Question 3 (part 2) · LEK · Pancreatic cancer
Which of the following statements are true?
1) smoking is a risk factor for pancreatic cancer;
2) the first symptom of pancreatic cancer in a patient aged 50 or above might be diabetes;
3) Courvoisier sign involves the presence of jaundice and acute subcostal pain on the right side. It is often accompanied by Chelmonski sign and Murphy’s sign;
4) mucinous and serous cystic pancreatic neoplasms are more common in males;
5) a high concentration of CA-19-9 in the blood serum has high sensitivity and specificity in the diagnosis of pancreatic cancer;
6) abdominal ultrasonography is neither an appropriate method in screening tests for pancreatic cancer, nor for post-operative monitoring.
The correct answer is:
2) the first symptom of pancreatic cancer in a patient aged 50 or above might be diabetes;
3) Courvoisier sign involves the presence of jaundice and acute subcostal pain on the right side. It is often accompanied by Chelmonski sign and Murphy’s sign;
4) mucinous and serous cystic pancreatic neoplasms are more common in males;
5) a high concentration of CA-19-9 in the blood serum has high sensitivity and specificity in the diagnosis of pancreatic cancer;
6) abdominal ultrasonography is neither an appropriate method in screening tests for pancreatic cancer, nor for post-operative monitoring.
The correct answer is:
- A. 1,2,6.
- B. 2,3,6.
- C. 3,4,5.
- D. 2,4,6.
- E. 1,3,4,5.
Hint
Check the classic definition of the Courvoisier sign, the sex distribution of cystic pancreatic neoplasms and how specific CA 19-9 really is.
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