipple triad
Extra: https://onlinemeded.org?ref=anki
Flashcard 64: What is recommended treatment for a patient with severe pruritus secondary to advanced pancreatic adenocarcinoma? _____
Answer: Endoscopic CBD stent placement
Extra: https://onlinemeded.org?ref=anki
Flashcard 65: Acute pancreatitis causes epigastric pain radiating to the back that is _____ by leaning forward
Answer: relieved
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 66: Anti-glutamic acid decarboxylase antibodies are suggestive of _____
Answer: T1DM
Extra: https://onlinemeded.org/spa/endocrinology/outpatient-diabetes/acquire?ref=anki
Flashcard 67: How is chronic pancreatits treated? _____
Answer: 1. Treat the pain (very painful) 2. Manage DM, steatorrhea, and malabsorption
Extra: https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki
Flashcard 68: Acute pancreatitis = _____
Answer: CT scan with contrast
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 69: What are 2 ways patients get pancreatic abscesses? _____
Answer: 1. Necrotizing pancreatitis who stays ill 2. Typical pancreatitis w/ abscess on day 5(ish) w/ persistent fever/leukocytosis
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 70: What abx do you give if there is FNA-proven infection associated with pancreatitis? _____
Answer: Meropenem
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 71: _____ is when the parathyroid gland becomes autonomous from constant stimulation
Answer: Tertiary hyperparathyroidism
Extra: https://onlinemeded.org/spa/nephrology/calcium/acquire?ref=anki
Flashcard 72: SIRS must include 2 of the following: Temp > _____ or temp < _____ RR > 20 breaths/min HR > 90 bpm WBC > 12,000 or WBC < 4000
Answer: 38 (100.4)
Extra: https://onlinemeded.org/spa/infectious-disease/sepsis/acquire?ref=anki
Flashcard 73: What is dx of acute pancreatitis with poor Ranson's criteria or needs pressors? _____
Answer: Necrotizing pancreatitis
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 74: _____ is characterized by steatorrhea, epigastric pain, alcohol abuse, fat-soluble vitamin deficiency and diabetes
Answer: Chronic pancreatitis
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 75: Acute pancreatitis is usually caused by: _____ alcoholism (30%)
Answer: gallstones (50%)
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 76: In the inpatient setting, sliding scale insulin can be added to an existing _____ regimen
Answer: basal-bolus
Extra: https://onlinemeded.org/spa/endocrinology/insulin-management/acquire?ref=anki
Flashcard 77: Does a pancreatic pseudocyst cause weight loss? _____
Answer: No
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 78: _____ always requires insulin treatment
Answer: T1DM
Extra: https://onlinemeded.org/spa/endocrinology/outpatient-diabetes/acquire?ref=anki
Flashcard 79: _____ can administered to decrease long-term morbidity associated with chronic pancreatitis
Answer: Insulin therapy
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 80: _____ can lead to an amylase-rich exudative pleural effusion with pH > 7
Answer: Pancreaticopleural fistula
Extra: https://onlinemeded.org/spa/pulmonology/pleural-effusion/acquire?ref=anki
Flashcard 81: What is the second most common cause of acute pancreatitis? _____
Answer: Alcohol
Extra: https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 82: Switch from NS to D5W when glucose < _____ in dka
Answer: 200
Extra: https://onlinemeded.org?ref=anki
Flashcard 83: Acute pancreatitis may present with _____-calcemia/magnesemia
Answer: hypo
Flashcard 84: Which pancreatic enzyme (amylase or lipase) is more specific for acute pancreatitis?_____
Answer: Lipase
Flashcard 85: Chronic pancreatitis may present with _____, which results in malabsorption with steatorrhea and fat-soluble vitamin deficiences
Answer: pancreatic insufficiency
Flashcard 86: Cystic fibrosis may cause _____ insufficiency, resulting in malabsorption
Answer: pancreatic
Flashcard 87: What is the serum level of calcium in primary hyperparathyroidism?_____
Answer: Increased (hypercalcemia)
Flashcard 88: Which type(s) of diabetes may be treated with insulin therapy?_____
Answer: T1DM, T2DM, and GDM (exogenous therefore doesn't require beta cell activity)
Flashcard 89: _____ presents with mild hypercalcemia and hypocalciuria with normal or increased PTH levels
Answer: Familial hypocalciuric hypercalcemia
Flashcard 90: What endocrine pathology may arise secondary to chronic pancreatitis? _____
Answer: Diabetes mellitus
Flashcard 91: Will a diabetic ketoacidosis patient present with hyper- or hypo-glycemia?_____
Answer: Hyperglycemia (usually >300 mg/dL)
Flashcard 92: Pancreatic pseudocysts may _____, causing hemorrhage and release of enzymes into the abdominal cavity
Answer: rupture
Flashcard 93: Anti-islet cell cytoplasmic autoantibodies are associated with _____
Answer: type I diabetes mellitus
Flashcard 94: Pancreatic abscess presents with abdominal pain, high fever, and persistently elevated serum _____
Answer: amylase
Flashcard 95: Complications of acute pancreatitis include _____ due to damage to the alveolar capillary interface
Answer: ARDS
Flashcard 96: Pancreatic pseudocyst presents as an abdominal mass with persistently elevated serum _____
Answer: amylase
Flashcard 97: _____ is characterized by hypercalcemia, hypophosphatemia, and increased circulating levels of PTH
Answer: Primary hyperparathyroidism
Flashcard 98: Pancreatic insufficiency is associated with _____ excretion of fecal elastase
Answer: decreased
Flashcard 99: As a result of hypercalcemia, patients with primary hyperparathyroidism are at increased risk for _____ stones
Answer: calcium oxalate kidney
Flashcard 100: Chronic pancreatitis is most often secondary to recurrent acute _____
Answer: pancreatitis
Flashcard 101: What is the prognosis of pancreatic adenocarcinoma? _____
Answer: Very poor (1-year survival < 10%)
Flashcard 102: Acute pancreatitis may progress to _____, due to pancreatic hemorrhage and fluid sequestration
Answer: shock
Flashcard 103: What is the cause of metabolic acidosis in a patient with diabetes mellitus?_____
Answer: Increased production of ketoacids
Flashcard 104: Bronchiectasis is associated with _____, which is a hypersensitivity reaction to Aspergillus
Answer: allergic bronchopulmonary aspergillosis
Flashcard 105: Which paramyxovirus can result in pancreatitis?_____
Answer: Mumps
Flashcard 106: What age group is most commonly affected by type 1 DM? _____
Answer: < 30 years old
Flashcard 107: Complications of acute pancreatitis include _____ due to activation of coagulation factors
Answer: DIC
Flashcard 108: Acute _____ is diagnosed by 2 of 3 criteria: - Acute epigastric pain that radiates to the back - Increased serum amylase or lipase to 3x upper limit of normal - Characteristic imaging findings
Answer: pancreatitis
Flashcard 109: Migratory thrombophlebitis in pancreatic adenocarcinoma is also known as the _____ sign
Answer: Trousseau
Flashcard 110: Which type of familial dyslipidemia is associated with pancreatitis and hepatosplenomegaly? _____
Answer: Type I (hyperchylomicronemia)
Flashcard 111: Treatment of cystic fibrosis includes replacement of _____ enzymes
Answer: pancreatic
Flashcard 112: What age group is most commonly affected by pancreatic adenocarcinoma? _____
Answer: Elderly
Flashcard 113: Infection, pain, and sleep deprivativion can precipitate _____glycemia in patients with insulin treated diabetes
Answer: hyper
Flashcard 114: Pancreas divisum is mostly asymptomatic, but may cause chronic abdominal pain and/or _____
Answer: pancreatitis
Flashcard 115: The increased level of calcium in primary hyperparathyroidism may lead to activation of pancreatic enzymes, causing _____
Answer: acute pancreatitis
Keywords: Pancreatitis flashcards, medical flashcards, NEET PG preparation, USMLE Step 1 flashcards, Anki alternative, spaced repetition medical, OnCourse flashcards
Study by Chapter
Acute pancreatitis etiology
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Acute pancreatitis diagnosis
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Severity assessment in acute pancreatitis
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Management of acute pancreatitis
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Local complications of acute pancreatitis
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Systemic complications of acute pancreatitis
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Chronic pancreatitis pathophysiology
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Diagnosis of chronic pancreatitis
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Pain management in chronic pancreatitis
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Exocrine pancreatic insufficiency
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Endocrine complications in pancreatitis
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Autoimmune pancreatitis
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Pancreatic cancer risk in chronic pancreatitis
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