Pancreatic And Biliary Disorders Practice Test

A 60-year-old man is admitted to the ICU with acute pancreatitis. Over the first 72 hours, his BUN has risen to 45 mg/dL, he has developed a pleural effusion, and he requires vasopressors to maintain his blood pressure. He is intubated for hypoxemic respiratory failure. His initial CT scan showed pancreatic inflammation and peripancreatic fluid collections.

A 38-year-old man with a history of alcohol-induced acute pancreatitis 5 weeks ago presents with early satiety, mild abdominal pain, and a palpable epigastric mass. He has not had a fever or chills. His vital signs are stable. Laboratory studies show a normal white blood cell count and a lipase level that is mildly elevated. A CT scan of the abdomen reveals a well-circumscribed, encapsulated fluid collection adjacent to the pancreas.