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Practice Guidelines

Continuing Medical Education Questions: August 2013

DeVault, Kenneth R MD, FACG

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American Journal of Gastroenterology: September 2013 - Volume 108 - Issue 9 - p 1416
doi: 10.1038/ajg.2013.260
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  1. 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
  2. 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.
  3. 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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