Pancreatitis Quiz: Acute & Chronic Nursing Care

1. Which enzyme elevation is most specific for acute pancreatitis diagnosis?

Amylase only

Lipase only

Lipase (more specific and prolonged)

Alkaline phosphatase

2. Gallstones account for approximately what percentage of acute pancreatitis cases?

20-30%

40-50%

60-70%

80-90%

3. What is the primary pathophysiologic mechanism in acute pancreatitis?

Bacterial infection of pancreatic tissue

Premature activation of pancreatic digestive enzymes

Autoimmune destruction of beta cells

Vascular insufficiency of pancreatic blood supply

4. A patient with acute pancreatitis presents with severe epigastric pain radiating to the back. Which position typically provides relief?

Supine

Prone

Left lateral with knees flexed

Reverse Trendelenburg

5. Which of the following is a sign of severe acute pancreatitis with poor prognosis?

Cullen sign (bruising around umbilicus)

Mild leukocytosis

Elevated glucose only

Normal amylase levels

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7. Which condition is the leading cause of chronic pancreatitis in the United States?

Gallstones

Chronic alcohol use

Cystic fibrosis

Autoimmune disease

8. A patient with chronic pancreatitis reports steatorrhea and weight loss. What is the underlying cause?

Decreased pancreatic enzyme secretion

Increased gastric acid production

Bacterial overgrowth in small intestine

Bile duct obstruction

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10. True or False: Oral feeding is encouraged immediately in acute pancreatitis to maintain nutrition.

True

False

11. Which pancreatic enzyme deficiency in chronic pancreatitis leads to fat malabsorption?

Amylase deficiency

Lipase deficiency

Protease deficiency

All of the above

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13. Which complication of acute pancreatitis involves fluid collection without a defined wall?

Pancreatic pseudocyst

Acute fluid collection

Walled-off necrosis

Pancreatic abscess

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15. True or False: Pancreatic enzyme supplementation is the primary treatment for chronic pancreatitis pain management.

True

False

Pancreatitis Quiz: Acute & Chronic Nursing Care

1. Which enzyme elevation is most specific for acute pancreatitis diagnosis?

2.

What first name or nickname would you like us to use?

2. Gallstones account for approximately what percentage of acute pancreatitis cases?

3. What is the primary pathophysiologic mechanism in acute pancreatitis?

4. A patient with acute pancreatitis presents with severe epigastric pain radiating to the back. Which position typically provides relief?

5. Which of the following is a sign of severe acute pancreatitis with poor prognosis?

6. Chronic pancreatitis is characterized by irreversible ____ of pancreatic tissue.

7. Which condition is the leading cause of chronic pancreatitis in the United States?

8. A patient with chronic pancreatitis reports steatorrhea and weight loss. What is the underlying cause?

9. The primary goal of acute pancreatitis management is to provide ____ and allow pancreatic rest.

10. True or False: Oral feeding is encouraged immediately in acute pancreatitis to maintain nutrition.

11. Which pancreatic enzyme deficiency in chronic pancreatitis leads to fat malabsorption?

12. Endoscopic Retrograde Cholangiopancreatography (ERCP) is indicated for acute pancreatitis when ____ is suspected.

13. Which complication of acute pancreatitis involves fluid collection without a defined wall?

14. A patient with chronic pancreatitis develops diabetes mellitus. This occurs because of loss of ____ cells.

15. True or False: Pancreatic enzyme supplementation is the primary treatment for chronic pancreatitis pain management.