Q) Initializing mutation in Carcinoma head of pancreas is of which gene
c) CDKN 2A
d) DPC 4
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'
Q) All are true about annular pancreas except ( AIIMS GI Surgery Question bank)
a) They are mostly asymptomatic
b) It has equal incidence in children and adults
c) Treatment of choice is duodenojejunostomy
d) Associated with Down's syndrome
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
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.
|BUN > 25 mg/dL (8.9 mmol/L) :|
|Abnormal mental status with a Glasgow coma score < 15 :|
|Evidence of SIRS :|
|> 60 years old :|
|Pleural effusion :|
Q) All are true about pancreatic protocol CT except (AIIMS 2012)
a) > 90% unresectable lesions picked up by CT
b) Dual phase CT with cuts taken at 40 secs and 70 secs
c) Liver metastasis detected in early arterial phase
Answer is free for all
Pancreatic protocol CT involves imaging at the pancreatic phase (i.e., approximately 45 seconds after contrast administration) and at the portal venous phase (i.e., approximately 70 seconds after contrast administration). It is useful for detection of adenocarcinoma of pancreas.
Metastatic lesions are seen in the portal venous phase, because the lesions are not typically well vascularized.
Arterial phase images are principally used to distinguish metastatic disease from benign vascular lesions, such as hemangiomas, or to better define the arterial anatomy of the liver.
Non contrast phase used for Read More ...
Q. CT severity score for pancreatic necrosis of more than 50%
Answer See Q 25
Q) Ideal time for CECT in severe acute pancreatitis is
A. After 72 hours
B. After 48 hours
C. 24 hours
D. At admission
Mild acute pancreatitis
- enlargement of the pancreas with loss of definition of the borders of the pancreas.
- Thickening of the right or left anterior pararenal fascia
Severe Acute pancreatitis
Main determinant of clinical outcome is the degree of systemic organ disturbance, particularly during the early hours and days after admission to hospital
More than half of all deaths in AP occur within the first 2 weeks of illness and are usually a consequence
of multiple organ failure
The revised Atlanta Classification
3 grades of severity of pancreatitis:
Mild AP—characterized by the absence of organ failure or local
Moderately severe AP—defined by...................read on
Q Most common symptom in periampullary carcinoma
d) Clay coloured stools
Q ) Drug causing pancreatitis