Surgery 2. Pancreas

Question 1

MC congenital anomaly of pancreases :- 
Failure of fusion :- 
Increase risk of :- 
CF :- 
Diagnosis :-
Management:- 
If increased risk of pancreatitis :-

Answer 1

323

Question 2

Annular pancreas :- 
Due to :- 
Encashment of :- 
CF :- 
X ray :- 
Diagnosis :- IOC :- 
Management:-

Answer 2

323

Question 3

Milwaukee classification is for :-

Answer 3

323

Question 4

Sphincter of oddi dysfunction 
Cause :- 
1. 
2. 
Diagnosis :- IOC :- 
2:- 

Milwaukee classification:-
Type 1 (MC) :-
Type 2 :-
Type 3 :-

Management
Type 1:-

Answer 4

324

Question 5

Acute pancreatitis 
MC cause :- 
2nd MC cause :- 
MC cause in children :- 
Drugs causing acute pancreatitis 
1. 
2. 
3. 
4. 
Other causes :-

Answer 5

324

Question 6

CF of acute pancreatitis
Pain type :-
Relieved by :-
Other :-

Answer 6

325

Question 7

Signs seen in acute pancreatitis 
1. 
2. 
3. 
4. 
5.

Answer 7

325

Question 8

Acute pancreatitis
1. 1st inv :- 
      Sensitive and specific :- 
       In acute pancreatitis:- 
       Not predictive of :-

Answer 8

325

Question 9

Non specific signs on X ray :- 
1. 
2. 
3. 
4.

Answer 9

325

Question 10

IOC :-
Ideally done :-
If done before :-
Sevirity index by CT is :-

Answer 10

326

Question 11

Assessment of severity of acute pancreatitis

At time of admission 
1. 
2. 
24 hr following admissions 
\:- 
At 48 hr of admission 
1. 
2. 
3.

Answer 11

326

Question 12

Criteria’s for Acute pancreatitis 
1. 
2. 
3. 
4.
5. 
6. 
7. 
8. 
9.

Answer 12

327

Question 13

Glasgow criteria :-

Answer 13

326

Question 14

Ransons criteria 
For :- 
On admission 
1. 
2. 
3. 
4. 
5. 
Within 48 hr of admission 
1. 
2. 
3. 
4. 
5. 
6.

Answer 14

326

Question 15

Ranson criteria 
Score less than 3 :- 
Score 3-5 :- 
Equal to or > 6 :- 
> or equal to 3 :-

Answer 15

326

Question 16

BISAP score 
B
I 
S
A
P 

BISAP score less than 2 :-
BISAP score =2 :-
BISAP score 3-5 :-
More than or equal to 3 :-

C reactive protein > ,,,,,,,, :- sever

Answer 16

327

Question 17

APACHE :-
Score 8 or more than 8 :-
APACHIE 0 is for :-

SAPS
HAPS

Answer 17

327

Question 18

Modified Marshall score :-

Answer 18

327

Question 19

Balthazar grade :-
Best is :-
6 or more than 6 :-

Grade 1
Grade 2
Grade 3 
Grade 4 
Grade 5 

Pancreatic necrosis 
1. 
2. 
3.
4.

Answer 19

327

Question 20

Atlanta classification:-
Mild :-
Moderate :-
Sever :-

Answer 20

327

Question 21

Acute peripancreatic collection :-

1. Less than :-
2. Seen in :-
3. Fluid :-
4. Location :-
5. Wall :-

Answer 21

328

Question 22

Acute necrotic collection :-

1. Less than :-
2. Seen in :-
3. Fluid :-
4. Location :-
5. Wall :-

Answer 22

328

Question 23

Pseudocyst :-
Seen in :-
Fluid :-
Wall :-

Answer 23

328

Question 24

Walled off necrosis
Seen in :-
Fluid :-
Wall :-

Answer 24

328

Question 25

``` Management of acute pancreatitis 1. 2. 3. 4. ```

Answer 25

328

Question 26

Gall stone pancreatitis management:-

Answer 26

328

Question 27

MC vascular complication following acute pancreatitis :- MC artery :- Vascular thrombosis May follow :- Which vein :-

Answer 27

329

Question 28

``` Complication of acute pancreatitis Local with treatment 1. 2. 3. 4. 5. 6. ```

Answer 28

329

Question 29

``` Pseudocyst :- Wall is lined by :- MC cause :- MC site :- Pain in :- Classification for pseudocyst:- IOC :- Management Intervention need if :- 1. 2. 3. ```

Answer 29

329

Question 30

D Egedio classification Type 1 :- Type 2 :- Type 3 :-

Answer 30

329

Question 31

``` Intervention in pseudocyst :- Page 326 Endoscopic 1. 2. 3. 4. Surgical :- 1. 2. 3. Percutaneous drainage :- ```

Answer 31

330

Question 32

MC complication of pseudocyst :- Mimic as :- CEA value in cystic fluid :-

Answer 32

330

Question 33

Chronic pancreatitis MC cause of chronic pancreatitis :- ``` Cause of chronic pancreatitis TIGAR - O classification Hereditary cause :- Male to female :- MC symptom :- ``` Diagnosis of Chronic pancreatitis HISORT criteria :- Cf 1. 2. 3. ``` ,,,,,,,,,,,,,preceds ,,,,,,,,,, Manifest as :- Investigation :- 1. 2. 3. 4. Management:- On pancreatigraphy ( ERCP OR MRCP shows) :- Mode of pancreatic enzyme administered:- ``` Endocrine insufficiency causes :- 1. 2, ``` Pain Occurs due to :- Stone is mostly of :- IOC :- Gold standard is :- EUS :- Criteria used in chronic pancreatitis:- Management :- ``` ``` Cause of chronic tropical pancreatitis:- Ingestion of :- Causes :- 1. 2. 3. ```

Answer 33

331

Question 34

``` Interventions done in chronic pancreatitis:- Resection 1. 2. 3. 4. ``` Decompression procedures 1. 2. 3. 4. Hybrid ( resection + decompression ) 1. 2. 3.

Answer 34

332

Question 35

``` Drainage procedure Diameter of MPD 1. 2. Duval is :- Pustows :- Partington and Rochelle :- ```

Answer 35

332

Question 36

Resection :- If restricted to head :- If restricted to tail :- Begers procedure :- Frey’s procedure :- Pain relief in chronic pancreatitis is done by destroying :-

Answer 36

332