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General Medicine · Gastroenterology: acute pancreatitis management
Sample itemWhich statement about the management of mild acute pancreatitis is correct?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Early oral or enteral feeding and goal-directed Ringer lactate fluids are recommended
Early enteral feeding maintains gut barrier function and lowers infection risk. Fluid resuscitation with Ringer lactate is the main supportive therapy. Prophylactic antibiotics are not recommended, and parenteral nutrition is used only if enteral feeding fails.
Option by option
A. Early oral or enteral feeding and goal-directed Ringer lactate fluids are recommended (correct)
Correct. Early feeding and Ringer lactate are evidence-based.
B. Strict nil by mouth for 7 days
Prolonged fasting is outdated.
C. Prophylactic antibiotics are mandatory
Prophylactic antibiotics do not improve outcome.
D. Parenteral nutrition is preferred to enteral feeding
Enteral feeding is preferred over parenteral.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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