UPSC CMS Surgery - Hepato-Pancreato-Biliary (HPB) & Spleen

Which of the following statements regarding annular pancreas are correct?

1. It results from failure of rotation of dorsal pancreatic bud during development.

2. A ring of pancreatic tissue surrounds the second or third part of duodenum.

3. It presents with vomiting due to duodenal obstruction.

4. Duodenoduodenostomy is the preferred treatment of this condition.

Select the correct answer using the code given below.

Which of the following are indications of splenectomy?

1. Pseudomyxoma peritonei

2. Trauma

3. Idiopathic thrombocytopenic purpura (ITP)

4. Hypersplenism

Select the correct answer using the code given below :

A 35 year old woman presented with a lump in her upper abdomen for two months

which was slightly increasing. She also complained of early satiety. She gave a history

of acute severe pain in upper abdomen for which she was admitted in hospital for 10

days, about three months ago. On examination, the mass was firm, smooth surfaced

and not moving with respiration. She was most likely suffering from:

A 32-year-old female underwent laparoscopic cholecystectomy, which was difficult. On her second postoperative day, she develops jaundice. Her LFT parameters show serum bilirubin 6.8 mg/dL; direct bilirubin 5.6 and indirect bilirubin 1.2 mg/dL; and serum alkaline phosphatase 1226 IU/L. She is most likely suffering from obstructive jaundice due to:

A 45-year-old female presented with a cystic lesion in the lesser sac on CT scan. Endoscopic ultrasound-guided aspiration showed amylase to be 500 IU and carcinoembryonic antigen as 500 ng/ml. What was she suffering from?