| Chapter 12 Workbook |
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LEARNER OBJECTIVES
At the completion of this chapter, the learner will be able to:
Section 1: Anatomy and Physiology
1.1 Explain the anatomy and physiology of the pancreas.
Section 2: Pancreatic Secretion
2.1 Describe bicarbonate secretion by the pancreas.
2.2 Explain enzyme secretion by the pancreas.
2.3 Discuss the two patterns of pancreatic secretion: basal secretion and
the postprandial stage.
Section 3: Pancreatic Function
3.2 Explain the Lundh test.
3.3 Discuss tests which suggest active pancreatic disease.
Section 4: Pancreatitis
4.1 List four etiologies of pancreatitis.
4.2 Describe the clinical presentation of a patient with acute pancreatitis.
4.3 Discuss complications associated with acute pancreatitis.
4.4 Explain the diagnostic approach for a patient with acute pancreatitis.
4.5 Outline the aims of therapy for acute pancreatitis.
4.6 Define chronic pancreatitis.
4.7 Describe the clinical manifestations of chronic pancreatitis.
4.8 Discuss complications associated with chronic pancreatitis, including
clinical presentation, diagnosis, and treatment of the following:
4.8.1 Pancreatic pseudocyst
4.8.2 Pancreatic ascites
4.8.3 Common bile stricture
4.9 Outline the diagnostic procedures for chronic pancreatitis.
Section 5: Carcinoma of the Pancreas
5.1 Explain the incidence, prognosis, and etiology of carcinoma of the
pancreas.
5.2 Discuss clinical manifestations of pancreatic carcinoma.
5.3 Describe the diagnostic procedures for carcinoma of the pancreas.
5.4 Discuss the treatment protocol for pancreatic carcinoma.
Section 6: Pancreatic Islet Cell Tumors
6.1 List the two types of pancreatic islet cell tumors.
6.2 Discuss the different pancreatic islet cell tumors: insulinomas,
glucagonomas, gastrinomas, vasoactive intestinal peptide-
secreting tumors, and somatostatin-producing tumors.
6.3 Discuss the treatment of pancreatic tumors.
Section 7: Pancreas Divisum
7.1 Explain pancreas divisum.
Section 8: Cystic Fibrosis in the Adult
8.1 Describe the incidence, etiology, and treatment of cystic fibrosis in
adults.
8.2 Discuss the nonpulmonary complications of cystic fibrosis in adults.
LEARNER WORKBOOK
EXERCISE 1
1.0 Describe the anatomy of the pancreas.
1.1 The exocrine portion of the pancreas consists of two functional units:
1) ________________ which secrete primarily _________________,
and 2) ___________________ which secrete ________________
and ________________.
1.2 Explain bicarbonate and enzyme secretion by the pancreas.
1.3 There are two patterns of pancreatic secretion. The first pattern is
_____________, and the second pattern is ________________.
1.4 What is the Lundh test?
1.5 Describe three tests which suggest active pancreatic disease.
EXERCISE 2
2.0 List ten causes of acute pancreatitis.
2.1 What are the clinical manifestations of acute pancreatitis?
2.2 List six signs and symptoms of acute pancreatitis.
2.3 Describe five systemic complications of acute pancreatitis.
2.4 The aims of therapy for acute pancreatitis are
1) _____________, 2) _____________, 3) _____________ and
4) _____________.
2.5 What is chronic pancreatitis?
2.6 Describe the clinical manifestations of chronic pancreatitis.
2.7 Briefly explain the following complications: a) pancreatic pseudocyst,
b) pancreatic ascites, and c) common bile duct stricture.
2.8 Explain how to diagnose chronic pancreatitis.
2.9 What are the treatment goals for chronic pancreatitis?
EXERCISE 3
3.0 List four major symptoms of pancreatic carcinoma.
3.1 Then commonest sign for carcinoma of the pancreas is
________________.
3.2 Less common signs include _________________,
________________, and _________________.
3.3 What are the diagnostic procedures for carcinoma of the pancreas?
3.4 How is pancreatic carcinoma treated?
EXERCISE 4
4.0 Name two types of pancreatic islet cell tumors.
4.1 Describe the most common neoplasm of the endocrine pancreas.
4.2 How are pancreatic endocrine tumors treated?
EXERCISE 5
5.0 Explain pancreas divisum.
5.1 Briefly describe the incidence, etiology, and treatment of cystic fibrosis
in adults.
5.2 Discuss five nonpulmonary complications of cystic fibrosis in adults.
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