Continuing Medical Education Questions: August 2013 DeVault, Kenneth R MD, FACG
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If you wish to receive credit for this activity, please refer to the Web site: http://acgjournalcme.gi.org/ . Article Title: American College of Gastroenterology Guideline: Management of Acute Pancreatitis
doi: 10.1038/ajg.2013.260
Questions:
Which one of the following is a required finding for the diagnosis of acute pancreatitis (AP)?
A. Severe mid-abdominal pain
B. Elevated serum amylase between 1 and 3 times the upper limit of normal
C. Abnormal appearance of the pancreas on CT imaging
D. Exclusion of peptic ulcer disease on normal upper endoscopy
Which one of the following statements is true regarding gallstone-associated AP?
A. ERCP is contraindicated in patients with AP and cholangitis.
B. Cholecystectomy should be delayed for 4–6 weeks in patients with AP and gallstones in the gallbladder.
C. Pancreatic duct stents lower the risk of severe post-ERCP pancreatitis in high-risk patients.
D. All patients with AP and gallstones should be given antibiotics to prevent the development of pancreatic necrosis.
Which one of the following statements is true regarding nutrition in AP?
A. In mild AP, nasojejunal feeding decreases the risk of progression to more severe AP.
B. In severe AP, randomized controlled trials have clearly shown nasojejunal feeding to be superior to nasogastric feeding.
C. Parenteral nutrition is indicated in severe AP.
D. Low-fat solid diets are equal to liquid diets in mild AP.
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