Exam 3 - CH12 Pancreas

The accessory pancreatic duct which is sometimes visible sonographically is known as: Select one: a. Duct of Santorini b. Cystic duct c. Duct of Oddi d. Duct of Vater

a. Duct of Santorini

The portion of the bowel that encompasses the head of the pancreas is the: Select one: a. Duodenum b. Jejunum c. Ileum d. Cecum

a. Duodenum

Which part of the pancreas is located right lateral to superior mesenteric vein, anterior to inferior vena cava, and inferior to portal vein? Select one: a. Head b. Neck c. Body d. Tail

a. Head

The most common location of adenocarcinoma of the pancreas is within the: Select one: a. Head of the pancreas b. Neck of the pancreas c. Body of the pancreas d. Tail of the pancreas

a. Head of the pancreas

The most common location of focal pancreatitis is within the: Select one: a. Head of the pancreas b. Neck of the pancreas c. Body of the pancreas d. Tail of the pancreas

a. Head of the pancreas

One clinical sign of an insulinoma is the presence of: Select one: a. Hypoglycemia b. Elevated alpha-fetoprotein c. Hepatitis d. Zollinger-Ellison syndrome

a. Hypoglycemia

What is the most common cause of acute pancreatitis? Select one: a. Obstruction of the pancreatic duct by biliary calculi b. Pancreatic divisum c. Alcohol abuse d. Trauma

a. Obstruction of the pancreatic duct by biliary calculi

A nonencapsulated collection of necrotic and edematous peripancreatic tissues is termed: Select one: a. Phlegmon b. Ascites c. Cyst adenoma d. Pseudo cyst

a. Phlegmon

Which of the following would be the most likely vascular complication of acute pancreatitis? Select one: a. Thrombosis in the splenic vein b. Pseudo aneurysm of the superior mesenteric artery c. Thrombosis of the main portal vein d. Stenosis of the superior mesenteric artery

a. Thrombosis in the splenic vein

Which vessel is located at the superior border of the pancreas? Select one: a. superior mesenteric artery b. Celiac trunk c. Left renal vein d. Right renal vein

b. Celiac trunk

What is the most common ultrasound appearance of pancreatic adenocarcinoma? Select one: a. Hyper echoic mass b. Hypo echoic mass c. Cystic mass d. Calcified mass

b. Hypo echoic mass

What is the relationship of the superior mesenteric artery to the pancreas? Select one: a. Posterior to the tail b. Posterior to the neck c. Superior to the body d. Lateral to the tail

b. Posterior to the neck

The pancreas is an: Select one: a. Intraperitoneal organ b. Retroperitoneal organ

b. Retroperitoneal organ

The arterial blood supply to the head of the pancreas is via the: Select one: a. Superior mesenteric artery b. Splenic artery c. Gastroduodenal artery d. Hepatic artery

c. Gastroduodenal artery

The most common echogenicity of an acutely inflamed pancreas is: Select one: a. Anechoic b. Hyper echoic c. Hypo echoic d. Calcified

c. Hypo echoic

Where should you look for the pancreas in a patient with a pancreatic transplant? Select one: a. Pouch of douglas b. Epigastrium c. Iliac fossa d. Left upper quadrant

c. Iliac fossa

The Whipple procedure is performed on patients who have: Select one: a. Chronic pancreatitis b. Acute pancreatitis c. Pancreatic carcinoma d. Pancreatic transplants

c. Pancreatic carcinoma

Which of the following is a peripancreatic fluid collection that results from the inflammation of the pancreas? Select one: a. Pus b. Trypsin c. Phlegmon d. Chyme

c. Phlegmon

Which lab values would be of greatest benefit in evaluation of a patient with acute pancreatitis? Select one: a. Alpha protein b. Serum creatinine c. Serum amylase d. Alkaline phosphatase

c. Serum amylase

Which cells perform the exocrine function of the pancreas? Select one: a. Whipple cells b. Islets of Langerhans c. Delta cells d. Acinar cells

d. Acinar cells

The most common form of malignancy of the pancreas is: Select one: a. Cyst adenocarcinoma b. Islet cell tumor c. Cyst adenoma d. Adenocarcinoma

d. Adenocarcinoma

Which of the following is a risk factor for the development of pancreatic cancer? Select one: a. Smoking b. Diabetes c. Chronic pancreatitis d. All of the above

d. All of the above

When imaging the pancreas which vessel do you routinely visualize at the posterior border of pancreatic head? Select one: a. Abdominal aorta b. Right renal artery c. Superior mesenteric artery d. Inferior vena cava

d. Inferior vena cava

Which of the following is the enzyme released by the pancreas that neutralizes stomach acid? Select one: a. Insulin b. Somatostatin c. Glycogen d. Sodium bicarbonate

d. Sodium bicarbonate

You are having difficulty imaging the entire pancreas in a patient referred for abdominal ultrasound .Which part of the pancreas is least commonly visualized by ultrasound? Select one: a. Head b. Neck c. Body d. Tail

d. Tail