Pancreatic Pathology Practice Questions

Question 1

A 25-year-old obese woman who denies any history of alcohol abuse presents with severe abdominal pain radiating to the back. Laboratory results indicate an increase in serum amylase and lipase, with a marked decrease in calcium. Which of the following likely has caused this condition?

Accepted Answer

Cholelithiasis

Answer

Abetalipoproteinemia

Answer

Cystic fibrosis

Answer

Alcohol

Question 2

Which of the following is included in Ranson scoring system to predict the severity of acute pancreatitis at the time of admission?

A. WBC count > 15 x 10^3/L
B. Blood glucose > 200 mg/dL
C. LDH > 350 units/L
D. AST > 250 units/L

Accepted Answer

WBC count > 15,000/mm³

Answer

LDH > 350 units/L

Answer

Blood glucose > 200 mg/dL

Answer

AST > 250 units/L

Question 3

Which of the following scoring systems are PRIMARILY designed for assessing the severity of acute pancreatitis?

Accepted Answer

1. Ranson and Glasgow score

Answer

2. APACHE score

Answer

3. MELD score

Answer

4. Modified Marshall score

Question 4

Consider the following findings with reference to a diagnostic peritoneal lavage (DPL) in a case of abdominal trauma :

1. 10 ml of gross blood on aspiration
2. W.B.C. count more than 500/cu mm
3. Amylase level more than 175 IU/dL
4. R.B.C. count more than 100,000/cu mm The criteria for a positive DPL are :

Accepted Answer

1, 2, 3 and 4

Answer

1 and 2 only

Answer

3 and 4 only

Answer

1, 2 and 3 only

Question 5

Marker for pancreatic non-functional neuro-endocrine tumor is

Accepted Answer

Chromogranin-A

Answer

CEA

Answer

PSA

Answer

CD100

Question 6

An 80-year-old man has increasing jaundice with abdominal pain for the past 2 weeks. He has lost 4 kg over the past 5 months. On physical examination, there is tenderness with palpable gallbladder in the right upper quadrant. An abdominal CT scan shows gallbladder and common bile duct dilation, along with a 3-cm mass in the head of the pancreas. Which of the following lesions is the most likely precursor to this mass?

Accepted Answer

Pancreatic intraepithelial neoplasia

Answer

Duodenal adenocarcinoma

Answer

Colonic neuroendocrine carcinoma

Answer

Neuroendocrine tumor

Question 7

Monu, a 30-year-old male with a history of chronic alcoholism, presents with sudden onset of epigastric pain that radiates to the back. All are seen except:

Accepted Answer

Low serum lipase

Answer

Hypocalcaemia

Answer

Increased serum amylase

Answer

Increased LDH

Question 8

What is the definitive method for diagnosing Pneumocystis jirovecii pneumonia?

Accepted Answer

Finding cysts in tissue specimens

Answer

Serological test

Answer

Chest X-ray

Answer

CT scan of thorax

Question 9

Which of the following genetic syndromes are associated with brain tumours?

1. Neurofibromatosis type 1
2. Neurofibromatosis type 2
3. Tuberous sclerosis
4. Wiskott-Aldrich syndrome

Select the answer using the code given below.

Accepted Answer

1, 2 and 3

Answer

1, 3 and 4

Answer

1 and 2 only

Answer

2, 3 and 4

Question 10

What is the difference between acute and chronic pancreatitis?

Accepted Answer

Acute pancreatitis has reversible changes.

Answer

Alcohol causes only acute pancreatitis.

Answer

Chronic pancreatitis shows no signs of inflammation.

Answer

Acute pancreatitis affects mainly the younger population.

Pancreatic Pathology

Study Resources

Lessons

Questions

Flashcards

Lessons

Congenital Anomalies of Pancreas

Acute Pancreatitis

Chronic Pancreatitis

Pancreatic Neoplasms

Cystic Lesions of Pancreas

Endocrine Tumors of Pancreas

Pancreatic Manifestations of Systemic Diseases

Pancreatic Transplantation Pathology

Pancreatic Pseudocysts

Laboratory Assessment of Pancreatic Diseases

Practice Questions

Flashcards

About Pancreatic Pathology for NEET-PG

Lessons in Pancreatic Pathology

Master Pancreatic Pathology