ABDOMEN

Question 1

Describe:

Solid pseudopapillary neoplasm (SPN)

Answer 1

Often well circumscribed, encapsulated, and heterogeneous with hemorrhagic and cystic degeneration on imaging studies; immunohistochemical staining demonstrates nuclear localization of beta-catenin diagnostic of SPN

See item:
Abdomen Part IV 5–8

Question 2

Describe:

Serous cystic neoplasm (SCN)

Answer 2

Multilocular cystic tumors appearing as a mass on imaging in men and women older than 50; contain glycogen in fluid secretions

See item:
Abdomen Part IV 5–8

Question 3

Describe:

Mucinous cystic neoplasms (MCN)

Answer 3

Unilocular mucinous tumors found almost exclusively in women (ages 40 to 60); premalignant with mucinous producing epithelium surrounded by a unique ovarian stroma

See item:
Abdomen Part IV 5–8

Question 4

Describe:

Papillary mucinous neoplasms (IPMN)

Answer 4

Mucin-producing epithelia lining the pancreatic ductal system produces a tumor mass detected on imaging; found in older men and women

See item:
Abdomen Part IV 5–8

Question 5

What are the
characteristics of . . .

Polyglactin sutures

Answer 5

Rapidly (2–3 months) absorbable suture

See item:
Abdomen Part III 11

Question 6

What are the
characteristics of . . .

Polydioxanone sutures

Answer 6

Slowly (6–9 months) absorbable suture

See item:
Abdomen Part III 11

Question 7

What condition is associated with . . .

Gastrinoma

Answer 7

Zollinger-Ellison syndrome, characterized by excess gastrin production leading to acid hypersecretion and peptic ulceration

See item:
Abdomen Part II 10–12

Question 8

Describe:

VIPoma

Answer 8

Constellation of symptoms of watery diarrhea, hypokalemia, and achlorhydria (WDHA syndrome)

See item:
Abdomen Part II 10–12

Question 9

What condition is associated with . . .

Necrolytic migratory erythema

Answer 9

Glucagonoma

See item:
Abdomen Part II 10–12

Question 10

The following consists of . . .

Whipple triad

Answer 10

Associated with an insulinoma: (1) symptomatic hypoglycemia when fasting, (2) serum glucose less than 50 mL/dL, and (3) relief of symptoms after glucose administration.

See item:
Abdomen Part II 10–12

Question 11

What is . . .

Pyloric stenosis

Answer 11

Palpable “olive” in right upper quadrant in infant

See item:
Abdomen Part I 8–10

Question 12

Describe:

Windsock deformity of the duodenum

Answer 12

Incomplete recanalization of the duodenum that results in the presence of a persistent membranous structure within the lumen of the duodenum that has the appearance of a windsock

See item:
Abdomen Part I 8–10

Question 13

Describe:

Annular pancreas

Answer 13

A congenital condition that results from the tethering of the ventral pancreatic bud to the duodenum, which leads to a ring of pancreatic tissue encircling the duodenum

See item:
Abdomen Part I 8–10

Question 14

What is . . .

SMA syndrome

Answer 14

Narrowing of the angle between the aorta and the SMA from its normal 38 to 65° to less than 25°

See item:
Abdomen Part I 8–10

Question 15

What is . . .

Eltrombopag

Answer 15

An orally available, nonpeptide thrombopoietin receptor agonist studied in immune thrombocytopenic purpura patients who have relapsed after first-line therapies.

See item:
Abdomen Part II 1

Question 16

Describe:

Critical view of safety includes

Answer 16

The complete clearing of the hepatocystic triangle of all fat and fibrous material;
The separation of the lower part of the gallbladder from the cystic plate; and
The identification of 2 and only 2 structures (cystic duct and cystic artery) remaining attached to the gallbladder.
See item:
Abdomen Part I 6

Question 17

Complete the following statement:

Greatest risk for rebleeding from a bleeding duodenal ulcer is

Answer 17

Visible vessel on esophagogastroduodenoscopy

Note:
Abdomen Part I 4