Practice question answers, exocrine pancreas/gallbladder
Practice question answers Exocrine pancreas/gallbladder © Jun Wang, MD, PhD 1. D. Any patient with acute onset of epigastric pain should be considered for acute pancreatitis . The two most commonly used lab tests are amylase and lipase. Bilirubin levels are used to determine possible causes of jaundice, not for pancreatitis. CA19-9 may be increased in mucinous neoplasms, including pancreatic adenocarcinoma and ovarian mucinous neoplasms . Culture is for bacterial infection. Elevation of troponin can be seen in myocardial injury, and other non-cardiac conditions, such as sepsis, chronic kidney disease, etc. 2. A. Diagnosis of acute pancreatitis requires two of three criteria, acute abdominal pain, lipase or amylase levels three times or more above the upper limits and/or radiologic findings of signs of inflammation, such enlargement and exudates. Barium swallow can be used to detect esophagus abnormalities, such tumors , or achalasia . D-dimer is used to detect coagulation...