Continuing Medical Education Questions: August 2013
- Which one of the following is a required finding for the diagnosis of acute pancreatitis (AP)?
Which one of the following statements is true regarding gallstone-associated 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 nutrition in 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.
© The American College of Gastroenterology 2013. All Rights Reserved.
- 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.