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Causes to Consider in Patients with Recurrent Bouts of Acute Pancreatitis without an Obvious

Etiology include:

A. Pancreatic cancer
B. Pancreas divisum
C. Hypercalcemia
D. alcohol
Answer: A

Shock is not unusual and may result from:

A. hypovolemia
B. vasodilation and increased vascular permeability
C. systemic effects of proteolytic and lipolytic enzymes released into the circulation.
D. All of the above
Answer: D

Turner’s sign :

A. blue-red-purple or green-brown discoloration of the flanks


B. faint blue discoloration around the umbilicus
C. Yellow discoloration of the eyes
D. enlarged pancreas
Answer: A

Which morphologic feature of acute pancreatitis is defined: an encapsulated collection of fluid


with a well-defined inflammatory wall usually outside the pancreas with minimal or no necrosis.

A. Necrotizing pancreatitis
B. Walled-off necrosis
C. Pancreatic pseudocyst
D. Acute pancreatic fluid collection
Answer: C

Hyperbilirubinemia, except:

A. serum bilirubin >3.0 mg/dL


B. occurs in ~10% of patients
C. jaundice is transient
D. serum bilirubin levels return to normal in 4–7 days
Answer: A

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