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Pathology · Necrosis
Sample itemWhat type of necrosis can follow leakage of pancreatic enzymes into peripancreatic adipose tissue?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Enzymatic fat necrosis
Pancreatic lipases digest nearby triglycerides into fatty acids that combine with calcium, producing enzymatic fat necrosis and characteristic chalky deposits during severe acute pancreatitis.
Option by option
A. Coagulative necrosis
Coagulative necrosis is the usual pattern in myocardial infarction.
B. Enzymatic fat necrosis (correct)
Correct: pancreatic lipase leakage causes enzymatic fat necrosis.
C. Fibrinoid necrosis
Fibrinoid necrosis affects vessel walls in certain immune injuries.
D. Caseous necrosis
Caseous necrosis is associated with tuberculosis.
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.