Gallbladder and Pancreatic Disorders
By:Mohamed Mamdouh
Assess Your Knowledge on Gallbladder and Pancreatic Disorders
Welcome to the Gallbladder and Pancreatic Disorders Quiz! Test your understanding of common conditions, symptoms, and treatments associated with the gallbladder and pancreas. This quiz is designed for healthcare professionals, students, or anyone interested in the subject.
Key topics covered:
- Gallbladder disorders
- Signs of cholecystitis
- Understanding pancreatitis
- Diagnosis and treatment options
Common disorders of gallbladder are
Cholecystitis
Cholelithiasis
Choledocholithiasis
All of the above
Inflammation of the gallbladder most often by the gallstones or result of bacteria, toxic chemicals ,starvation
A) hepatitis
B) cholecystitis
C) gastritis
Both A,B
Gallstones are composed of
Calcium,protein
Bilirubin
Cholesterol
All of the above
Caused by gallbladder stones that lodges and cause an obstruction
A)cholelithiasis
B) obstructive jaundice
C) hepatitis
Both A,B
In cholecystitis pain felt in
Left upper quadrant pain that radiates to the shoulder
Right lower quadrant pain that radiates to back
Right upper quadrant pain that radiates to the shoulder
Right upper quadrant pain that radiates to back
Symptoms in cholecystitis occur about ...... Hours especially if the food is.......
1-high caloric content
3-high protein content
3-high fat content
1-low fat content
Excess bilirubin make urine color
Yellow
Dark amber
White
Clay
excess bilirubin make stool color
Dark
Bloody
Brown
Clay
In cholecystitis digestion of ....... Is impaired
Fat
Protein
Carbohydrates
All of the above
In cholecystitis patient is unable to absorb
Water-soluble vitamins
Fat-soluble vitamins
Proteins
Sugar
.............. Deficiency interfre with blood clotting and make patient burises easily
Protein
Vitamin K
Vitamin C
All of the above
A specific test for acute cholecystitis
WBC count
Transient elastography
Esophagogastroscopy
Hepatobiliary iminodiacetic acid (HIDA)
Complications of cholecystitis and cholelithiasis are
Pancreatitis
Abscesses
Cholangits
All of the above
Medications are ordered in acute cholecystitis to relieve pain and muscle spasms
Analgesics and anticholinergic agents
Antibiotics
Gallstones drug therapy
All of the above
Medications are ordered in acute cholecystitis to treat infection
Analgesics and anticholinergic agents
Antibiotics
Gallstones drug therapy
All of the above
Medications are ordered in acute cholecystitis to patient with small cholesterol stones
Analgesics and anticholinergic agents
Antibiotics
Gallstones drug therapy
All of the above
Uses a sounds wave to break up gallstones in patients with few stones
Extracorporeal shock wave lithotripsy
Endoscopic sphincterotomy
Cholecystectomy
Nasogastric tube
Attached to suction to rest the bowel, relives nausea and vomiting
Extracorporeal shock wave lithotripsy
Endoscopic sphincterotomy
Cholecystectomy
Nasogastric tube
That patient is given sedative during the the procedure and lidocaine spray for gag refelx
Extracorporeal shock wave lithotripsy
Endoscopic sphincterotomy
Cholecystectomy
Nasogastric tube
After endoscopic sphincterotomy patient kept on..........and NPO until......
Drugs /he wake up
IV/ all iv container is empty
Bed rest for 6-8h/gag reflex returns
Non of the above
Is the most frequently used treatment for cholelithiasis
Extracorporeal shock wave lithotripsy
Endoscopic sphincterotomy
Cholecystectomy
Nasogastric tube
After cholecystectomy the drainage may be.......but it soon be...........
Orange/yellow
Bloody/greenish brown
Black/white
None of the above
After cholecystectomy notify the physician if the drainage exceeds
500mL/24h
200mL/12h
700mL/25h
1000mL/24h
After cholecystectomy patient should be kept in
Supine postion
Trendelburg position
Prone position
Low fowler position
After cholecystectomy if the patient feel pain,fever,chills.nausea or distention the tube should be
Open
Tight
Unclamped
None of the above
Inflammation of the pancreas may be acute or chronic
Pancreatitis
Cholecystitis
Gastritis
None of the above
Which of the following cause pancreatitis
A)high fat diet
B)peptic ulcer disease
C) GERD
Both A ,B
Chronic pancreatitis is sometimes associated with
Severe flu
Anemia
Gastritis
Cancer of duodenum
In pancreatitis the pain is centered in the
A)right upper quadrant radiates to shoulder
B) right upper quadrant radiates to back
C) epigastric region
D)left upper quadrant radiates to shoulder
E)left upper quadrant radiates to back
F) Both E,C
All of the above
Which of the following is a complication of pancreatitis
Pesudocyst
Hepatorenal syndrome
Peritonitis infection
All of the above
Necrosis within the pancreas can lead to
Pancreatic abscess
Hepatitis
Jaundice
None of the above
Which of the following is medical treatment for pancreatitis
NGT tube
IV fluids
Peritoneal lavage
All of the above
Which of the following is a drug therapy for pancreatitis with diabetes mellitus
A) analgesics
B) antispasmodic
C) anticholinergic
D) insulin or oral hypoglycemic
E) Both C,D
All of the above
In pancreatitis urine output is monitored and should be at least
100mL/h
200mL/h
20mL/h
40mL/h
Symptoms of chronic pancreatitis usually appear as
Sharp pain
dull pain
Continuous attack
Periodic attack
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