Pancreatic Cancer VS similar presentation CAs

Question 1

Pancreatic cancer cxfx + 1 risk factor

Answer 1

Painless jaundice with
weight loss
+/– depressive symptoms
History of smoking

Question 2

Pancreatic cancer Etiology (patho)

Answer 2

90% adenocarcinoma of the pancreatic head with common bile duct dilatation

Question 3

Pancreatic cancer Most accurate test

Answer 3

CT scan of the chest,

abdomen, and pelvis (also used for staging)

Question 4

Pancreatic cancer: CA 19-9 is used to __

Answer 4

measure response to therapy. also for Cholangiocarcinoma

Question 5

Pancreatic cancer tx

Answer 5

Pancreaticoduodenectomy
(Whipple procedure)
Palliative CBD duct stent
(for metastatic disease)

Question 6

Cholangiocarcinoma cxfx

Answer 6

Painless jaundice with weight loss in patient with history of PSC

Question 7

Cholangiocarcinoma epidemiology

Answer 7

The most common cancer of the bile duct

Question 8

Cholangiocarcinoma, how is alkaline phosphatase

Answer 8

Elevated

Question 9

Cholangiocarcinoma Etiology and epidemiology too

Answer 9

Most commonly
PSC
Southeast Asians at
risk due to
Clonorchis sinensis
and Opisthorchis
viverrini

Question 10

Cholangiocarcinoma Most accurate

imaging test

Answer 10

(to
localize mass):
MRCP

Question 11

Cholangiocarcinoma DX

Answer 11

ERCP with brushings or FNA allows for biopsy

Question 12

Cholangiocarcinoma Tx

Answer 12

Surgical resection if
possible and
chemotherapy

Question 13

Gallbladder cancer cxfx

Answer 13

Constant RUQ pain and jaundice when metastasis occurs

Palpable “porcelain gallbladder”

Question 14

Gallbladder cancer etiology

Answer 14

90% from adenocarcinoma

Question 15

Gallbladder cancer epidemiology

Answer 15

More common

in women

Question 16

Gallbladder cancer is Associated with
__________
infection of
gallbladder

Answer 16

chronic typhoid

Question 17

Gallbladder cancer Best initial test:

Answer 17

ultrasound

Question 18

Gallbladder cancer
Most accurate
imaging test:

Answer 18

CT scan

Question 19

Gallbladder cancer tx

Answer 19

Surgical resection if possible and chemotherapy.

Question 20

Gallbladder cancer prognosis

Answer 20

Extremely poor at one year