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23 Cards in this Set

  • Front
  • Back

pancreatitis and pancreatic necrosis are more likely to occur in:


a) middle aged, male, obese dogs


b) middle aged, female, obese dogs


c) middle aged, male, obese cats


d) middle aged, female, obese cats

b) middle aged, female, obese dogs


what are the 2 active digestive enzymes contained in a zymogen?


a) trypsinogen


b) lipase


c) secretin


d) amylase

lipase and amylase

which of the following is NOT a systemic effect of pancreatic necrosis:


a) inflammation


b) DIC


c) Shock


d) cardiopulmonary dysfunction


e) peritonitis


They're all systemic effects!


what is the most common etiology of pancreatic necrosis?


a) idiopathic


b) nutrition


c) drug


d) ischemia


e) obstruction

a) idiopathic

what is the best treatment for pancreatitis?


a) supportive care


b) NSAIDs


c) low protein diet


d) high protein diet

a) supportive care

T/F: pancreatic necrosis is often sterile and rarely infectious

True

what are NOT histologic features of acute pancreatic necrosis?


a) edema


b) lymphocytes


c) sapponified fat


d) neutrophils


e) fibrosis


f) hemorrhage

b) and e)


lymphocytes and fibrosis


what disease process is a sequelae of only acute, but not chronic pancreatitis?


a) necrotizing pancreatitis


b) fibrinous peritonitis


c) fibrinous pancreatitis


d) necrotizing peritonitis

b) fibrinous peritonitis



what are NOT histologic features of chronic pancreatitis?


a) missing ducts and islets


b) missing acinar cells


c) lymphocytes


d) plasma cells

a) missing ducts and islets




these are the components that are still present, acinar is missing

what is the test of choice for diagnosing pancreatic necrosis?
a) chemistry/CBC
b) TLI
c) spec cPL
d) imaging
e) laparotomy/laproscopy/biopsy

c) spec cPL

what CS are NOT associated with pancreatic necrosis?


a) painful abdomen


b) anorexia


c) regurg/vomiting


d) melena/hematochezia


e) fever


f) non of the above

none of the above

they're all associated CS

how can pancreatic necrosis manifest in a cat (& ruminants)?


a) triaditis


b) colic


c) nodular hyperplasia


d) all of the above


a) triaditis



b/c they lack minor duodenal papilla


what inflammatory processes does feline triaditis commonly involve?


a) gastritis


b) duodenitis


c) cholangitis


d) cholecystitis


e) pancreatitis

duodenitis, cholangitis, pancreatitis

zinc toxicosis mainly happens in


a) dogs


b) cats


c) birds


d) sheep


e) horses

c and d


birds and sheep

what organs does zinc toxicosis NOT target?
a) pancreas
b) SI
c) RBC
d) kidney
e) liver

b) SI

what chronic CS does zinc toxicosis present?


a) fibrosis


b) fat sapponification


c) atrophy


d) a & c


e) a & b

a & c


fibrosis and atrophy

which is the most common cause of exocrine pancreatic insufficiency?


a) canine pancreatic atrophy


b) chronic, recurrent pancreatitis


c) neoplasia


d) duct obstruction

a) canine pancreatic atrophy

what is the treatment of choice for EPI?

pancreazymes

what are the major CS of EPI?


a) voluminous steatorrhea


b) massive weight loss


c) weight gain


d) ravenous appetite


e) anorexia

a) voluminous steatorrhea


b) massive weight loss


d) ravenous appetite

what are the best forms of diagnosis for EPI?


a) imaging


b) laparotomy/biopsy


c) CS


d) TLI



c and d


CS and TLI




TLI is low (which is opposite acute pancreatitis)

what is this gross pathology most consistent with? is it normal, malignant, or benign? what species is this seen in?

what is this gross pathology most consistent with? is it normal, malignant, or benign? what species is this seen in?

nodular hyperplasia


it's not a tumor,


seen especially in older cats, but we don't know why,

what disease process is this gross pathology most consistent with? 


what lesion is sequela to this disease?


what CS are sequela this disease in CATS only?

what disease process is this gross pathology most consistent with?




what lesion is sequela to this disease?




what CS are sequela this disease in CATS only?

pancreatic carcinoma




acute necrotizing pancreatitis




alopecia and shiny skin

this is a histological slide of the omentum in a cat with pancreatic carcinoma. How do we know this metastasized from the pancreas?


what is this form of metasis called?

this is a histological slide of the omentum in a cat with pancreatic carcinoma. How do we know this metastasized from the pancreas?




what is this form of metasis called?





the pink granules are indicative of zymogens




thus we know it metastasized to omentum




carcinomatosis: carcinoma breaks through serosa and invades abdominal cavity