Gallbladder And Pancreas Multiple Choice Question And Answers

Gallbladder And Pancreas Multiple Choice Question And Answers

Question 1. Which of the following statements is false for pseudocyst of pancreas?

1. It occurs in lesser sac
2. Cystogastrostomy is usually the treatment of choice
3. Better to operate after 2 weeks
4. It has no epithelial lining

Answer: 3. Better to operate after 2 weeks

Question 2. Which of the following is not the cause for gallstone formation?

1. Saint’s triad
2. Haemolytic anaemia
3. Infection
4. Gastrojejunostomy

Answer: 4. Gastrojejunostomy

Question 3. Gallbladder carcinoma has following features except:

1. It is squamous cell carcinoma
2. It does cause jaundice often
3. It does not respond to radiation
4. Prognosis is very poor

Answer: 1. It is squamous cell carcinoma

Question 4. Most ideal and quick method for the diagnosis of gallstones is by:

1. Endosonogram
2. MRI scan
3. CT scan
4. Ultrasound

Answer: 4. Ultrasound

Question 5. Following is not the feature of acute cholecystitis:

1. It causes pain in the right hypochondrium
2. If it perforates, gas under diaphragm is detected by percussion
3. Shoulder pain can occur
4. Acalculous cholecystitis is due to hypotension

Answer: 2. If it perforates, gas under diaphragm is detected by percussion

Question 6. Following is the most important sign of acute cholecystitis:

1. Pain in the right shoulder
2. Intercostal oedema and tenderness
3. Positive Murphy’s sign
4. Hyperaesthesia of the abdominal wall

Answer: 4. Hyperaesthesia of the abdominal wall

Question 7. Cystic duct joins supraduodenal CBD in what percentage of the cases?

1. 80%
2. 90%
3. 70%
4. 95%

Answer: 1. 80%

Question 8. Porcelain gallbladder has following features except:

1. It is calcification of the gallbladder
2. Plain X-ray is not very useful to detect this
3. CT scan will detect this
4. It may be associated with carcinoma gallbladder

Answer: 2. Plain X-ray is not very useful to detect this

Question 9. Which one of the following is true for choledochal cyst?

1. Acquired dilatation
2. Not premalignant
3. Type 1 cyst is the most common variety
4. Does not cause pancreatitis

Answer: 3. Type 1 cyst is the most common variety

Question 10. Which one of the features is true in gallstone ileus?

1. Obstruction is in terminal ileum
2. Stone reaches ileum via ampulla of Vater
3. Obstruction and features of perforation of gallbladder are found
4. Cholecystectomy and extraction of the stones by enterotomy is done

Answer: 1. Obstruction is in terminal ileum

Question 11. Following are true for acalculous cholecystitis except:

1. It can be seen in septic shock due to hypotension
2. Some features of cholecystoses may also be found
3. Salmonella typhi can also give rise to acute acalculous cholecystitis
4. Rare to get chronic cholecystitis in Salmonella cholecystitis

Answer: 4. Rare to get chronic cholecystitis in Salmonella cholecystitis

Question 12. Following are indications for common bile duct exploration except:

1. Palpable stones in the CBD
2. Dilated common bile duct
3. Jaundice
4. Thickened common bile duct

Answer: 4. Thickened common bile duct

Question 13. Following are risk factors for cholangiocarcinoma except:

Choledochal cyst

Caroli’s disease

Primary sclerosing cholangitis

Biliary stricture

Answer: 4. Biliary stricture

Question 14. Which one of the following is true for carcinoma gallbladder?

1. It is common in males
2. Disease occurs around 5th decade
3. Gallstone disease does not predispose to carcinoma gallbladder
4. Majority are adenocarcinoma

Answer: 4. Majority are adenocarcinoma

Question 15. Caterpillar hump is an anomaly of what structure?

1. Cystic artery
2. Hepatic artery
3. Coeliac artery
4. Gastroduodenal artery

Answer: 2. Hepatic artery

Question 16. Portal veins is formed at:

1. Posterior to head of pancreas
2. Posterior to body of pancreas
3. Anterior to neck of pancreas
4. Posterior to neck of pancreas

Answer: 4. Posterior to neck of pancreas

Question 17. Following are true about anatomy of the pancreas except:

1. 30% is by the head of pancreas
2. 75% of islet cells are beta-cells producing insulin
3. 80-90% pancreatic tissue is exocrine pancreatic tissue
4. 5% of islet cells are A cells producing glucagon

Answer: 4. 5% of islet cells are A cells producing glucagon

Question 18. To avoid spillage of cells after FNAC of the pancreatic head mass which is the best investigation?

1. Endoscopic biopsy
2. CT-guided biopsy
3. MRI-guided biopsy
4. Endosonographic biopsy

Answer: 4. Endosonographic biopsy

Question 19. Which one of the following is true for pancreatic divisum?

1. Dorsal pancreatic duct become accessory duct
2. It does not cause pancreatitis
3. MRCP is not an ideal investigation for diagnosis
4. Endoscopic sphincterotomy has a definitive role

Answer: 4. Endoscopic sphincterotomy has a definitive role

Question 20. Following are true for annular pancreas, except:

1. It is more prevalent in children with Down syndrome
2. It surrounds 2nd part of duodenum
3. Duodenal obstruction causes vomiting in neonate
4. Gastrojejunostomy is the treatment of choice

Answer: 4. Gastrojejunostomy is the treatment of choice

Question 21. The use of ultrasound in the diagnosis of acute pancreatitis is mainly to:

1. Rule out perforation
2. To look for oedematous pancreatitis
3. To rule out gallstones
4. To look for pancreatic stones

Answer: 4. To look for pancreatic stones

Question 22. Role of CT scan in acute pancreatitis include following, except:

1. To detect gallstones
2. Diagnostic uncertainty
3. To detect necrotizing pancreatitis
4. To find out the localized complication

Answer: 1. To detect gallstones

Question 23. Following are features of acute pancreatitis, except:

1. Shock
2. Cullen’s sign
3. Grey Turner’s sign
4. Kehr sign

Answer: 4. Kehr sign

Question 24. Which one of the following is not routinely recommended in severe pancreatitis?

1. Aggressive fluid resuscitation
2. Nasogastric feeding
3. ICU monitoring with oxygenation
4. Antibiotic prophylaxis

Answer: 2. Nasogastric feeding

Question 25. Which one of the following is true for pancreatic necrosectomy?

1. Usually done within 2-3 weeks of acute attack of pancreatitis
2. Gallstones, if present, should not be removed along with necrosectomy
3. Blunt dissection is the best technique
4. Feeding jejunostomy may not be useful

Answer: 3. Blunt dissection is the best technique

Question 26. Sudden rise in platelet counts in acute pancreatitis suggests:

1. Pancreatic fistula
2. Bleeding
3. Portal vein thrombosis
4. Pancreatic necrosis

Answer: 3. Portal vein thrombosis

Question 27. Following are true about pseudocyst fluid, except:

1. Ultrasound can easily detect pseudocyst
2. CEA levels are usually above 400 ng/ml
3. High amylase levels
4. Inflammatory cells in the aspirate

Answer: 2. CEA levels are usually above 400 ng/ml

Question 28. Following are true for tropical pancreatitis, except:

1. Starts in young age
2. High incidence of stone formation
3. High incidence of diabetes mellitus
4. Does not predispose to pancreatic cancer

Answer: 4. Does not predispose to pancreatic cancer

Question 29. The best surgical treatment for chronic pancreatitis with dilated duct is:

1. Frey’s operation
2. Whipple’s operation
3. Longitudinal pancreaticojejunostomy
4. Distal pancreatectomy

Answer: 3. Longitudinal pancreaticojejunostomy

Question 30. Following are the risk factors for carcinoma pancreas except:

1. Cigarette smoking
2. Hereditary pancreatitis
3. Chronic pancreatitis
4. Female sex

Answer: 4. Female sex

Question 31. About porcelain gallbladder following is true:

1. Requires conservative treatment
2. It cannot be detected by ultrasound
3. Prophylactic cholecystectomy is not indicated
4. It is a precancerous condition

Answer: 4. It is a precancerous condition