Pancreas, Spleen

Question 1

most common pancreatic endocrine neoplasm;

Answer 1

INSULINOMA

Question 2

Pancreatic tumor related to MEN1

Answer 2

INSULINOMA
GASTRINOMA

Question 3

tumor
CT, EUS, MRI: 70-90% found in Passaro’s triangle (head of pancreas medially, 2nd portion of
duodenum inferiorly, and the confuence of the cystic and CBD superiorly)

Answer 3

GASTRINOMA

Question 4

cause of Zollinger-Ellison syndrome,

Answer 4

GASTRINOMA

Question 5

Tumor
commonly located in the distal pancreas and most are malignant when
diagnosed

Answer 5

VASOACTIVE INTESTINAL PEPTIDE-SECRETING TUMOUR

Question 6

Most common cause of Pancreatitis

Answer 6

GALLSTONE

Question 7

what is Inglefnger’s sign in pancreatitis

Answer 7

pain worse when supine, and better when sitting forward

Question 8

Pancreatitis
most sensitive and specific investigation

Answer 8

• lipase

Question 9

Cause of pancreatitis if Amlayse > lipase

Answer 9

alcohol

Question 10

Gallstone pancreatitis surgical management

Answer 10

cholecystectomy during same admission (25-60% recurrence if no surgery)

Question 11

Gallstone Pancreatitis
Mngt if with CBD stone or cholangitis

Answer 11

t ERCP + sphincterotomy

Question 12

Necrotizing Pancreatitis
Mngt refractory to medical management

Answer 12

drain placement and debridement

Question 13

Absolute contraindication for drainage of pancreatic pseudocyst

Answer 13

pseudoaneurysm

Question 14

Pseudocyt wall maturation prior to drainage

Answer 14

(4-6 wk)

Question 15

Pancreatic CA most common symptom

Answer 15

abdominal pain, jaundice, and weight loss

Question 16

Pancreatic CA
most common location

Answer 16

head of the pancreas (70%)

Question 17

Pacreatic CA
surgical procedure for cure

Answer 17

Whipple procedure (pancreaticoduodenectomy)

Question 18

Pancreatic CA
surgical procedure
- if carcinoma of midbody and tail of
pancreas

Answer 18

distal pancreatectomy ± splenectomy, lymphadenectomy

Question 19

Indication of Splenectomy

Answer 19

SHIRTS
Splenic abscess/splenomegaly
Hereditary spherocytosis
Immune thrombocytopenic purpura
Rupture of spleen
Thrombotic thrombocytopenic purpura
Splenic vein thrombosis

Question 20

Most common indication for spleenectomy

Answer 20

trauma

Question 21

Vaccination post / pre splenectomy

Answer 21

vaccinations, ideally 2 wk pre- or postoperative (pneumococcal, H. infuenzae, and meningococcus)
* liberal use of penicillin especially in children <6 yr

Question 22

Splenic Infarct
indication for spleenectomy

Answer 22

rupture, abscess, persistent pseudocyst, bleeding,
or sepsis