MCQs – Pancreatic Cancer
MCQs - Pancreatic Cancer
MCQs - Pancreatic Cancer - Introduction
Pancreatic cancers are not many. But it is the fourth leading cause of cancer deaths. Pancreas is an organ lying on the upper left side of the abdomen. It is a very important endocrine organ and it is known even to the lay persons because of the increasing incidence of diabetes around the world. It has a head and neck, body and tail. Most of the pancreatic tumors are seen on the head and neck part of the pancreas.
Dietary habits and alcoholism my have influence on the development of pancreatic cancer.
Which of the following are the signs and symptoms of Pancreatic Cancer?
Significant weight loss
Mid epigastric pain
Pain radiating to the back
Pain at night
Onset of diabetes mellitus
Painless obstructive jaundice
Itching
All of the above
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Answer: All of the above
What is Trousseau sign in a patient with pancreatic cancer?
Depressive symptoms
Painless obstructive jaundice
Migratory thrombophlebitis
Palpable gallbladder
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Answer: Migratory thrombophlebitis
What is Courvoisier sign in a patient with pancreatic cancer?
Depressive symptoms
Painless obstructive jaundice
Migratory thrombophlebitis
Palpable gallbladder
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Answer: Palpable gallbladder
Paraumbilical subcutaneous metastases in pancreatic cancer are called:
Osler’s nodes
Janeway lesions
Sister Mary Joseph nodule
Virchow's node
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Answer: Sister Mary Joseph nodule
Pancreatic Cancer
Palpable node behind the medial end of the left clavicle in pancreatic cancer is:
Osler’s nodes
Janeway lesions
Sister Mary Joseph nodule
Virchow's node
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Answer: Virchow's node
MCQs - Pancreatic Cancer
Pancreatic cancer is notoriously difficult to diagnose in its early stages.
Which is the primary mode of treatment for pancreatic cancer?
Surgery
Cheotherapy
Radiotherapy
Hormone therapy
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Answer: Surgery
Pancreatic cancer less commonly spreads to the following organs:
Regional lymph nodes and liver
Lungs, brain and bone
Duodenum, stomach, and colon
Abdominal cavity
Skin
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Answer: Lungs, brain and bone
Which is the common anatomical structure for the development of cancer within the pancreas?
Head and neck
Body
Tail
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Answer: Head and neck
The most common environmental risk factor for pancreatic carcinoma is:
Alcoholism
Diabetes Mellitus
Dietary factors
Smoking
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Answer: Smoking
Consumption of which of the following items will reduce the risk of pancreatic cancer?
- Fruits and vegetables
- Vegetables rich in folates and lycopenes
- Tomatoes
- Read meat
- Poultry
- Dairy
Answer: 1, 2 & 3
Which is the most characteristic sign of pancreatic carcinoma of the head of the pancreas?
Pain
Painless obstructive jaundice
Nausea and Vomiting
All of the above
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Answer: Painless obstructive jaundice
Which is the most common presenting symptom in patients with pancreatic cancer?
Pain
Painless obstructive jaundice
Nausea and Vomiting
All of the above
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Answer: Pain
Radiation of the pain to the mid back or lower-back region in pancreatic cancer may indicate spread to:
Splanchnic nerve plexus
Liver
Colon
Abdominal cavity
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Answer: Splanchnic nerve plexus
Which is the most common imaging modality used for the diagnosis of pancreatic cancer?
CT scan
Ultrasonogram
MRI
Endoscopic Retrograde Cholangiopancreatography
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Answer: CT scan
If pancreatic tumor spreads to the celiac axis or superior mesenteric arteries, the staging given is:
TX
T0
Tis
T1
T2
T3
T4
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Answer: T4
Pancreaticoduodenectomy (Whipple Procedure) is the surgical approach for:
Tumor in the head of the pancreas
Pancreatic ductal tumors
Cholangiocarcinoma
Duodenal masses
All of the above
----------------------------
Answer: All of the above
Total pancreatectomy is indicated when:
- the pancreatic tumor originates from the neck
- the pancreatic tumor is growing into the neck
- the pancreatic tumor originates from the tail
- the pancreatic tumor is growing into the tail
Both 1 and 2
Both 3 and 4
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Answer: Both 1 and 2
Measures for pain control in pancreatic carcinoma include:
Narcotic analgesics
Combination of narcotic analgesics with tricyclic antidepressants or antiemetics
Neurolysis of the celiac ganglia
Radiation therapy
Endoscopic decompression of pancreatic or biliary ducts with stents
All of the above
------------------------------
Answer: All of the above
Pancreatic Cancer
Though the incidence of pancreatic cancer is very less, those who get it suffer from significant morbidity. Because of the non-specific symptoms like nausea, vomiting and abdominal fullness, pancreatic cancer is often diagnosed in advanced stages.
Patients who develop biliary obstruction may have jaundice, generalized itching and tenderness of upper abdomen
Individualized care of these patients is essential to relieve their discomfort.
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