Pancreatic necrosis

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Q) Pancreatic necrosis all are true except a) Sterile pancreatic necrosis may be managed conservatively in most of the cases b) Infected Pancreatic Necrosis  is managed by surgery at 2 weeks c) Minimal access techniques have given better results than open necrosectomy d)WOPN may be drained by either a transgastric or, less commonly, a transdoudenal route.

Mucinous cystic neoplasm

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Q) Mucinous  cystic neoplasm, all are true except 1. Most common 2. Low amylase 3. Enucleation  4. Observation after resection for 2 year

Pancreatic Neuro Endocrine tumor (Pnet)

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Q) Genetic  disease not associated with Pancreatic neuro endocrine tumor is  a) MEN1 b) VON Recklinghausen disease c) Von Hipple Lindau disease d) Lynch Syndrome

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