Chapter 5 (The Pancreas)

Which of the following results from the mal development of the two embryonic elements of the pancreas and consequent obstruction of the duodenum? A. Pancreatic divisum B. Annular pancreas C. Whipple syndrome D. Zollinger Ellison sybdrome

B. Annular pancreas

Which of the following would be the least likely cause of acute pancreatitis? A. Alcohol abuse B. Hepatitis C. Trauma D. Gallstones

B. Hepatitis

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

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

D. Adenocarcinoma

Which cells perform the exocrine function of the pancreas? A. Whipple cells B. Islets of Langerhans C. Delta cells D. Acinar cells

d. acinar cells

One clinical sign of an insulinoma is the presence of: A. Hypoglycemia B. Elevated AFP C. Hepatitis

A. Hypoglycemia

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

A. Insulin

Courvoisier gallbladder is the: A. Enlargement of the pancreatic duct secondary to coexisting masses within the pancreatic body and gb B. Palpable gb caused by biliary obstruction in the area of the pancreatic head C. Gb disorders associated with 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 biliary obstruction in the area of the pancreatic head

Which of the following is associated with development of cysts within the pancreas? A. ARPKD B. von Hippel Lindau disease C. Zollinger Ellison sybdrome

B. von Hippel Lindau disease

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

C) hypoechoic

Within which parts of the pancreas are mucinous cystadenocarcinomas most often located? A. Uncinate process 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. SMA 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. Calcifications within the gland B. Pancreatic pseudocyst C. Normal D. Hyperechoic glandular texture

C. Normal

The whipped procedure is performed on patients who have: A. Chronic pancreatitis B. Acute pancreatitis C. Pancreatic carcinoma D. Pancreatic transplants

C. Pancreatic carcinoma

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

C. Pancreatic neck

Which of the following is a peripancreatic fluid collection that results from the inflammation of the pancreas? A. Pus B. Trypsin C. Phlegmon D. Chyme

C. Phlegmon

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

D. Diffusely hypoechoic pancreas

Coexisting obstruction of the common bile duct and pancreatic duct may be referred 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 of the main pancreatic duct? A. Duct of santorini B. Duct of langerhans C. Duct of Oddi D. Duct of Wirsung

D. Duct of Wirsung

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

D. Lesser sac

Which of the following is the enzyme released by the pancreas that neutralizes stomach acid? A. Insulin B. Somatostatin C. Glycogen D. Sodium bicarbonate

D. Sodium bicarbonate

Which of the following would be the least likely complication of a pancreatic transplant? A. Hematoma B. Biloma C. Ascites D. Urinoma

b. biloma

Which of the following lab findings elevated first in the presence of acute pancreatitis? A. Amylase B. ALP C. ALT D. Lipse

A. Amylase

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 is located right lateral to SMV, ant to IVC and inferior to PV? 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 pancreas B. Neck of pancreas C. Body of pancreas D. Tail of pancreas

A. Head of 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

What results in a shortened main pancreatic duct that works to drain only the pancreatic head and not the entire pancreas? A. Pancreatic divisum B. Annular pancreas C. Acute pancreatitis D. Zollinget-Ellison syndrome

A. Pancreatic divisum

Which of the following would be the most likely vascular complication of acute pancreatitis? A. Thrombosis in the splenic vein B. Pseudoaneurysm of the SMA C. Thrombosis of the MPV D. Stenosis of the SMA

A. Thrombosis in the splenic vein

Which type of pancreatic transplantation is more common? a) exocrine enteric drainage b) exocrine bladder drainage c) endocrine bladder drainage d) endocrine enteric drainage

A. exocrine enteric drainage

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

B) sphincter of Oddi

Which of the following lab values appears to be more specific for acute pancreatitis? A. Amylase B. Lipase C. Aspartate aminotransferase D. Serum glutamic oxaliacetic transaminase

B. Lipase

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

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

D. Decrease amylase and lipase

What vascular structure outlines the pancreatic tail posteriorly? A. SMA B. IMV C. Portal confluence D. Splenic vein

D. splenic vein

What is another name for the accessory duct of the pancreas?

Duct of Santorini

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

b. retroperitoneal organ

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 (excessive stomach acid)

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