Question 5 (part 2) · LEK · Acute pancreatitis
Which of the following statements are true?
1) hypertriglyceridaemia >1000mg/dl is considered to be a rare risk factor for acute pancreatitis;
2) Cullen’s sign is a marker of a severe form of acute pancreatitis;
3) in acute pancreatitis amylase activity in the blood may persist for months, even after the disease has been managed;
4) the presence of fluid sacs with the necrosis of >½ of the pancreatic parenchyma indicates a severe course of acute pancreatitis according to CTSI;
5) chronic pancreatitis might be caused by a narrowing of the duct of Wirsung as well as the presence of calculi therein;
6) Patients with chronic pancreatis develop symptoms of deficiencies of all fat-soluble vitamins.
The correct answer is:
2) Cullen’s sign is a marker of a severe form of acute pancreatitis;
3) in acute pancreatitis amylase activity in the blood may persist for months, even after the disease has been managed;
4) the presence of fluid sacs with the necrosis of >½ of the pancreatic parenchyma indicates a severe course of acute pancreatitis according to CTSI;
5) chronic pancreatitis might be caused by a narrowing of the duct of Wirsung as well as the presence of calculi therein;
6) Patients with chronic pancreatis develop symptoms of deficiencies of all fat-soluble vitamins.
The correct answer is:
- A. 1,3,5,6.
- B. 1,2,4,5.
- C. 2,3,4,5.
- D. 1,2,3,6.
- E. 2,4,5,6.
Hint
Consider how long amylase stays raised after an attack, what CTSI awards for extensive necrosis and whether hypertriglyceridaemia is a recognised cause.
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