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13 Cards in this Set
- Front
- Back
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Which is not a cause of pancreatitis? Dunn 577
a. Penerating peptic ulcer b. Hypocalcaemia c. Thiazude d. Sulphonamides e. Hyperlipidaemia |
b. Hypocalcaemia
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Which is not true for lipase and amylase
a. Lipase: 100% sensitivity with levels > 3 times b. Lipase: no elevated in paediatric patient with DKA c. Amylase: mild elevated in 20% paediatric patient with DKA d. Lipase: more useful than amylase in chronic pancreatitis e. Amylase: normal in 20% of cases |
b. elevated in 30 % of paed patient with DKA
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Which is not a Ranson criteria on presentation?
a. age>55 b. WCC > 16 c. BSL > 10 d. Ca <2 e. LDH >350 f. AST >250 |
d. CA <2 within 48 hours
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Finding of Ranson criteria in 48 hours?
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- base defict >4
- haematocrit drop >10% - Urea rise >5 - Arterial pO2 < 60mmHg - Ca <2 - estimate fluid sequestration > 6L |
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Mortality and Ranson criteria?
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0-2 1%
3-4 16% 5-6 40% 7-8 100% |
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Which is not a complication of pancreatitis?
a. Pancreatic haemorrhage b. Pleura effusion c. Acute tubular necrosis d. Pseudo cysts e. Hypercalcaemia |
e. Hypocalcaemia not hyper
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Which is not a U/S finding for cholecystits? Dunn 580
a. gall bladder >4mm b. Gall stones with acoustic shadowing c. CBD < 6mm d. Positive Murphy sign |
c. CBD > 10mm is abnormal
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Which is the most common cause of portal venous gases?
a. Bowel ischaema b. barium enema c. colonoscopy d. toxic megacolon e. diverticulitis |
a. bowel ischaemia is the most common cause
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What is Charcots triad?
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Jaundice, fever, pain is indicative of ascending cholangitis
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Complication of cholecystitis?
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- Acending cholangitis
- sepsis - perforation - biliary enteric fistula - gall stone ileus |
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Which is not a cause of acalculous cholecystitis?
a. post biliary surgery b. Burns c. Post partum d. Multiple blood transfusion e. lipitor |
e
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Whcih is not true for choledocholithiasis? Cameron 346
a. U/S is the investigation of choice b. The second most common cause of CBD obstruction after neoplasms c. Cause acute acalculous cholecstitis d. CBD diltation on U/S is more accurate in jaundiced patient |
a. ERCP is the more accurate investigation
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Antibiotic choice for cholangitis?
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Ampicillin 2g IV 6/24
Gentamicin 4-6mg/kg IV daily plus metronidazole 500mg IV bd to patient with history of previous biliary surgery or known biliary obstruction |
