Friday 18 September 2015

PGI MCQ for Medical PG Preparations .. NIME | annular pancreas MCQ

All are true regarding annular pancreas except
A. Its incidence is higher in Down's syndrome
B. In the adult most commonly presents with hematemesis
C. Pancreatitis occurs in over 1%
D. an ERCP usually demonstrates an absent main pancreatic duct
E. Causes narrowing of the third part of the duodenum more commonly than narrowing of the second part



Ans. C,D,E
The annular pancreas is commoner in Down's syndrome . [MCQ]Nausea, vomiting and abdominal pain are the usual presentations. It is complicated by pancreatitis in about 20% and is usually confined to the annulus and head .the main pancreatic duct is normal .the second part of the duodenum is involved in almost 90% of cases