ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

MCQs – Pancreatic Cancer

Updated on September 16, 2015

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

-----------------------

Answer: All of the above

What is Trousseau sign in a patient with pancreatic cancer?

Depressive symptoms

Painless obstructive jaundice

Migratory thrombophlebitis

Palpable gallbladder

------------------------------

Answer: Migratory thrombophlebitis

What is Courvoisier sign in a patient with pancreatic cancer?

Depressive symptoms

Painless obstructive jaundice

Migratory thrombophlebitis

Palpable gallbladder

----------------------------------

Answer: Palpable gallbladder

Paraumbilical subcutaneous metastases in pancreatic cancer are called:

Osler’s nodes

Janeway lesions

Sister Mary Joseph nodule

Virchow's node

----------------------------

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

-------------------------------

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

-----------------------

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

----------------------------------

Answer: Lungs, brain and bone

Which is the common anatomical structure for the development of cancer within the pancreas?

Head and neck

Body

Tail

-----------------

Answer: Head and neck

The most common environmental risk factor for pancreatic carcinoma is:

Alcoholism

Diabetes Mellitus

Dietary factors

Smoking

-------------------

Answer: Smoking

Consumption of which of the following items will reduce the risk of pancreatic cancer?

  1. Fruits and vegetables
  2. Vegetables rich in folates and lycopenes
  3. Tomatoes
  4. Read meat
  5. Poultry
  6. 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

-------------------------

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

-------------------

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

------------------------------

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

-----------------------------

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

---------------------

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:

  1. the pancreatic tumor originates from the neck
  2. the pancreatic tumor is growing into the neck
  3. the pancreatic tumor originates from the tail
  4. the pancreatic tumor is growing into the tail

Both 1 and 2

Both 3 and 4

----------------------------

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.

If you have any clarifications, please don't hesitate to leave a comment


working

This website uses cookies

As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: https://corp.maven.io/privacy-policy

Show Details
Necessary
HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
LoginThis is necessary to sign in to the HubPages Service.
Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
AkismetThis is used to detect comment spam. (Privacy Policy)
HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
Features
Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
MavenThis supports the Maven widget and search functionality. (Privacy Policy)
Marketing
Google AdSenseThis is an ad network. (Privacy Policy)
Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
Index ExchangeThis is an ad network. (Privacy Policy)
SovrnThis is an ad network. (Privacy Policy)
Facebook AdsThis is an ad network. (Privacy Policy)
Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
AppNexusThis is an ad network. (Privacy Policy)
OpenxThis is an ad network. (Privacy Policy)
Rubicon ProjectThis is an ad network. (Privacy Policy)
TripleLiftThis is an ad network. (Privacy Policy)
Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
Statistics
Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)
ClickscoThis is a data management platform studying reader behavior (Privacy Policy)