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Free practice question 10 of 20 · HPB

Acute & chronic pancreatitis: a free FRCS (Gen Surg) Section 1 question

An original single best answer question in the style of the FRCS (Gen Surg) Section 1 paper, with the answer and a referenced explanation. Pick an answer to reveal it, then rate how sure you were.

10HPB·Acute & chronic pancreatitis
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A 58-year-old woman with gallstone pancreatitis still needs high-flow nasal oxygen for respiratory failure on day 3. She is nauseated and has eaten almost nothing since admission. She is not vomiting, her abdomen is soft and bowel sounds are present.

What is the most appropriate nutritional strategy?

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HPB: what the exam tests

Syllabus coverage, high-yield themes and the common traps.

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Acute pancreatitis: diagnosis, severity and management after the revised Atlanta classification

Acute pancreatitis for FRCS (Gen Surg): the revised Atlanta diagnosis and severity grades, collections by time, fluids and feeding, ERCP, cholecystectomy timing and the step-up approach.

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Calot’s triangle, the critical view of safety and bile duct injury

Safe cholecystectomy for FRCS (Gen Surg): the hepatocystic triangle, the critical view of safety, Rouvière’s sulcus, bail-out options and the Strasberg classification of bile duct injury.

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