ABSITE - PANCREAS – QUESTIONS WITH CORRECT ANSWERS 2025

ABSITE - PANCREAS – QUESTIONS WITH
CORRECT ANSWERS 2025
AllNofNtheNfollowingNinheritedNfamilialNsyndromesNareNassociatedNwithNanNincreasedNincidenceNofNpancrea
ticNendocrineNneoplasmsNexcept:



A.NvonNHippel-LindauN(VHL)Nsyndrome.

B.NtuberousNsclerosisN(TSC).

C.NmultipleNendocrineNneoplasiaNtypeN1N(MEN-1).

D.NPeutz-JeghersNsyndromeN(PJS).

E.NneurofibromatosisN(NF-1).N-NCORRECTNANSWERN-Peutz-JeghersNsyndromeN(PJS).

Correct.

TheNmajorityNofNpancreaticNendocrineNneoplasmsNareNsporadic.NSomeNofNthem,Nhowever,NoccurNasNpartNo
fNinheritedNfamilialNsyndromesNsuchNasNMEN-1,NVHLNsyndrome,NNF-1,NandNTSC.NMEN-
1NisNassociatedNwithNgastrinoma,NwhileNNF-
1NisNassociatedNwithNsomatostatinomas.NVHLNandNTSCNareNbothNassociatedNwithNincreasedNpancreaticNen
docrineNneoplasms.NPJSNisNcharacterizedNbyNtheNdevelopmentNofNbenignNhamartomatousNpolypsNinNtheNg
astrointestinalNtract.NItNisNassociatedNwithNanNincreasedNriskNofNdevelopingNcarcinomasNofNtheNpancreas,Nli
ver,Nlungs,Nbreast,Novaries,Nuterus,Ntesticles,NandNotherNorgans.



WhichNofNtheNfollowingNstatementsNisNtrueNregardingNpseudocystsNinNchronicNpancreatitis?



A.NPseudocysts,NalthoughNcommonNfollowingNanNepisodeNofNacuteNpancreatitis,NrarelyNoccurNinNpatientsN
withNchronicNpancreatitis.

B.NRecurrenceNofNaNpancreaticNpseudocystNafterNaspirationNimpliesNanNongoingNcommunicationNwithNtheN
pancreaticNduct.

C.NInNpatientsNwithNchronicNpancreatitisNandNaNpseudocyst,NadequateNdrainageNofNtheNpseudocystNwillNus
uallyNresultNinNsignificantNpainNreliefNandNdecreasedNnarcoticNrequirements.

D.NPercutaneousNdrainageNsuccessfullyNtreatsNpancreaticNpseudocystsNinNnearlyNallNcases.N-
NCORRECTNANSWERN-

RecurrenceNofNaNpancreaticNpseudocystNafterNaspirationNimpliesNanNongoingNcommunicationNwithNtheNpa
ncreaticNduct.

Correct.

, PancreaticNpseudocystsNareNaNcommonNcomplicationNofNchronicNpancreatitis.NTheNunderlyingNductalNabno
rmalitiesNinNpatientsNwithNchronicNpancreatitisNmakeNpseudocystsNlessNlikelyNtoNregressNspontaneouslyNinN
theseNpatients.NPseudocystsNcanNbeNanNimportantNadditionalNcauseNofNpainNinNpatientsNwithNchronicNpanc
reatitis,NbutNtreatmentNofNtheNpseudocystNrarelyNleadsNtoNcompleteNpainNrelief.NIdeally,NtheNpancreaticNdu
ctalNanatomyNshouldNbeNdefinedNpriorNtoNanyNattemptNatNtreatment.NANpseudocystNthatNrecursNafterNperc
utaneousNdrainageNhasNbyNdefinitionNanNongoingNcommunicationNwithNtheNpancreaticNductalNsystemNandN
isNbestNtreatedNbyNoperativeNinternalNdrainage.NThisNprocedureNcanNbeNcombinedNwithNaNductalNdrainageN
procedureNifNindicatedNtoNaddressNtheNpatient'sNchronicNpancreatitis.



AN35-year-
oldNwomanNisNevaluatedNforNaNseizureNdisorder,NmentalNobtundation,NandNpersonalityNchange.NTheNfindin
gsNonNphysicalNexaminationNareNnormal.NTheNfastingNserumNglucoseNisN44Nmg/dL.NOtherNserumNvaluesNare
Nnormal.NAnNinsulin-to-

glucoseN(I:G)NratioNofN0.5NwasNdocumentedNafterN28NhoursNofNfasting.NSymptomsNofNmentalNobtundationN
developedNconcurrentlyNandNwereNreversedNbyNmeansNofNoralNadministrationNofNglucose.NEndoscopicNultr
asonographyNshowedNaN1.2-
cmNmassNinNtheNheadNofNtheNpancreas.NAppropriateNmanagementNconsistsNofNwhichNofNtheNfollowing?



A.NLong-termNadministrationNofNoctreotide

B.NSurgicalNenucleationNofNtheNtumor

C.NPancreaticoduodenectomy

D.NTotalNpancreatectomyN-NCORRECTNANSWERN-SurgicalNenucleationNofNtheNtumor

Correct.

ManagementNofNanNinsulinomaNisNsurgicalNinNnearlyNallNcases.NInsulinomasNareNevenlyNdistributedNinNtheN
pancreas;NapproximatelyNoneNthirdNareNlocatedNinNtheNheadNandNuncinateNprocess,NoneNthirdNinNtheNbody
NofNtheNgland,NandNoneNthirdNinNtheNtailNofNtheNgland.NNinetyNpercentNofNpatientsNhaveNaNbenignNsolitaryNa

denomaNamenableNtoNsurgicalNcure.NSmallNbenignNinsulinomasNnotNcloseNtoNtheNpancreaticNductNcanNbeNr
emovedNbyNmeansNofNenucleation,NindependentNofNlocationNwithinNtheNgland.NInNtheNbodyNandNtailNofNth
eNpancreas,NinsulinomasNlargerNthanN2NcmNinNdiameterNandNthoseNcloseNtoNtheNpancreaticNductNareNmostN
commonlyNexcisedNbyNmeansNofNaNdistalNpancreatectomy.NLargeNinsulinomasNdeepNinNtheNheadNofNpancre
asNorNuncinateNprocessNofNtheNpancreasNmayNnotNbeNamenableNtoNlocalNexcisionNandNmayNnecessitateNpa
ncreaticoduodenectomy.



WhichNofNtheNfollowingNgeneticNalterationsNisNfoundNinNhighNfrequencyN(50%NorNgreater)NinNpatientsNwithN
pancreaticNcancer?



A.N