Prepared by: Dr.Mohamed Al- Shekhani .

1. Prepared by: Dr.Mohamed Al-Shekhani.

2. Diagnosis:

3. Etiology:

4. Etiology:

16. DIAGNOSIS:

17. Etiology:

18. Initial management:

19. ERCP in AP:

20. Antibiotics in AP:

21. Nutrition in AP:

22. Surgery in AP:

23. BO4Qs1: • 1. Which one of the following is a required finding for the diagnosis of acute pancreatitis (AP)? • A. Severemid-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

24. BO4Qs1: • 1. Which one of the following is a required finding for the diagnosis of acute pancreatitis (AP)? • A. Severemid-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

25. 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.

26. 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.

27. BO4Qs3: • 3. Which one of the following statements is true regarding nutritionin 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.

28. BO4Qs3: • 3. Which one of the following statements is true regarding nutritionin 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.

29. 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

30. 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?

31. BO4Qs5: • 3. Which one of the following is an indication for deep cannulationof the pancreatic duct during ERCP? • A. Acute biliary pancreatitis • B. Chronic pancreatitis with symptomatic stricture • C. Sphincter of Oddi manometry • D. Suspected cholangiocarcinoma

32. BO4Qs5: • 3. Which one of the following is an indication for deep cannulationof the pancreatic duct during ERCP? • A. Acute biliary pancreatitis • B. Chronic pancreatitis with symptomatic stricture • C. Sphincter of Oddi manometry • D. Suspected cholangiocarcinoma

33. 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.

34. 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.

35. BO4Qs7: • 3. The preferred fluid replacement therapy in AP is? • A. Normal saline. • B. Glucose saline. • C. Colloides. • D. Ringer lactate. • E. Albumin.

36. BO4Qs7: • 3. The preferred fluid replacement therapy in AP is? • A. Normal saline. • B. Glucose saline. • C. Colloides. • D. Ringer lactate. • E. Albumin.

37. 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.

38. 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.

39. 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.

40. 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.

41. BO4Qs10: • 3. Genetic testing for heriditaryAP 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.

42. BO4Qs10: • 3. Genetic testing for heriditaryAP 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.

43. 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.

44. 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.