PAEA Surgery End Of Rotation (EOR) Practice Exam

What is one of the common treatments for a pancreatic pseudocyst?

1. Surgical removal

2. Pancreatic rest (NPO)

3. Chemotherapy

4. Pain management

The correct answer is: Pancreatic rest (NPO)

Pancreatic pseudocysts are fluid-filled sacs that develop in the abdomen, typically as a complication of pancreatitis. The initial management of a pancreatic pseudocyst often involves conservative treatment to allow the cyst to resolve spontaneously. One of the key components of conservative management is pancreatic rest, which typically involves keeping the patient NPO (nothing by mouth). This approach minimizes pancreatic stimulation and reduces the secretion of pancreatic enzymes, allowing the pancreas a chance to heal and the pseudocyst to resolve without further complications. Maintaining pancreatic rest can alleviate symptoms and prevent the need for more invasive interventions in cases where the pseudocyst is not causing significant problems or complications. If the pseudocyst does not resolve on its own or if it leads to complications, other treatments, including surgical options or drainage procedures, may be considered. In terms of context, surgical removal may be necessary in certain circumstances but is not the first-line treatment for asymptomatic or uncomplicated pseudocysts. Chemotherapy is not indicated as pseudocysts are not neoplasms. While pain management could be part of the overall care, the primary focus in the acute management of a pancreatic pseudocyst initially leans toward rest and supportive care.