Q Direct Indication for surgery in Branch duct IMPN is
a) Hypoechoic mural nodule
b) Multiple cysts
c) BD IMPN Size 3cm
d) Enhancing solid component
Pancreas
Amylase in pancreatitis
Q) In acute pancreatitis all are true except :
1) Amylase is more sensitive for first 5 days than lipase
2) S. lipase remains elevated for a longer time
3) Amylase levels not included in definitive diagnostic criteria of acute pancreatitis
4) Amylase levels may not be elevated in 19 % of patients
Malignant Insulinoma
Q) Regarding insulinoma, true is
a) Mostly malignant
b) Classic whipples triad seen in very few patients
Pancreas Embryology
Q) Regarding pancreas embryology what is true
a) Annular is due to dorsal duct migration and not ventral
b. Pancreas Divisum consistently a/w Acute Pancreatitis
c. Persistent distal Dorsal duct forms santorini
d. Dorsal forms inferior head and uncinate
Pre op Management of carcinoma head of pancreas
Q ) 45 year old patient with jaundice and itching diagnosed with adenocarcinoma of carcinoma head of pancreas with ECOG 1 , total bilirubin 10mg% , s calcium 6.3 , sgot sgpt deranged. What is management
a) Whipple
b) Stenting whiple
c) Triple bypass
d) Biopsy stenting Chemo