MCH Preparation
Q) A 48-year-old female presents with an incidental imaging finding of a microcystic pancreatic lesion with a stellate scar. Cyst fluid analysis reveals low viscosity, CEA, CA 19-9, and amylase. These findings are most consistent with:
A. Serous cystic lesion
B. Mucinous cystic lesion
C. Intraductal pancreatic mucinous neoplasm
D. Pseudocyst
Hereditary pancreatic cancers questions is asked many times in NEET SS and GI and onco Surgery CET
Please understand the difference between x% lifetime risk of pancreatic cancer and x fold increase in risk as compared to normal population
Q) Not true about pancreatectomy?
a) Antecolic reconstruction slows gastric emptying.
b) Drains are routinely used after pancreatic resections and currently standard of care.
c) Drains increase infections and prolong hospital stay.
d) Presence of drain fails to reduce the need for interventional radiology.
Q) Which of the following is false regarding amylase and lipase in acute pancreatitis?
a) Amylase more than 3 times above normal indicates acute pancreatitis
b) Normal serum amylase does not rule out acute pancreatitis
c) Serum lipase is more specific than serum amylase
d) Serum amylase is more sensitive than serum lipase
Q) Why does amylase and lipase increase in pancreatitis?
A) They are released from the acinar cells of pancreas during injury
Q) When does serum amylase rise in acute pancreatitis?
A) Within the first 12 hours
Q) Pancreatic adenocarcinoma genetic risk factors least responsible is ? ( AIIMS GI 2020)
a) Peutz jeghers syndrome
b) Hereditary pancreatitis
c) FAMMM syndrome
d) Cowden
Q) Wrongly matched Pancreatic Duct Adeno Carcinoma risk factors :
1) Hereditary pancreatitis - PRSS1
2) FAMMM- ATM
3) PJS - STK 11
4) Hereditary breast and ovarian cancer - BRCA 2
Q) In Pancreas transplant, for drainage of exocrine secretions which of the following are used? ( #Pancreas MCQs)
a) Duodenojejunostomy
b)Urinary bladder Cystostomy
c) Direct duodenal anastomosis
d) All the above