NBME FORM 3 / Section 3 / Question #16 - baby_doc
|
NBME FORM 3 / Section 3 / Question #16 - baby_doc
|
07-25-2009, 08:24 AM
Chronic pancreatitis most likely has a deficiency in which of the following:
A) Amylase B) Bile Salts C) Cholecystokinin D) Insulin E) Lipase F) Secretin I think its E or F. Anyone have any explanation? Thanks..
07-25-2009, 11:16 AM
E. LIpase. i guess that in case of Chronic pancreatitis Both Insulin ( endocrine...> diabetes)) AND Lipase ( excorine...> steatorrhea) are defective, if i have to choose one of them i think that LIpase is the best option.
07-25-2009, 11:28 AM
baby doc please next time try to post the ENTIRE Q.
Hydodoc you are true in case of chronic pancreatisis Insulin is also decreased, but in this Q they mention that Glucose is around 1.30.with fecal fat diet 11 ( normal =6) + foul smelling stool etc etc. the answer is Lipase ( steatorrhea, decrease BMI with normal glucose 1.30. and normal d xylose test.).
07-25-2009, 11:31 AM
in pancreatitis amylase and lipase r raised....in chronic to a lesser extent.... http://emedicine.medscape.com/article/181554-overview diabetes is a complication chronic pancreatitis ie insulin is reduced.....kaplan surgery notes pg 40 under chronic pancreatitis
07-25-2009, 11:37 AM
i agree dream88.....i just read the ques...u r right....
07-25-2009, 11:57 AM
Sorry I will post future questions fully. Did not realize it would make a difference till I read your explanation!
07-25-2009, 02:10 PM
il also go with Lipase....supplemental digestive lipase in meds.
|
| « Next Oldest | Next Newest » |
