Chapter 9

The diameter of the pancreatic duct in the head/neck region should not exceed:

3 mm

Elevation in serum lipase can be reported in all of the following conditions except:

Elevation in serum lipase can be reported in all of the following conditions except:

The secondary secretory duct of the pancreas is termed the duct of:

Santorini

The location of the uncinate process is described as:

The location of the uncinate process is described as:

Preoperative criteria in a pancreatoduodenectomy include all of the following except:

absence of cholelithiasis

Which of the following structures is responsible for the secretion of pancreatic enzymes?

acinar cells

Rapid progression of pancreatic inflammation is a complication associated with:

acute pancreatitis

Demonstration of the pancreatic head surrounding the duodenum is consistant with:

an annular pancreas

Which of the following best describes the location of the pancreatic neck?

anterior to the portosplenic confluence

The most common cause of acute pancreatitis is:

biliary disease

Islet cells of Langerhans secrete hormones directly into the:

bloodstream

The main pancreatic duct is most commonly visualized in which section of the pancreas?

body

In which section of the pancreas are islet cell tumors most commonly located?

body & tail

The majority of cystadenomas involving the pancreas are located in the:

body & tail

The largest and most anterior section of the pancreas is the:

body the tail lies most superior

Which of the following vascular landmarks is located superior to the pancreas?

celiac axis

The pancreas and surrounding vascular landmarks should be examined from the level of the:

celiac axis to below the renal veins

In a Whipple procedure (pancreatoduodenectomy), normal pancreatic tissue is attached to the:

duodenum

All of the following sonographic characteristics are associated with chronic pancreatitis except:

enlargement

Indications for a sonogram of the pancreas include all of the following except:

flank pain

The majority of pancreatic malignancies involve which portion of the pancreas?

head

An endocrine function of the pancreas includes secretion of:

insulin

Gain settings should be in place to demonstrate the normal adult pancreas as :

isoechoic compared to normal liver

Pseudocyst formation is most commonly located in which of the following abdominal recesses?

lesser sac

In acute pancreatitis, which of the following lab tests remains elevated longest?

lipase

Which of the following enzymes changes fats into fatty acids and glycerol?

lipase

The majority of nonfunctioning islet cell tumors are:

malignant

Which of the following pathologies accounts for half of the cystic neoplasms involving the pancreas?

microcystic cystadenoma

Clinical findings commonly associated with pancreatic carcinoma may include:

new onset of DM

Extension of pancreatic inflammation into the peripancreatic tissues is called a:

phlegmon

The leakage of pancreatic enzymes into the surrounding peritoneal space describes a:

pseudocyst

The most common complication associated with acute pancreatitis is a:

pseudocyst

A sheath of muscle fibers surrounding the distal CBD describes the:

sphincter of Oddi

The tail of the pancreas generally extends toward the: A. left renal hilum

splenic hilum

Which of the following vascular structures is used as a sonographic landmark in locating the tail of the pancreas?

splenic vein

Ectopic pancreatic tissue is most commonly located in which of the following organs?

stomach

Which region of the pancreas is located most superiorly?

tail

Which of the following enzymes is responsible for the breakdown of proteins into amnio acids?

trypsin