Q) Starburst appearance is seen in
a) Mucinous cystic neoplasm
b) Serous cystic neoplasm
c) IPMN
d) Pseudocyst of pancreas
Pancreas
Endocrine cells of pancreas
Q) Delta cells in the pancreas secrete
a) Insulin
b) Glucagon
c) Somatostatin
d) Secretin
Complications of Whipple’s operation
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
Q) Whipple's triad is seen in which pathological condition?
a) Insulinoma
b) Glucagonoma
c) VIPOma
d) Somatostatinoma
Answer
a) Insulinoma
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
Other Points
- 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
- Average size of insulinoma is 1-1.5 cm
Symptoms of Insulinoma
The neuroglycopenic symptoms of insulinoma included confusion, visual change, and unusual behavior
Sympathoadrenal symptoms may include palpitations, diaphoresis, and tremulousness.
Whipple's triad is just a part of Insulinoma and is not pathognomic of it. This entity may also be seen in other hyperinsulinemic conditions.
For endogenous Insulinoma, following tests are done
Proinsulin above 5.0 pmol/L
insulin above 3.0 pmol/L,
C-peptide above 0.2 nmol/L
all demonstrate endogenous hyperinsulinemia
Most common cause of death in acute pancreatitis
Q. Most Common Cause of death in early acute Pancreatitis is ( Free Questions on Pancreas)
a) Renal Failure
b) Cardiac failure
c) Respiratory Failure
d) Uncontrolled Coagulopathy
c
Respiratory failure is the cause of death in the early phase (7 days). The pulmonary manifestations of pancreatitis include atelectasis and acute lung injury where as infective complications are the cause of death in late phase.
EUS in pancreatic cancer
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
Beger Procedure for Chronic Pancreatitis
Q: True about Beger procedure for chronic pancreatitis
# Theme NEET SS Pancreas MCQ
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
🆓 This is a free MCQ — click below to view the answer.