Pancreas & Spleen

First-line imaging for suspected acute pancreatitis?

Initial fluid choice and target in early acute pancreatitis resuscitation?

Indication for urgent ERCP in gallstone pancreatitis?

When to perform cholecystectomy for mild gallstone pancreatitis?

Definition of severe pancreatitis that prompts ICU-level care?

Best initial management of sterile pancreatic necrosis?

Suspected infected necrosis (fever, leukocytosis, gas on CT). Next step?

Nutritional strategy in severe pancreatitis?

Pancreatic pseudocyst vs walled-off necrosis (WON)—key distinction?

Indication to drain a pancreatic pseudocyst?

Preferred drainage route for mature symptomatic pseudocyst adjacent to stomach?

Classic triad of chronic pancreatitis?

First-line imaging for chronic pancreatitis structural changes?

Initial management of pain in chronic pancreatitis?

Indication for surgical drainage in chronic pancreatitis (Puestow/Partington-Rochelle)?

Preferred operation for inflammatory mass in pancreatic head with obstructed duct and pain (good candidate)?

Most common pancreatic cystic neoplasm in middle-aged women with ovarian-type stroma, usually in body/tail?

Serous cystadenoma hallmark on imaging?

Branch-duct IPMN surveillance vs resection—key high-risk features?

Best test to differentiate mucinous from nonmucinous pancreatic cyst?

Solid tail lesion in a young woman, low-grade malignant potential, β-catenin mutation. Likely tumor and treatment?

Insulinoma classic presentation and diagnostic test?

Preferred imaging/localization for neuroendocrine tumors (NETs)?

Strategy to reduce POPF after distal pancreatectomy?

Management of post-Whipple delayed gastric emptying (DGE) without obstruction?

Splenic injury in a hemodynamically stable patient (grade III–IV). Best approach?

Vaccination after splenectomy (or functional asplenia)—which are essential?

Indications for splenectomy in hematologic disease include:

Splenic abscess risk and management?

Splenic vein thrombosis from pancreatitis with isolated gastric varices and bleeding. Definitive therapy?

Splenic artery aneurysm—who needs treatment?

Hemodynamically stable blunt pancreatic trauma with CT showing distal transection through the neck/body (main duct injury). Best management?

Pancreatic head injury from blunt trauma with suspected main duct disruption but patient remains stable. Preferred initial operative strategy?

Best test to confirm main pancreatic duct injury when CT is equivocal in a stable patient?

“Sentinel bleed” from drain or GI tract 1–2 weeks after Whipple suggests:

Best evidence-based intervention for refractory pancreatic cancer pain not controlled with systemic analgesia?

CA 19-9 is markedly elevated in a jaundiced patient with a pancreatic head mass. What’s the right interpretation?

Routine preoperative biliary stenting for a clearly resectable pancreatic head cancer without cholangitis:

During pancreaticoduodenectomy, limited SMV/PV involvement permitting R0 resection. Appropriate action?

Finding that generally defines locally advanced/unresectable PDAC?

Large symptomatic primary (epidermoid) splenic cyst in a young patient. Preferred spleen-preserving option?

Suspected splenic hydatid cyst (Echinococcus). Best management principle?

“Wandering spleen” with torsion in a hemodynamically stable patient with viable spleen. Treatment?

Infectious mononucleosis with splenomegaly — sports guidance?

Sickle cell disease with recurrent splenic sequestration crises. Definitive therapy?

Portal hypertension–related hypersplenism with severe thrombocytopenia precluding therapy. Interventional option?

Hypersplenism classic features?

Stable blunt splenic injury managed nonoperatively — most reliable clinical sign of failure requiring escalation?

Asplenic patient with fever at home per education plan. What should they do first?

Spleen-preserving distal pancreatectomy techniques — key trade-off of the Warshaw method?

Symptomatic left-sided gastric varices years after Warshaw spleen-preserving distal pancreatectomy. Likely cause and management?

Pancreas transplantation — classic indication set?