Acute Pancreatitis MCQ Quiz | Pancreas

Welcome to this multiple-choice quiz on Acute Pancreatitis, designed specifically for MBBS students to test and reinforce their knowledge. This quiz covers crucial aspects including etiology, pathophysiology, clinical diagnosis, severity scoring systems like Ranson’s and BISAP, imaging modalities, and the principles of management for both mild and severe cases. You will encounter 25 questions that challenge your understanding of this critical gastrointestinal emergency. After submitting your answers, you will receive your score, with a clear breakdown of correct and incorrect responses. For your revision, you can also download a PDF file containing all the questions along with their correct answers. Good luck with your assessment!

1. What are the two most common causes of acute pancreatitis worldwide?

2. Which serum enzyme is considered more specific for the diagnosis of acute pancreatitis and remains elevated for a longer duration?

3. A patient with severe acute pancreatitis develops bluish discoloration around the umbilicus. What is this sign called?

4. According to the revised Atlanta classification, which of the following is required for the diagnosis of acute pancreatitis (two out of three criteria)?

5. Which of the following is a component of Ranson’s criteria on admission?

6. What is the most crucial initial step in the management of acute pancreatitis?

7. The BISAP score is a simplified severity scoring system. What does the ‘S’ in BISAP stand for?

8. Which imaging modality is considered the gold standard for assessing the severity of acute pancreatitis, especially for detecting necrosis?

9. Hypocalcemia in severe acute pancreatitis is primarily caused by:

10. What is the role of prophylactic antibiotics in the management of severe acute pancreatitis with sterile necrosis?

11. A “sentinel loop” on an abdominal X-ray in a patient with suspected pancreatitis refers to:

12. In a patient with gallstone pancreatitis and concurrent cholangitis, what is the most appropriate next step?

13. The fundamental pathophysiological event in acute pancreatitis is the:

14. Which of the following systemic complications is a major cause of mortality in the early phase (first week) of severe acute pancreatitis?

15. Regarding nutritional support in severe acute pancreatitis, which statement is most accurate?

16. An encapsulated collection of fluid with a well-defined wall, which arises after an episode of acute pancreatitis and lacks a true epithelial lining, is known as a:

17. Which of the following drugs is a well-recognized cause of acute pancreatitis?

18. A ‘colon cut-off sign’ on an abdominal X-ray is suggestive of inflammation extending to the:

19. In a patient with mild gallstone pancreatitis who has recovered, when should a cholecystectomy ideally be performed?

20. Which of the following parameters is part of the Ranson’s criteria assessed at 48 hours, but NOT on admission?

21. Acute Respiratory Distress Syndrome (ARDS) is a severe systemic complication of acute pancreatitis. It is primarily caused by:

22. The main advantage of the BISAP score over Ranson’s criteria is that it:

23. What is the most common finding on abdominal ultrasound in a patient with acute pancreatitis?

24. A patient with severe necrotizing pancreatitis develops a fever, rising WBC count, and clinical deterioration after the first week of illness. What is the most likely diagnosis?

25. Grey Turner’s sign, an indication of retroperitoneal hemorrhage in severe pancreatitis, presents as ecchymosis in which location?