Heterotropic pancreas

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Q ) True about heterotropic pancreas is a) Most common site for heterotropic pancreas is stomach. b) Most of these lesions present with pancreatitis c) CT scan shows mucosal dimpled lesions d) It can be easily differentiated from GIST and carcinoid tumors Premium answer  

Survival after pancreatic resection in Ca head of Pancreas

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Q) Median survival after surgery and chemotherapy in Ca Head of Pancreas a) 12 months b) 22 months c) 32 months d) 44 months Answer for premium members This is an interesting question because this is one tumor in which breakthrough has not been achieved in the last 70 years. Pancreatic cancer remains one of the deadliest cancers of the GI tract and whipple’s surgery continues to have high morbidity. We discuss the role and response of chemotherapy also

Endocrine cells of pancreas

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Q) Delta cells in the pancreas secrete a) Insulin b) Glucagon c) Somatostatin d) Secretin Free answer for all Answer d Somatostatin Pancreas- Endocrine functions Beta cells form 65-80% of pancreatic endocrine cells and produce insulin Alpha cells 12-20% and produce glucagon Delta cells 3-10% and produce somatostatin PP cells – Pancreatic polypeptide 1% Somatostatin is an inhibitory hormone and inhibits most of the things  

Complications of Whipple’s operation

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Q) Most common complication after Whipple’s operation is  a) Delayed gastric emptying b) Pneumonia c) Wound infection d) Pancreaticojejunostomy leak    Answer for premium only – We discuss the percentage wise risk of complications.

Whipple’s triad

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Q) Whipple’s triad is seen in which pathological condition? a) Insulinoma b) Glucagonoma c) VIPOma d) Somatostatinoma   Answer  a Whipple’s triad is seen in pancreatic insulinoma and consists of  a) Symptoms of hypoglycemia b) Fasting sugar less than 50 mg% c) Relief of symptoms with administration of dextrose solution Insulinoma is the most common functioning pancreatic neuroendocrine tumor Symptoms are present for many years before diagnosis Weight gain is common Distribution of insulinomas is equal in body head and tail Avg size of insulinoma is 1-1.5 cm      

Beger Procedure for Chronic Pancreatitis

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Q) True about Beger procedure for chronic pancreatitis a) Posterior branch of gastro duodenal artery is preserved. b) Beger procedure is  a pancreatic head mass resection that can be done for small pancreatic tumors. c) Intra pancreatic, choledochal and ampullary structures are removed. d) Neck of the pancreas is not  transected

IPMN Adnenocarcinoma Pancreas

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Q) Which of the following histological  varieties of IPMN is associated with low grade dysplasia a) Intestinal type b) Oncocytic type c) Pancreaticobiliary type d) Gastric Answer Premium member

EUS in pancreatic cancer

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Q) What is true about the role of EUS in Carcinoma head of pancreas. a) It has a sensitivity of 50-60% in detecting lesions less than 3 cm in size b) It has a  high negative predictive  value c) Chronic pancreatitis can be easily differentiated from Carcinoma head of pancreas by EUS d) Small caliber needles have low accuracy than high caliber needles in FNAC Answer for Premium members