Summary

This document contains a set of multiple-choice questions on various surgical topics like acute pancreatitis, chronic pancreatitis, and cholecystitis. The questions cover diagnostic criteria, treatment options, imaging techniques, and associated conditions.

Full Transcript

Diagnostic criteria for Acute pancreatitis (more than one answer possible): - Computed tomography signs of acute pancreatitis - 3-fold elevation of lipase (from upper normal limit) - Kidney failure - Rebound tenderness - Clinical signs: abdominal pain, vomiting Which are not diagnost...

Diagnostic criteria for Acute pancreatitis (more than one answer possible): - Computed tomography signs of acute pancreatitis - 3-fold elevation of lipase (from upper normal limit) - Kidney failure - Rebound tenderness - Clinical signs: abdominal pain, vomiting Which are not diagnostic criteria for chronic autoimmune pancreatitis (one correct answer): - Positive effect from corticosteroid therapy - Histological findings - Other organ involvement - Microbiological culture - Serology Which diagnostic criteria methods could be used for hemodynamically unstable politrauma patient with suspected bleeding. Select one or more correct answers: - MRI angiography - Contrast enhanced computed tomography - FAST ultrasonography - Diagnostic peritoneal lavage Indications for interventional / surgical treatment in case of acute pancreatitis (more than one answer possible: - Gastric outlet obstruction - Asymptomatic acute peripancreatic fluid collection - Infected walled - off necrosis - Severe pain syndrome What includes in Charcot triade. Select one correct answer. - Fever - Vomiting - Jaundice - Liver injury - Upper abdominal pain Which imaging tool is the most sensitive for detection of stones in common bile duct. Select one correct answers. - CT with i/v contrast - MRCP - Abdominal ultrasound - Abdominal x-ray Which of the following tumor markers is specific for pancreas adenocarcinoma. Select one correct answer: - PSA - CA 125 - CA19-9 - CEA Indications for surgical treatment of patients with chronic pancreatitis (more than one answer possible): - unresolved pseudocyst (size 9 cm) - ductal hypertension with pain syndrome - exocrine insufficiency - infected pseudocyst (size 4.5 cm) The gold standard of the Acute Cholecystitis treatment is: Select one correct answer: - Antibacterial treatment + ERCP - ERCP - Open cholecystectomy - Laparoscopic cholesystectomy Zollinger - Ellison syndrome is caused by (one correct answer): - Gastrinoma - Vipoma - Insulinoma Milde acute pancreatitis is characterized by (one correct answer): - Absence of organ failure - one organ failure that lasts

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