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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
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Which patient is most at risk for pancreatitis? c. Niall, a 31 year old black man who drinks and smokes daily.
a. Blake, a 12 year old hispanic boy who
plays football and skips class. Risk factors for both acute and chronic pancreatitis include
b. Susan, a 55 year old white woman who alcohol and tobacco use, ages 30-40, African descent, and
drinks wine twice a week. high triglycerides.
c. Niall, a 31 year old black man who drinks
and smokes daily.
d. Jerome, a 62 year old black man who
exercises often.
Is this patient at risk for acute or chronic a. acute pancreatitis
pancreatitis? Laurie is a 37 year old woman
that is presenting with gallstones and From the slides: gallstones are most commonly found
frequent infections. blocking the cystic duct or common bile duct.
a. acute pancreatitis
b. chronic pancreatitis
Is this patient at risk for acute or chronic a. acute pancreatitis
pancreatitis? Laurence is a 29 year old man
that is presenting with parasites, a knife in
the abdomen, and a scorpion sting.
a. acute pancreatitis
b. chronic pancreatitis
Is this patient at risk for acute or chronic b. chronic pancreatitis
pancreatitis? Abraham is a 33 year old man
with cystic fibrosis.
a. acute pancreatitis
b. chronic pancreatitis
What is the Cullen's sign? b. bruising around the umbilicus
a. bruising of the flanks (last rib to top of Tip from Kari: Cullen's sign is a "C" around the belly button
hip)
b. bruising around the umbilicus
c. pain in the LLQ
d. twitching of facial muscles
, What is Turner's sign? a. bruising of the flanks (last rib to top of hip)
a. bruising of the flanks (last rib to top of
hip)
b. bruising around the umbilicus
c. pain in the LLQ
d. twitching of facial muscles
Your patient with pancreatitis is b. chronic pancreatitis
experiencing clay colored stool (stattorhea).
What do you suspect?
a. acute pancreatitis
b. chronic pancreatitis
Your patient with pancreatitis is a. acute pancreatitis
experiencing hypotension, tachycardia,
hiccups, and a fever. What do you suspect?
a. acute pancreatitis
b. chronic pancreatitis
Your patient with acute pancreatitis is b. Hypotension
getting worse. What signs alert the nurse? c. Cullen's sign
SATA d. Turner's sign
a. Tachycardia source: said in class
b. Hypotension
c. Cullen's sign
d. Turner's sign
Which of the following complications are a. internal bleeding
associated with acute pancreatitis? SATA b. necrosis
a. internal bleeding
b. necrosis
c. diabetes
d. pancreatic cancer
Which of the following complications are a. pseudocyst
associated with chronic pancreatitis? SATA d. diabetes
a. pseudocyst e. pancreatic cancer
b. peritonitis
c. renal failure
d. diabetes
e. pancreatic cancer
How long does pancreatic necrosis take to d. 24-48 hours
develop?
a. 4 hours
b. 6 hours
c. 12-14 hours
d. 24-48 hours
What labs are elevated with pancreatitis? a. lipase
a. lipase b. amylase
b. amylase c. glucose
c. glucose e. WBC
d. TSH
e. WBC