Post Whipple’s Bleeding

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Q) Post whipples on pod4 patient presented with fever, tachycardia and pain, usg showed collection, which was drained percutaneously. on pod 10 there is frank blood of 100ml in drain, next line of management a. Ct angiography b. Emergency laparotomy c. flush the drain with noradrenaline d. Observe  

Post op pancreatic fistula

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Q  About post operative  pancreatic fistula, true is a) 65-85% after pancreatic surgery b) Amylase more than 3 times serum level c) All cases of POPF for distal pancreatectomy needs revision exploration.. d) Majority needs re exploration Ans   

Severe Pancreatitis – Scoring

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Q) Not a consistent feature of  severe acute pancreatitis  a) Persistent organ failure b) CRP more than 150 mg/dl at 48 hours c) Single organ failure d) LDH >350 U /L Another question on severe pancreatitis

MCN

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Q) All about MCN of pancreas are true except? 1.Presence of eggshell calcification in CT is suggestive  of malignancy 2.cyst fluid analysis can diagnose accurately in 80% 3.invasive MCN is very aggressive with 30%  5YR Survival compared to adeno carcinoma 4. If MCN is non invasive, surgery  is curative Answer is in the button below and can be seen only when you are a premium member and logged in

Borderline resectable pancreatic malignancy

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Q)False in Borderline resectable Pancreatic malignancy a) Solid tumor contact with the IVC <180 b) Solid tumor contact with the SMA of ≤180 degree c) Solid tumor with CHA involvement of 2.5 CM d) Solid tumor contact with the SMV or PV of >180 degrees Answer – Click here   [/bg_collapse]

Whipple triad

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Q ) Not a component of Whipple triad a) Symptoms f hypoglycemia after fasting b) Plasma Insulin more than 100 mIU/l c) Plasma glucose less than 2.8 mmol/l d) Relief of symptoms after IV glucose’ Answer to 43

Annular pancreas

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Annular pancreas – seen in 15 out of 100,000 adults

BISAP Score In Pancreatitis

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Q) All are components in BISAP score except? a) Age more than 60 years b) WBC more than 16000 c) GCS <15 d) BUN > 25 mg/dl Ans )b The Bedside Index of Severity in Acute Pancreatitis  BISAP is a more-recent score than the older Ranson’s Criteria. It predicts mortality risk in pancreatitis with fewer variables than Ranson’s. It does not require data points from 48 hours into a patient’s hospital admission. It includes BUN > 25 mg/dL (8.9 mmol/L) : NoYes Abnormal mental status with a Glasgow coma score < 15 : NoYes Evidence of SIRS : NoYes > 60 years old : NoYes Pleural effusion :