Pancreatitis (NCLEX) Quiz: Acute vs Chronic Care

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3. True or False: Pseudocysts in acute pancreatitis typically require immediate surgical drainage.

True

False

4. Chronic pancreatitis pain is often managed with which class of medications initially?

NSAIDs

Opioids

Benzodiazepines

Corticosteroids

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6. Which laboratory value would you monitor to assess for pancreatic endocrine insufficiency in chronic pancreatitis?

Fasting glucose and HbA1c

Albumin and prealbumin

Prothrombin time

Platelet count

7. True or False: Amylase remains elevated longer than lipase in acute pancreatitis.

True

False

8. A patient with chronic pancreatitis reports pale, foul-smelling stools. This suggests:

Bacterial infection

Exocrine pancreatic insufficiency

Gastric ulcer

Hepatic dysfunction

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10. Which complication is more common in severe acute pancreatitis?

Acute respiratory distress syndrome

Chronic pain syndrome

Pancreatic insufficiency

Steatorrhea

11. What is the most common cause of acute pancreatitis in the United States?

Gallstones

Chronic alcohol use

Hypertriglyceridemia

Autoimmune disease

12. True or False: Acute pancreatitis always progresses to chronic pancreatitis if untreated.

True

False

13. A chronic pancreatitis patient has diabetes and steatorrhea. Which medication addresses steatorrhea?

Insulin

Pancreatic enzyme supplements

Proton pump inhibitors

Antibiotics

14. Management of acute pancreatitis includes NPO status primarily to:

Prevent aspiration

Rest the pancreas and reduce enzyme secretion

Reduce gastric acid production

Lower blood glucose

15. Which imaging modality is most sensitive for diagnosing acute pancreatitis?

Abdominal X-ray

Ultrasound

CT scan with contrast

MRI only

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17. True or False: Elevated pancreatic enzymes definitively confirm acute pancreatitis diagnosis.

True

False

18. Which clinical finding is characteristic of chronic pancreatitis but not acute pancreatitis?

Severe epigastric pain

Steatorrhea and malabsorption

Elevated lipase

Nausea and vomiting

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20. A patient presents with sudden-onset epigastric pain radiating to the back. Which enzyme elevation would you expect in acute pancreatitis?

AST and ALT only

Amylase and lipase

Bilirubin and albumin

Creatinine and BUN

Pancreatitis Quiz: Acute or Chronic Care?

1. In acute pancreatitis, Cullen's sign indicates ____ hemorrhage into the peritoneal cavity.

2.

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

2. A patient with chronic pancreatitis requires fat-soluble vitamin supplementation because of impaired ____ absorption.

3. True or False: Pseudocysts in acute pancreatitis typically require immediate surgical drainage.

4. Chronic pancreatitis pain is often managed with which class of medications initially?

5. In acute pancreatitis, fluid resuscitation goals include maintaining urine output at ____ mL/kg/hr.

6. Which laboratory value would you monitor to assess for pancreatic endocrine insufficiency in chronic pancreatitis?

7. True or False: Amylase remains elevated longer than lipase in acute pancreatitis.

8. A patient with chronic pancreatitis reports pale, foul-smelling stools. This suggests:

9. Chronic pancreatitis is characterized by irreversible ____ and fibrosis of pancreatic tissue.

10. Which complication is more common in severe acute pancreatitis?

11. What is the most common cause of acute pancreatitis in the United States?

12. True or False: Acute pancreatitis always progresses to chronic pancreatitis if untreated.

13. A chronic pancreatitis patient has diabetes and steatorrhea. Which medication addresses steatorrhea?

14. Management of acute pancreatitis includes NPO status primarily to:

15. Which imaging modality is most sensitive for diagnosing acute pancreatitis?

16. A patient with acute pancreatitis develops hypocalcemia. This occurs due to ____ binding to free calcium.

17. True or False: Elevated pancreatic enzymes definitively confirm acute pancreatitis diagnosis.

18. Which clinical finding is characteristic of chronic pancreatitis but not acute pancreatitis?

19. Chronic pancreatitis is most commonly caused by ____ in developed nations.

20. A patient presents with sudden-onset epigastric pain radiating to the back. Which enzyme elevation would you expect in acute pancreatitis?