NEET SS Practice Quiz

Question 1

A 42-year-old man presents with acute interstitial pancreatitis. He is hemodynamically stable, has no ileus, and reports improving pain within 24 hours. What is the most appropriate nutritional management?

Accepted Answer

Start early oral feeding as tolerated within 24 hours

Question 2

A patient with predicted severe acute pancreatitis is unable to tolerate oral intake after 72 hours. Which nutritional strategy is preferred?

Accepted Answer

Enteral nutrition via nasogastric or nasojejunal route

Question 3

A patient with severe acute pancreatitis develops abdominal distension, oliguria, rising ventilatory pressures, and bladder pressure of 24 mmHg despite resuscitation. What is the most appropriate management principle?

Accepted Answer

Medical decompression measures first, escalating to decompressive intervention if refractory

Question 4

A patient with infected walled-off necrosis underwent percutaneous drainage 5 weeks after onset. He remains septic with persistent organ dysfunction and inadequate source control. What is the next best step?

Accepted Answer

Proceed to minimally invasive or endoscopic necrosectomy

Question 5

A patient with severe acute pancreatitis is admitted to ICU. Which fluid strategy is currently preferred during initial resuscitation?

Accepted Answer

Goal-directed resuscitation with frequent reassessment using lactate, hematocrit, urine output, and hemodynamics