How Much You Know About Pancreatitis? Quiz

1.

What is the typical signalment of a dog with pancreatitis?

A.

Thin, old, intact females
B.

Obese, middle aged, spayed females
C.

Thin, young, intact females
D.

Obese, old, intact females

Correct Answer
B. Obese, middle aged, spayed females

Explanation
The typical signalment of a dog with pancreatitis is obese, middle-aged, spayed females. This means that dogs who are overweight, in the middle age range, and have been spayed are more likely to develop pancreatitis. This information helps veterinarians in identifying the potential risk factors and diagnosing pancreatitis in dogs.

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2.

Which of the following is a clinical sign associated with pancreatitis?

A.

Abdominal Pain
B.

Vomiting
C.

Bloody feces
D.

Lethargy
E.

All of the above

Correct Answer
E. All of the above

Explanation
All of the symptoms listed (abdominal pain, vomiting, bloody feces, and lethargy) can be clinical signs associated with pancreatitis. Pancreatitis is inflammation of the pancreas, which can cause severe abdominal pain. Vomiting can occur due to the disruption of normal digestive processes. Bloody feces can be a result of gastrointestinal bleeding associated with pancreatitis. Lethargy can be a general symptom of illness and can be seen in cases of pancreatitis as well. Therefore, all of the above symptoms can be observed in a patient with pancreatitis.

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3.

Which is NOT a differential for pancreatitis?

A.

Acute renal failure
B.

Parvo
C.

Intestinal obstruction
D.

Gastroenteritis
E.

Uremia

Correct Answer
B. Parvo

Explanation
Parvo is not a differential for pancreatitis because it is a viral infection that primarily affects dogs, causing symptoms such as vomiting, diarrhea, and lethargy. Pancreatitis, on the other hand, is an inflammation of the pancreas that can be caused by various factors such as alcohol consumption, gallstones, or certain medications. While both conditions can cause gastrointestinal symptoms, they have different underlying causes and require different treatment approaches. Therefore, Parvo is not considered a potential cause or differential diagnosis for pancreatitis.

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4.

What is the appearance of pancreatitis in radiographs?

Correct Answer
Ground glass

5.

In acute pancreatitis which of the following would give you a definitive diagnosis?

A.

Normal serum amylase and lipase + skinny dog
B.

Decreased serum amylase and lipase + obese dog
C.

Increase in serum amylase and lipase + skinny dog
D.

Increase in serum amylase and lipase + CS
E.

I have no freaking idea

Correct Answer
D. Increase in serum amylase and lipase + CS

Explanation
An increase in serum amylase and lipase levels, along with clinical signs (CS), would give a definitive diagnosis of acute pancreatitis. Amylase and lipase are enzymes released by the pancreas, and their levels increase in cases of pancreatitis. The presence of clinical signs further supports the diagnosis. The other options either have normal or decreased levels of amylase and lipase, which are not consistent with acute pancreatitis.

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6.

Which of the following is NOT included in the treatment protocol for acute pancreatitis?

A.

Enzyme replacement
B.

NPO for 3-4 days
C.

Fluids
D.

Antiemetics
E.

Antibiotics

Correct Answer
A. Enzyme replacement

Explanation
Enzyme replacement is not included in the treatment protocol for acute pancreatitis. Acute pancreatitis is inflammation of the pancreas, and the treatment protocol focuses on relieving symptoms, managing complications, and allowing the pancreas to heal. NPO (nothing by mouth) for 3-4 days is recommended to rest the pancreas and reduce pancreatic secretions. Fluids are given intravenously to maintain hydration. Antiemetics are used to control nausea and vomiting. Antibiotics may be used if there is evidence of infection. Enzyme replacement therapy is not typically part of the treatment for acute pancreatitis.

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7.

What is the prognosis for pancreatitis?

A.

Excellent
B.

Good
C.

Guarded

Correct Answer
C. Guarded

Explanation
The prognosis for pancreatitis is described as "guarded" which means that the outcome is uncertain and there is a possibility of complications or a less favorable outcome. This suggests that pancreatitis can be a serious condition with potential risks and challenges in terms of treatment and recovery.

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8.

Is surgery ever indicated in pancreatitis?

A.

Yes
B.

No
C.

Sure I can make more money for a surgery

Correct Answer
A. Yes

Explanation
Surgery is sometimes indicated in cases of pancreatitis when conservative treatments fail or when there are complications such as infected necrosis, abscess, or pseudocysts. In these situations, surgical intervention may be necessary to remove the affected tissue or drain the fluid buildup. However, it is important to note that surgery is not always the first line of treatment for pancreatitis and should only be considered when deemed necessary by medical professionals.

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9.

Which of the following is a sequela of pancreatitis?

A.

Constipation
B.

Hair matted anus
C.

Chronic pancreatitis (EPI) +/- diabetes mellitus
D.

Pericardial effusion
E.

Chronic pancreatitis (EPI) +/- diabetes insipitus

Correct Answer
C. Chronic pancreatitis (EPI) +/- diabetes mellitus

Explanation
Pancreatitis is inflammation of the pancreas, which can lead to long-term complications known as sequelae. One of the sequelae of pancreatitis is chronic pancreatitis, which is characterized by ongoing inflammation and damage to the pancreas. This can result in the development of exocrine pancreatic insufficiency (EPI), where the pancreas is unable to produce enough digestive enzymes, leading to malabsorption of nutrients. Additionally, chronic pancreatitis can also be associated with the development of diabetes mellitus, a condition where the body is unable to regulate blood sugar levels properly. Therefore, chronic pancreatitis (EPI) +/- diabetes mellitus is a sequela of pancreatitis.

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10.

Which of the following is a complication of pancreatitis?

A.

DIC
B.

Peritonitis
C.

Acute renal failure
D.

Diabetes mellitus
E.

All of the above

Correct Answer
E. All of the above

Explanation
Pancreatitis is inflammation of the pancreas, which can lead to various complications. Disseminated intravascular coagulation (DIC) can occur due to the release of enzymes that activate blood clotting factors. Peritonitis can develop if the inflammation spreads to the lining of the abdomen. Acute renal failure can result from the inflammation affecting the kidneys. Additionally, chronic pancreatitis can lead to damage to the pancreas, leading to diabetes mellitus. Therefore, all of the listed options are potential complications of pancreatitis.

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11.

What is the stance that a dog with pancreatitis may assume?

A.

Praying mantis stance
B.

Lateral recumbancy
C.

Prayer Stance
D.

Pointer stance
E.

Both A and C

Correct Answer
E. Both A and C

Explanation
A dog with pancreatitis may assume the "praying mantis stance" or the "prayer stance" as a way to alleviate the pain and discomfort caused by the condition. These stances involve the dog stretching out its front legs and lowering its head and chest towards the ground. This position helps to relieve pressure on the abdomen and may provide some relief for the dog.

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12.

What is the pathophys of pancreatitis?

A.

Loss of exocrine pancreatic acinar cells
B.

Spontaneous atrophy of pancreatic acinar cells
C.

Just being a German Shepherd Dog
D.

Autodigestion of the pancrease from premature release of zymogens within acinar cells

Correct Answer
D. Autodigestion of the pancrease from premature release of zymogens within acinar cells

Explanation
The correct answer is autodigestion of the pancreas from premature release of zymogens within acinar cells. Pancreatitis is characterized by inflammation of the pancreas, which can occur due to various factors such as alcohol abuse, gallstones, or certain medications. In pancreatitis, there is an abnormal activation of digestive enzymes called zymogens within the pancreatic acinar cells. These enzymes are normally released into the small intestine to aid in digestion, but in pancreatitis, they are prematurely activated within the pancreas itself. This leads to the digestion and damage of pancreatic tissue, causing the symptoms and complications associated with pancreatitis.

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