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

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

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

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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

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

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


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Comments 8 comments

teaches12345 profile image

teaches12345 15 months ago

Thank you for the education. I am surprised smoking is so harmful and causes this condition. Very sad.


aviannovice profile image

aviannovice 15 months ago from Stillwater, OK

Your MCQs sure keep me on my toes. It is surprising how much I still recall from the old days.


thumbi7 profile image

thumbi7 15 months ago from India Author

Hi AliciaC

Thanks for the visit and comment


AliciaC profile image

AliciaC 15 months ago from British Columbia, Canada

This is another informative hub in your MCQ series. Thank you for sharing the facts.


thumbi7 profile image

thumbi7 15 months ago from India Author

Hi BlossomSB

Thanks for the comment


BlossomSB profile image

BlossomSB 15 months ago from Victoria, Australia

A very interesting approach to extending awareness of this disease.


thumbi7 profile image

thumbi7 15 months ago from India Author

Hi Rachel

Yes. I do agree. These patients suffer a lot..

Thanks for validating my hub.


Rachel L Alba profile image

Rachel L Alba 15 months ago from Every Day Cooking and Baking

This is a lot of useful information. I know a few people who died from pancreatic cancer, one of them being my sister-in-law. They all died rather quickly after finding out they had cancer of the pancreas. It's not one thing you ever want to hear your doctor tell you. Thanks for the hub and information.

Blessings to you.

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