invite friends ⋅ share via emailtwitter
support the site ⋅ become a member ⋅ unscramble the egg
free120  nbme24  nbme23  nbme22  nbme21  nbme20  nbme19  nbme18  nbme17  nbme16  nbme15  nbme13 

NBME 24 Answers

nbme24/Block 1/Question#23 (23.2 difficulty score)
A 50-year-old man comes to the physician ...
Generalized malabsorption🔍

Login to comment/vote.

 +7  upvote downvote
submitted by karljeon(89),
unscramble the site ⋅ become a member ($36/month)

A nma ithw a xH fo tHOE dneepnedec and ohrcnic dab npai sa wlel sa ayX-r gsnndiif of "sfoactiailccin in het eiprpdmu- eom"ndab si ostm lielyk eifergrrn to a ccnroih nratieapsi.ct

hisT asedl to a klca fo aslepi rnseotiec ,ehnce e,pla finogls-mluel loosst wthi oli dteoslrp pre pt .xH ihsT stp' parencsa slao dsento' csreeet etorh sy,zneem hcus as yasmesl,a pesoste,ra orn renoypinsgt o(t aecvtait hoetr yeezn)m,s os eht warens si rezilden"gea il.oamntb"oarsp

karljeon  p. 367 (FA 2018) +6  
usmlecrasherss  pancreatic insufficiency FA 2019 p375 , +1  
almondbreeze  FA 2019 p391 on chronic pancreatitis +  
almondbreeze  UW: in chronic alcoholic pancreatitis, alcohol induced secretion of protein rich fluid precipitates in pancreatic duct--> forms ductal plugs that calcify +2  

 +3  upvote downvote
submitted by hungrybox(788),

(D) Portal hypertension: Portal hypertension is a complication of longstanding alcoholism, but it is not the cause of acute or chronic pancreatitis.

In acute pancreatitis, alcohol transiently increases pancreatic exocrine secretion and contraction of the sphincter of Oddi (the muscle regulating the flow of pancreatic juice through papilla of Vater).

This leads to activation of pancreatic enzymes and acute pancreatitis follows soon after.

In chronic pancreatitis (as in this patient), alcohol increases the protein concentration of pancreatic secretions, and this protein-rich pancreatic fluid can form ductal plugs.

Made this explanation in case any of you were dumb enough to think "pancreatitis → alcohol → portal hypertension" like me.

hungrybox  oh my source was big robbins btw +  
regularstudent  I was definitely dumb enough +  

F**K this question!

Know exactly what the disease is without knowing what the f**king "generalized malabsorption" means!!

tiredofstudying  Hope your day got a little better after this +5