The Pancreas

What is an additional name for accessory duct of the pancreas? A. Duct of Santorini B. Duct of Langerhans C. Duct of Oddi D. Duct of Wirsung

A. Duct of Santorini

The portion of the bowel that encompasses the head of the pancreas is the: A. Duodenum B. Jejunum C. Ileum D. Cecum

A. Duodenum

Which part of the pancreas in located right lateral to superior mesenteric vein, anterior to inferior vena cava, and inferior to portal vein? A. Head B. Neck C. Body D. Tail

A. Head

The most common location of adenocarcinoma of the pancreas is within the: 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: 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

Which of the following is the hormone released by the pancreas that encourages the body's use of glucagon? A. Insulin B. Somatostatin C. Glycogen D. Sodium bicarbonate

A. Insulin

One clinical sign of insulinomas is the presence of: A. Low blood sugar symptoms B. Elevated alpha-fetoprotein C. Hapatitis D. Zollinger-Ellison syndrome

A. Low blood sugar symptoms

Which laboratory value listed below appears to be more specific for acute pancreatitis? A. Amylase B. Lipase C. AST D. SGOT

B. Lipase

Courvoisier gallbladder is: A. Enlargement of the pancreatic duct secondary to co-existing masses within the pancreatic body and gallbladder B. Palpable gallbladder caused by biliary obstruction in the area of the pancreatic head. C. Gallbladder disorder associated with the buildup of cholesterol crytals within the gallbladder wall. D. Type of gallbladder carcinoma that is the result of chronic cholecystitis

B. Palpable gallbladder cause by biliary obstruction in the area of the pancreatic head.

All of the following are part of the exocrine function of the pancreas except for the: A. Production of lipase B. Production of glucagon C. Production of amylase D. Production of sodium bicarbonate

B. Production of glucagon

The pancreas is an: A. Intraperitoneal organ B. Retroperitoneal organ

B. Retroperitoneal organ

The muscle that controls the emptying of bile and pancreatic juices into the duodenum is the: A. Sphincter of Vater B. Sphincter of Oddi C. Ampulla ofVater D. Ampulla of Oddi

B. Sphincter of Oddi

Which of the following is associated with development of cyst within the pancreas? A. Autosomal recessive polycystic kidney disease B. Von Hippel-Lindau disease C. Zollinger-Ellison syndrome D. Endoscopic retrograde cholangiopancreatography

B. Von Hippel-Lindau disease

Which part of the pancreas is located anterior to portal confluence? A. Uncinate process B. Pancreatic body C. Pancreatic neck D. Pancreatic tail

C Pancreatic neck

The most common echogenicity of an actuely inflamed pancreas is: A. Anechoic B. Hyperechoic C. Hypoechoic D. Calcificed

C, Hypoechoic

Courvoisier gallbladder is found in the presence of: A. Hepatitis B. Cholecystitis and chronic pancreatitis C. Adenocarcinoma in the head of the pancreas D. Islet cell tumor in the tail of the pancreas

C. Adenocarcinoma in the head of the pancreas

Mucinous cystadenocarcinomas of the pancreas are most often located within which parts of the pancreas? A. Uncinate process and neck B. Head and neck C. Body and tail. D. Fundus and neck

C. Body and tail

The arterial blood supply to the head of the pancreas is via the: A. Superior Mesenteric artery B. Splenic artery C. Gastroduodenal artery D. Hepatic artery

C. Gastroduodenal artery

Which of the following is the most common islet cell tumor? A. Granuloma B. Gastrinoma C. Insulinoma D. Cystadenoma

C. Insulinoma

What is the early sonographic appearance of acute pancreatitis? A. Calcification within the gland B. Pancreatic pseudocyst C. Normal D. Hyperechoic glandular echotexture

C. Normal

All of the following are classic clinical features of acute pancreatitis except: A. Leukocytosis B. Back pain C. Weight gain D. Fever

C. Weight gain

A gastinoma of the pancreas can produce: A. Autosomal recessive polycystic kidney disease B. Von Hipple-Lindau disease C. Zollinger-Ellison syndrome D. Hyperinsulinemia

C. Zollinger-Ellison syndrome

Which cell carry out the exocrine function of the pancreas? A. Whipple cells B. Isles of Langerhans C. Delta cells D. Acinar cells

D. Acinar cells

The most common form of malignancy of the pancreas is: A. Cystadenocarcinoma B. Islet cell tumors C. Cystadenoma D. Adenocarcinoma

D. Adenocarcinoma

All of the following are clinical findings associated with pancreatic adenocarcinoma except: A. Epigastric pain B. Weigt loss C. Jaundice D. Decrease amylase and lipase

D. Decrease amylase and lipase

All of the following are sonographic features of chronic pancreatitis except: A. Dilated pancreatic duct B. Calcifications within the pancreas C. Pancreatic psuedocyst D. Diffusely hypoechoic pancreas

D. Diffusely hypoechoic pancreas

Co-existing obstruction of the common bile dict and pancreatic duct may be reffered to as the: A. Double-barrel shotgun sign B. Courvoisier sign C. Mirizzi sign D. Double-duct sign

D. Double-duct sign

What is the name for the main pancreatic duct? A. Duct of Santorini B. Duct of Langerhans C. Duct of Oddi D. Duck of Wirsung

D. Duck of Wirsung

One of the most common locations for pancreatic pseudocyst is within the: A. Paracolic gutters B. Groin C. Spleen D. Lesser sac

D. Lesser sac

The pancreatic tail is outlined posteriorly by what vascular structure? A. Superior mesenteric artery B. Inferior mesenteric vein C. Portal confluence D. Splenic vein

D. Splenic vein