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Pancreatic exocrine insufficiency — ESEGH MCQ

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HardNutritionPancreatic exocrine insufficiencyESEGH

Chronic pancreatitis causes steatorrhoea and weight loss. What initial enzyme prescription and administration advice match UK guidance?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — A meal dose of 50,000 lipase units, halved for snacks

Explanation lettering: B = shown as A · C = shown as B · D = shown as C · E = shown as D · A = shown as E

C is correct. UK guidance starts at least 50,000 units with meals and 25,000 with snacks, spread through the meal and taken with all relevant intake. A underdoses and mistimes; B both underdoses and gives too late; D mismatches physiology and adds harmful restriction; E omits enzyme coverage for calories including milky drinks.

Reference: UK practical guideline for pancreatic exocrine insufficiency: https://pmc.ncbi.nlm.nih.gov/articles/PMC8212181/