Abnormal Pancreas

In which section of the pancreas are islet cell tumors most commonly located? a. body and tail b. head and body c. neck and body d. head and tail e. tail and neck

a. body and tail

The majority of cystadenomas involving the pancreas are located in the: a. body and tail b. head and neck c. head and body d. uncinate process e. body and neck

a. body and tail

Indications for a sonogram of the pancreas include all of the following except: a. flank pain b. biliary disease c. weight loss d. severe epigastric pain e. elevated serum amylase

a. flank pain

The majority of pancreatic malignancies involve which portion of the pancreas? a. head b. neck c. body d. tail e. uncinate process

a. head

The most common location of adenocarcinoma of the pancreas is within the: a. head b. neck c. body d. tail

a. head

The most common location of focal pancreatitis is within the: a. head b. neck c. body d. tail

a. head

Pseudocyst formation is most commonly located in which of the following abdominal recesses? a. lesser sac b. perirenal space c. anterior pararenal space d. subhepatic space e. subphrenic

a. lesser sac

In acute pancreatitis, which of the following laboratory tests remains elevated longest? a. lipase b. amylase c. bilirubin d. glucose e. alkaline phosphatase

a. lipase

One clinical sign of an insulinoma is the presence of: a. low blood sugar symptoms b. elevated alpha-fetoprotein c. hepatitis d. Zollinger-Ellison syndrome

a. low blood sugar symptoms

The majority of nonfunctioning islet cell tumors are: a. malignant b. hyperechoic in echo texture c. located in the head of the pancreas d. dependent on insulin levels e. associated with peptic ulcer disease

a. malignant

Which of the following is associated with development of cysts 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 of the following 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 GB b. palpable GB caused by a biliary obstruction in the area of the pancreatic head c. GB disorder associated with the buildup of cholesterol crystals within the GB wall d. type of GB carcinoma that is the result of chronic cholecystitis

b. palpable GB caused by a biliary obstruction in the area of the pancreatic head

A gastrinoma of the pancreas can produce: a. autosomal recessive polycystic kidney disease b. Von Hippel-Lindau disease c. Zollinger-Ellison syndrome d. hyperinsulinemia

c. Zollinger-Ellison syndrome

Courvoisier gallbaldder is found in the presence of: a. hepatitis b. cholecystisis 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 cystadenomcarcinomas 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 most common echogenicity of an acutely inflamed pancreas is: a. anechoic b. hyperechoic c. hypoechoic d. calcified

c. hypoechoic

Which of the following is the most common islet cell tumor? a. granuloma b. gastrinoma c. insulinoma d. cystadenoma

c. insulinoma

Elevation in serum lipase can be reported in all of the following conditions except: a. cirrhosis b. acute pancreatitis c. mononucleosis d. acute cholecystitis e. severe renal disease

c. mononucleosis

What is the early sonographic appearance of acute pancreatitis? a. calcifications within the gland b. pancreatic pseudocyst c. normal d. hyperechoic glandular echotexture

c. normal

Extension of pancreatic inflammation into the peripancreatic tissues is called a(n): a. annular process b. pseudocyst c. phlegmon d. abscess e. pancreatic divisum

c. phlegmon

The leakage of pancreatic enzymes into the surrounding peritoneal space describes a(n): a. abscess b. seroma c. pseudocyst d. phlegmon e. biloma

c. pseudocyst

Ectopic pancreatic tissue is most commonly located in which of the following organs? a. liver b. spleen c. stomach d. lung e. kidney

c. stomach

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

Preoperativve criteria in a pancreatoduodenectomy include all of the following except: a. absence of extrapancreatic metastasis b. patent portal vein c. patent CA d. absence of cholelithiasis e. patent SMV

d. absence of cholelithiasis

Rapid progression of pancreatic inflammation is a complication associated with: a. acute cholecystitis b. polycystic disease c. cystic fibrosis d. acute pancreatitis e. biliary obstruction

d. acute pancreatitis

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 findsings associated with pancreatic adenocarcinoma except: a. epigastric pain b. weight 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 pseudocyst d. diffusely hypoechoic patterns

d. diffusely hypoechoic patterns

Co-existing obstruction of the CBD and pancreatic duct mat be referred to as the: a. double-barrel shotgun sign b. courvoisier sign c. mirizzi sign d. double-duct sign

d. double-duct sign

One of the most common locations for a pancreatic pseudocyst is within the: a. paracolic gutters b. groin c. spleen d. lesser sac

d. lesser sac

Clinical findings commonly associated with pancreatic carcinoma may include: a. chest pain b. weight gain c. abdominal bloating d. new onset of diabetes e. lower-extremity edema

d. new onset of diabetes

The most common complication associated with acute pancreatitis is a(n): a. abscess b. phlegmon c. insulinoma d. pseudocyst e. bowel obstruction

d. pseudocyst

The most common cause of acute pancreatitis is: a. trauma b. hyperlipidemia c. alcohol abuse d. peptic ulcer disease e. biliary disease

e. biliary disease

All of the following sonographic characteristics are associated with chronic pancreatitis except: a. increase in parenchymal echogenicity b. calcifications c. irregular borders d. pseudocyst formation e. enlargement

e. enlargement

Which of the following pathologies accounts for half of the cystic neoplasms involving the pancreas? a. retention cyst b. cystic fibrosis c. parasitic cyst d. polycystic disease e. microcystic cystadenoma

e. microcystic cystadenoma