Pancreatic imaging: pseudocyst: practice question

A Radiology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Radiology · Pancreatic imaging: pseudocyst

Sample item

Four weeks after an episode of acute pancreatitis, a patient has a well-defined, thick-walled fluid collection adjacent to the pancreas. What is this?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Pancreatic pseudocyst

A pseudocyst is a peripancreatic fluid collection with a well-defined fibrous wall that forms more than 4 weeks after acute pancreatitis. It lacks an epithelial lining. Treatment is needed if symptomatic, by endoscopic or surgical drainage.

Option by option

  • A. Mucinous cystic neoplasm

    Mucinous cystic neoplasm is found in women with a thick wall and septa without an acute episode.

  • B. Serous cystadenoma

    Serous cystadenoma is a microcystic neoplasm with a central scar.

  • C. Pancreatic pseudocyst (correct)

    Correct. A walled-off collection 4 weeks after pancreatitis is a pseudocyst.

  • D. Simple liver cyst

    A liver cyst is not peripancreatic.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is C, Pancreatic pseudocyst. A pseudocyst is a peripancreatic fluid collection with a well-defined fibrous wall that forms more than 4 weeks after acute pancreatitis.

Why is "Mucinous cystic neoplasm" not the answer?

Mucinous cystic neoplasm is found in women with a thick wall and septa without an acute episode.

Why is "Serous cystadenoma" not the answer?

Serous cystadenoma is a microcystic neoplasm with a central scar.

Why is "Simple liver cyst" not the answer?

A liver cyst is not peripancreatic.

What concept does this question test?

It tests Pancreatic imaging: pseudocyst in Radiology. It lacks an epithelial lining. Treatment is needed if symptomatic, by endoscopic or surgical drainage.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Pancreatic imaging: pseudocyst?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.