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32 Cards in this Set
- Front
- Back
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The enzymes ______, _____ and _______ are synthesized in pancreatic acini and released in an inactive form
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amylase, lipase, peptidase
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____________ stimulates relase of pancreatic enzymes
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CCK (cholecystokinin)
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_________ stimulates the release of bicarbonate
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Secretin
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t/f Pancreatic enzymes are found in trace amounts in the blood normally; elevated levels of these enzymes can be an indicator of pancreatic disease
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True; True
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increased serum amylase is indicitave of _____ ________
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acute pancratitis
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increased serum lipase is indicative of _________
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leukocytosis
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80% of the cases of acute pancreatitis are due to _______ and _______; the cause of the other 20% is ___________
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80% gallstones and excessive alcohol; 20% idiopathic
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This malabsorption syndrome is associated with alcohol abuse or cholesystitis in 70-80% of the cases and is characteristic of destruction of islet cells.
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Chronic Pancreatitis
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_____% of pancreatic neoplasms are malignant and rarely occur under age _____.
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95%, age 40
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a patient presents with abdominal pain radiating to the back, obstrutive jaundice; distended palpable gallbladder. What do you suspect?
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90% of insulinomas (also called ____ _____ tumors) are (malignant or benign)
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beta cell tumors, benign
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a gulcagonoma is also called ______ _______ tumor and is usually (benign or malignant)
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alpha cell tumor; benign
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one of the biggest indicators for pancreatic tumors is ______-
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jaundice
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type of diabetes: Sudden onset
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type 1
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type of diabetes: after age 30
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type 2
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type of diabetes: normal body weight
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type 1
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type of diabetes: normal insulin levels
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type 2
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type of diabetes: antibodies to beta cells
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type 1
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type of diabetes: familiary history more common
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type 2 (60%) - type 1 is only (20%)
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ketoacidosis is common in type ____ diabetes but not in type ____
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ketoacidosis common in I, but not in II
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less complications are seen in type ___ diabetes
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there is a _____% concordance in twins with type 1 diabetes and a ____% concordance in twins with type II
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50% (type I), 90% (type II)
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Zollinger Ellison syndrome is caused by
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recurrenet peptic ulcers
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somatostatinomas are ____ cell tumors and present with mild diabetes, malabsorption, etc.
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Delta
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Amyloidosis is common in type __ diabetes; and fibrosis is common in type ___
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II, I
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t/f it is more common to see a hypoglymeic diabetic patient than hyperglycemi
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true (according ot dr hess)
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how can you assess if a patent is well controlled diabetic
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acts them what their Hba1c is (yes, "acts" was written for you nick)
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what are the normal values of hba1c?
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normal is below 6.5%, 8.5-10% is bad, and 10.5-14% is really bad
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which of the following will NOT help better manage a diabetic patient? Morning appointments, ask them what they act like when they are hypoglycemic, make sure their a1c levels are sufficently elevated, give them insulin before treatment
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you shouldn't give them insulin (duuh) and elevated glucose levels are what you want, not elevated Hba1c. Hba1c should be as low as possible
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The kidney basement membrane becomes thicker and less permeable with poorly controlled diabetes
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false ; becomes thicker, but more permeable
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kimmelsteil wilson disease is common in people with the disease__________ and affects the ________ (which organ of the body)
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long standing or poorly controled diabetes; kidneys
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which of the following is not an anatomic change in diabetic patients: cataracs, peripheral neuropathy, fatty change in liver, xanthoma, abcesses/fungal lesions, gangrene
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(none of the above) all are symptoms
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