Pancreatitis (NCLEX) Quiz: Acute vs Chronic Care

1. 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

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

True

False

3. 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

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

True

False

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

Bacterial infection

Exocrine pancreatic insufficiency

Gastric ulcer

Hepatic dysfunction

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

Acute respiratory distress syndrome

Chronic pain syndrome

Pancreatic insufficiency

Steatorrhea

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

Insulin

Pancreatic enzyme supplements

Proton pump inhibitors

Antibiotics

9. 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

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

Severe epigastric pain

Steatorrhea and malabsorption

Elevated lipase

Nausea and vomiting

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

True

False

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

Abdominal X-ray

Ultrasound

CT scan with contrast

MRI only

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

True

False

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

Gallstones

Chronic alcohol use

Hypertriglyceridemia

Autoimmune disease

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

NSAIDs

Opioids

Benzodiazepines

Corticosteroids

Pancreatitis Quiz: Acute or Chronic Care?

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

2.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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