Pancreatic function

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Total cards: 24•Content version: v4•Public deck•Updated: 8/1/2026

Card preview (24)

Front (Question)

List endocrine tests

Back (Answer)

• Gastrin • Insulin • Glucose

Front (Question)

List exocrine pancreatic function tests

Back (Answer)

Amylase and lipase

Front (Question)

List indirect tests

Back (Answer)

• Qualitative fecal fat analysis • Fecal elastase • Fecal chymotrypsin • Bilirubin

Front (Question)

Which pancreatic function test is the most sensitive, uses actual pancreatic secretions, endoscopy/Dreiling tube method after stimulation with secretin and/or cholecystokinin (CCK)?

Back (Answer)

Direct

Front (Question)

CCK

Back (Answer)

• Hormone secreted by intestinal mucosal cells • Causes acinar cells to secrete enzymes and bile

Front (Question)

CCK test measures

Back (Answer)

• pH • Secretory rate • Enzyme activity • Bicarb

Front (Question)

How does pancreatic obstruction affect pancreatic flow and enzymes?

Back (Answer)

• Decreased pancreatic flow • Increased enzymes

Front (Question)

Which diseases show reduced bicarb and enzymes

Back (Answer)

• CF • Chronic pancreatitis • Pancreatic cysts • Calcification • Edema of pancreas

Front (Question)

4 sources of fecal lipids

Back (Answer)

• Unabsorbed ingested lipids • Lipids excrete into intestine • Cells shed into the intestine • Metabolism of intestinal bacteria

#10

Front (Question)

Normal fecal lipid composition

Back (Answer)

• 60% fatty acids • 30% sterols, higher alcohols, and carotenoids • 10% triglycerides • small amounts of cholesterol and phospholipids

#11

Front (Question)

Increased fecal fat can be caused by

Back (Answer)

Biliary obstruction

#12

Front (Question)

Severe steatorrhea associated with

Back (Answer)

Exocrine pancreatic insufficiency or disease of small intestine

#13

Front (Question)

Fecal fat qualitative screening test uses which fat soluble stains?

Back (Answer)

• Sudan III • Sudan IV • Oil Red O • Nile blue sulfate

#14

Front (Question)

Is technical skill important in Fecal fat qualitative screening test?

Back (Answer)

Yes

#15

Front (Question)

How do fat soluble stains work?

Back (Answer)

Dissolve in and color lipid droplets

#16

Front (Question)

Sudan staining colors which fats? Which colors?

Back (Answer)

• Neutral fats (triglycerides) and other lipids • Yellow-orange to red with Sudan III

#17

Front (Question)

Which type of fat stain requires heating?

Back (Answer)

Sudan

#18

Front (Question)

Steatorrhea features how many lipid droplets?

Back (Answer)

> 100 small/large may be present

#19

Front (Question)

Definitive test for steatorrhea

Back (Answer)

Quantitative fecal fat analysis

#20

Front (Question)

How many hr stool specimen for Quantitative fecal fat analysis?

Back (Answer)

72 hr

#21

Front (Question)

Diet for Quantitative fecal fat analysis

Back (Answer)

Lipid-rich diet for at least 2 days

#22

Front (Question)

Quantitative fecal fat analysis measures which fats?

Back (Answer)

Only saponifiable fatty acids

#23

Front (Question)

Gravimetric method for fecal fat determination

Back (Answer)

• Emulsify entire fecal sample in water • Fatty acid soaps (Ca and Mg salts of fatty acids) are converted to free fatty acids • Extract lipids into organic solvent

#24

Front (Question)

How much exocrine pancreatic function is lost before a 72 hr fecal fat test becomes positive?

Back (Answer)

90%