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

,,,,,,,,,,,,,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

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