Question 12 / 27:  A 40 year old man abuses alcohol. He has been admitted to the hospital multiple times with

attacks of abdominal pain. His CT scan of the abdomen shows pancreatic calcifications.

What is the most likely initial abnormality in the pathogenesis of this patient’s condition?

A  Islet cell destruction
B  Repeated episodes of pancreatic inflammation
C  Hypersecretion of protein into pancreatic ductules
D  Autodigestion of the pancreas by pancreatic enzymes
E  Biliary sludge causing pancreatic duct obstruction
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Gastrointestinal Pathophysiology Exam 2005

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Attribution:  Laurence Scott Bailen, Tamsin Knox, Paul Abourjaily, Fredric D. Gordon,Marshall Kaplan,Andrew G. Plaut. PPY 222 Gastrointestinal Pathophysiology, Spring 2007. (Tufts University OpenCourseWare), http://ocw.tufts.edu/Course/47 (Accessed 3 May, 2014). License: Creative Commons BY-NC-SA
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