Medical Quiz

#1. Why is patient compliance regarding timing of enzyme administration important? ? Why is patient compliance regarding timing of enzyme administration important?

Taken before meals, enzymes are emptied from stomach before the meal is emptied

If taken after meals, some of the meals emptied before the enzymes

Enzymes taken with meal ensures adequate mixing with chyme

All of the above

#2. Why does a pH of less than 4 cause insufficient response with PERT?

Inactivation of endogenous and exogenous pancreatic lipase

Precipitation of bile salts

Enteric coated pancreatic enzymes require pH >5 to be released

All of the above

#3. Which of the following statement regarding steatorrhoea is correct?

Fecal fat measurement can establish steatorrhoea

More than 10% of patients with steatorrhoea have normal fecal weight

Limited correlation between fecal weight and fecal fat

All of the above

#4. Which surgical causes lead to PEI ?

Select all that apply:

Resection of distal stomach causes large and hard to digest nutrient to reach jejunum

Anatomical reconstruction causes asynchrony between gastric emptying and bilio-pancreatic secretion

Both a and b

None of the above

#5. How can the compliance and treatment success with PERT for management of PEI be monitored?

Clinical improvement

Fecal fat excretion

13C-MCT breath test

All of the above

#6. Which of the following should be advised to a patient with PEI?

Cessation of alcohol consumption

Cessation of smoking

Consultation with a dietician

All of the above

#7. Which of the following statement is correct regarding clinical features in PEI in chronic pancreatitis?

PEI can be present in absence of overt steatorrhoea

Diarrhoea and weight loss can be present in conditions other than PEI

Over and under diagnosis of PEI can occur if diagnosis is made only on the basis of symptoms

All of the above

#8. Which of the following complications can occur in PEI in chronic pancreatitis due to nutrient deficiency?

Osteoporosis

Premature fragility fracture

Muscle depletion

All of the above

#9. Which of the following statement regarding steatorrhoea is correct?

Fecal fat measurement can establish steatorrhoea

More than 10% of patients with steatorrhoea have normal fecal weight

Limited correlation between fecal weight and fecal fat

All of the above

#10. Why does a pH of less than 4 cause insufficient response with PERT?

Inactivation of endogenous and exogenous pancreatic lipase

Precipitation of bile salts

Enteric coated pancreatic enzymes require pH >5 to be released

All of the above

Results

#1. Why is patient compliance regarding timing of enzyme administration important? ? Why is patient compliance regarding timing of enzyme administration important?

#2. Why does a pH of less than 4 cause insufficient response with PERT?

#3. Which of the following statement regarding steatorrhoea is correct?

#4. Which surgical causes lead to PEI ?

#5. How can the compliance and treatment success with PERT for management of PEI be monitored?

#6. Which of the following should be advised to a patient with PEI?

#7. Which of the following statement is correct regarding clinical features in PEI in chronic pancreatitis?

#8. Which of the following complications can occur in PEI in chronic pancreatitis due to nutrient deficiency?

#9. Which of the following statement regarding steatorrhoea is correct?

#10. Why does a pH of less than 4 cause insufficient response with PERT?

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