QuestionSBA
QuestionChoice
This is an acronym used to remember the red flag symptoms associated with dyspepsia (difficulty/discomfort swallowing).

**A**naemia (iron deficiency)
**L**oss of weight
**A**norexia
**R**ecent onset of progressive symptoms
**M**elaena / haematemesis
**S**wallowing difficulty
**>55**yrs?

This is not the correct criteria to use - in this patient we are assessing for acute pancreatitis, not dyspepsia.
10001875
d
ALARMS55
QuestionChoice
The CAGE Questionnaire is used to assess for harmful alcohol use. It stands for the following questions:

Have you ever felt you needed to **Cut** down on your drinking?

Have people **Annoyed** you by criticizing your drinking?

Have you ever felt **Guilty** about drinking?

Have you ever felt you needed a drink first thing in the morning **(Eye-opener)** to steady your nerves or to get rid of a hangover?

This is not the correct questionnaire used to assess the severity of acute pancreatitis, which this patient is presenting with.
10001873
b
CAGE Questionnaire
QuestionChoice
The Glasgow Coma scale is used to assess a patient's neurological function. It is measured out of a total score of 13, assessing eye movement, motor movement and speech.

It is not used to assess the severity of acute pancreatitis - the condition this patient is presenting with.
10001876
e
Glasgow Coma Scale
QuestionChoice
The Child-Pugh score is used to assess disease severity for end-stage Liver Failure. It takes into account total bilirubin, serum albumin, International Normalised Ratio (INR), ascites and hepatic encephalopathy.

It is not used to assess the severity of acute pancreatitis, which this patient is presenting with.
10001874
c
Child-Pugh Score
QuestionChoice
Nausea, vomiting, and epigastric abdominal pain are symptoms associated with acute pancreatitis. Epigastric pain is usually alleviated when leaning forward in this condition, which can be caused by gallstones and excessive alcohol consumption.

The Glasgow-Imrie Criteria are the correct criteria to assess the severity of acute pancreatitis.

It takes into account the following, which can be easily remembered with the acronym PANCREAS:

P- PaO2 (<8 kPa)
A- Age (>55 yrs)
N- Neutrophils (Wbc > 15x10^9^/L)
C- Calcium (<2 mmol/L)
R- Renal (Urea >16 mmol/L)
E- Enzymes (Liver enzymes AST (>200 iU/L)/ LDH >600 iU/L)
A- Albumin (<32 g)
S- Sugar (Blood Sugar >10 mmol/l)
10001872
a
Glasgow-Imrie Criteria
Concept
Chapter
2693
3730
Acute Pancreatitis
Topic
136
Gastroenterology
12921
A 28-year-old man presents to the Emergency Department with severe epigastric abdominal pain, nausea and vomiting. His pain is lightly relieved if he leans forwards.

This patient has a history of gallstones and drinks 20 units of alcohol a week.

What is the name of the criteria used to assess the severity of the disease this patient is presenting with?
a