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GIT Journal club acute pancreatitis ACG Practice guidelines with BO4.
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Prepared by:Dr.Mohamed Al-Shekhani.
Diagnosis:
Etiology:
Etiology:
DIAGNOSIS:
Etiology:
Initial management:
ERCP in AP:
Antibiotics in AP:
Nutrition in AP:
Surgery in AP:
BO4Qs1:
• 1. Which one of the following is a required finding for the diagnosis of acute pancreatitis (AP)?
• A. Severe mid-abdominal pain• B. E levated serum amylase between *1 – 3 ULN.• C. Abnormal appearance of the pancreas on CT
imaging• D. Exclusion of peptic ulcer disease on normal
upper endoscopy
BO4Qs1:
• 1. Which one of the following is a required finding for the diagnosis of acute pancreatitis (AP)?
• A. Severe mid-abdominal pain• B. E levated serum amylase between *1 – 3 ULN.• C. Abnormal appearance of the pancreas on CT
imaging• D. Exclusion of peptic ulcer disease on normal
upper endoscopy
BO4Qs2:
• 2. Which one of the following statements is true regarding gallstone-associated AP?
• A. ERCP is contraindicated in patients with AP & cholangitis.
• B. Cholecystectomy should be delayed for 4–6 weeks in patients with AP and gallstones in the gallbladder.
• C. Pancreatic duct stents lower the risk of severe post-ERCP pancreatitis in high-risk patients.
• D. All patients with AP and gallstones should be given antibiotics to prevent the development of pancreatic necrosis.
BO4Qs2:
• 2. Which one of the following statements is true regarding gallstone-associated AP?
• A. ERCP is contraindicated in patients with AP & cholangitis.
• B. Cholecystectomy should be delayed for 4–6 weeks in patients with AP and gallstones in the gallbladder.
• C. Pancreatic duct stents lower the risk of severe post-ERCP pancreatitis in high-risk patients.
• D. All patients with AP and gallstones should be given antibiotics to prevent the development of pancreatic necrosis.
BO4Qs3:
• 3. Which one of the following statements is true regarding nutrition in AP?
• A. In mild AP, nasojejunal feeding decreases the risk of progression to more severe AP.
• B. In severe AP, RCTs have clearly shown NJ feeding to be superior to NGT feeding.
• C. Parenteral nutrition is indicated in severe AP.• D. Low-fat solid diets are equal to liquid diets in
mild AP.
BO4Qs3:
• 3. Which one of the following statements is true regarding nutrition in AP?
• A. In mild AP, nasojejunal feeding decreases the risk of progression to more severe AP.
• B. In severe AP, RCTs have clearly shown NJ feeding to be superior to NGT feeding.
• C. Parenteral nutrition is indicated in severe AP.• D. Low-fat solid diets are equal to liquid diets in
mild AP.
BO4Qs4:
• 4. Which one of the following quantities is considered the cut-off for small versus large gallstones?
• A. > 5 mm• B. > 8 mm• C. > 10 mm• D. > 12 mm
BO4Qs4:
• 4. Which one of the following quantities is considered the cut-off for small versus large gallstones?
• A. > 5 mm• B. > 8 mm• C. > 10 mm• D. > 12 mm?
BO4Qs5:
• 3. Which one of the following is an indication for deep cannulation of the pancreatic duct during ERCP?
• A. Acute biliary pancreatitis• B. Chronic pancreatitis with symptomatic
stricture• C. Sphincter of Oddi manometry• D. Suspected cholangiocarcinoma
BO4Qs5:
• 3. Which one of the following is an indication for deep cannulation of the pancreatic duct during ERCP?
• A. Acute biliary pancreatitis• B. Chronic pancreatitis with symptomatic
stricture• C. Sphincter of Oddi manometry• D. Suspected cholangiocarcinoma
BO4Qs6:
• 3. CECT or MRI in AP is indicated in all these situations except ?
• A. As initial evaluation.• B. When the diagnosis is unclear.• C. To evaluate local complications.• D. When is no early clinical improvement.
BO4Qs6:
• 3. CECT or MRI in AP is indicated in all these situations except ?
• A. As initial evaluation.• B. When the diagnosis is unclear.• C. To evaluate local complications.• D. When is no early clinical improvement.
BO4Qs7:
• 3. The preferred fluid replacement therapy in AP is?
• A. Normal saline.• B. Glucose saline.• C. Colloides.• D. Ringer lactate.• E. Albumin.
BO4Qs7:
• 3. The preferred fluid replacement therapy in AP is?
• A. Normal saline.• B. Glucose saline.• C. Colloides.• D. Ringer lactate.• E. Albumin.
BO4Qs8:
• 3. Severe AP is defined when there is?• A. Local complications.• B. Transient Organ failure.• C. Persistent organ failure.• D. A&C.• E. C.
BO4Qs8:
• 3. Severe AP is defined when there is?• A. Local complications.• B. Transient Organ failure.• C. Persistent organ failure.• D. A&C.• E. C.
BO4Qs9:
• 3. In the absence of gall stones & alcohol abuse, hypertriglyceridemia is considered causative of AP is the level is above?
• A. 500.• B. 600.• C. 800.• D. 900.• E. 1000.
BO4Qs9:
• 3. In the absence of gall stones & alcohol abuse, hypertriglyceridemia is considered causative of AP is the level is above?
• A. 500.• B. 600.• C. 800.• D. 900.• E. 1000.
BO4Qs10:
• 3. Genetic testing for heriditary AP is indicated when there is family history of pancreatic disease & the age is less than?
• A. 50.• B. 40.• C. 30.• D.50.• E. 20.
BO4Qs10:
• 3. Genetic testing for heriditary AP is indicated when there is family history of pancreatic disease & the age is less than?
• A. 50.• B. 40.• C. 30.• D.50.• E. 20.
BO4Qs11:
• 3. The risks & benefits of routine EUS in finding a cause of idiopathic AP are?
• A. Clear.• B. Unclear.• C.Well established.• D. More Risky.• E. None of the above.
BO4Qs11:
• 3. The risks & benefits of routine EUS in finding a cause of idiopathic AP are?
• A. Clear.• B. Unclear.• C.Well established.• D. More Risky.• E. None of the above.