Pseudocyst Pancreas

Q) True about pseuodocyst of the pancreas is 

a) It is lined by epithelium and collagen

b) Spontaneous regression occurs in less than 50% of cysts

c) Symptoms occur in more than 50% of case

d) Transduodenal endoscopic drainage IS  safe and effective approaches for patients with pancreatic pseudocysts in close contact (defined as less than 2 cm) 

Postgastrectomy faintness tremor

Q) Postgastrectomy  faintness tremor due to
a) Late dumping
b) Roux stasis
c) Bile reflux

d) Early dumping

Ans 5) a

LATE Dumping

Early dumping is more common. Systemic manifestations include palpitations, tachycardia, fatigue, a need to lie down following meals, flushing or pallor, diaphoresis, lightheadedness, hypotension, headache, and possibly syncope.

Abdominal symptoms include early satiety, epigastric fullness or pain, diarrhea, nausea, cramps, bloating, and borborygmi. Early dumping begins within 30 minutes following a meal and is attributable to bowel distention, relative hypovolemia, GI hormone hypersecretion, and autonomic dysregulation.

Late dumping is characterized by symptoms that occur 1 to 3 hours postprandially. Symptoms of late dumping consist of perspiration, faintness, decreased concentration, and altered levels of consciousness, among others.

The most common symptoms attributed to chronic bile gastritis are abdominal pain and bilious vomiting. 

Unlike afferent limb syndrome, the pain does not resolve after vomiting. Weight loss and anemia are common.

Symptoms of Roux syndrome include abdominal pain and distention, postprandial bloating, nausea, and vomiting. Typically the vomitus contains solid food and is nonbilious.

 

INactive hydatid cyst

Q According to WHO-IWGE ultrasonographic classification for Hydatid cyst, inactive cysts belong to which group
a) Group I
b)  Group 2
c) Group 3
d) Group 4

More question at www.mcqsurgery.com/hydatid

Answer: C
Reference Bailey and love 27th edition page number 64

WHO Informal Working Group on Echinococcosis (WHO-IWGE) classification
Group 1: Active group – cysts larger than 2 cm and often fertile.
Group 2: Transition group – cysts starting to degenerate and entering a transitional stage because of host resistance or treatment, but may contain viable protoscolices.
Group 3: Inactive group – degenerated, partially or totally calcified cysts; unlikely to contain viable protoscolices.