Penny Review : Pancreas
Which cells perform the exocrine function of the pancreas? a) whipple cells b) islets of langerhans c) delta cells d) acinar cells
acinar cells
The most common form of malignancy of this pancreas is: a) cystadenocarcinoma b) islet cell tumor c) cystadenoma d) adenocarcinoma
adenocarcinoma
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
adenocarcinoma in the head of the pancreas
Which of the following lab findings elevates first in the presence of acute pancreatitis? a) amylase b) alp c) alt d) lipase
amylase
Which of the following results from the maldevelopment of the two embryologic elements of the pancreas and consequent obstruction of the duodenum? a) pancreatic divisum b) annular pancreas c) whipple syndrome d) Zollinger-Ellison syndrome
annular pancreas
Which of the following would be least likely complication of a pancreatic transplant? a) hematoma b) biloma c) ascites d) urinoma
biloma
Within which parts of the pancreas are mucinous cystadenocarcinomas most often located: a) uncinate process and neck b) head and neck c) body and tail d) fundus and neck
body and tail
All of the following are clinical findings associated with pancreatic adenocarcinoma except: a) epigastric pain b) weight loss c) jaundice d) decreased amylase and lipase
decreased amylase and lipase
All of the following are sono features of chronic pancreatitis except: a) dilated pancreatic ducts b) calcifications within the pancreas c) pancreatic pseudocysts d) diffusely hypoechoic pancreas
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) courvoisiers gallbladder c) mirizzi syndrome d) double duct sign
double duct sign
The portion of the bowel that encompasses the head of the pancreas is the: a) duodenum b) jejunum c) ileum d) cecum
duodenum
Which part of the pancreas is located right lateral to the SMV, anterior to IVC, and inferior to Portal vein? a) head b) neck c) body d) tail
head
The most common echogenicity of an acutely inflamed pancreas is : a) anechoic b) hyperechoic c) hypoechoic d) calcified
hypoechoic
Which of the following is the most common islet cell tumor? a) granuloma b) gastrinoma c) insulinoma d) cystadenoma
insulinoma
The pancreas is an: a) intraperitoneal organ b) retroperitoneal organ
intraperitoneal organ
What is the early sono appearance of acute pancreatitis? a) calcifications within the gland b) pancreatic pseudocysts c) normal d) hyperechoic glandular echotexture
normal
Courvoisiers gallbladder is the : a) enlargement of the pancreatic duct secondary to coexisting masses within the pancreatic body and gallbladder b) palpable gallbladder caused by a biliary obstruction in the area of the pancreatic head c) gallbladder disorder associated with the buildup of cholesterol crystals within the gallbladder wall d) type of gallbladder carcinoma taht is the result of chronic cholecystitis
palpable gallbladder caused by a biliary obstruction in the area of the pancreatic head
The whipple procedure is performed on patients who have: a) chronic pancreatitis b) acute pancreatitis c) pancreatic carcinoma d) pancreatic transplants
pancreatic carcinoma
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) Zollinger-Ellison syndrome
pancreatic divisum
Which of the following is peripancreatic fluid collection that results from the inflammation of the pancreas? a) pus b) trypsin c) phlegmon d) chyme
phlegmon
All of the following are part of the exocrine function of the pancreas except of the : a) production of lipase b) production of glucagon c) production of amylase d) production of sodium bicarbonate
production of glucagon
Which of the following is the enzyme released by the pancreas that neutralizes stomach acid? a) insulin b) somatostatin c) glycogen d) sodium bicarbonate
sodium bicarbonate
The muscle that controls the emptying of bile and pancreatic juices into the duodenum is the: a) sphincter of vader b) sphincter of oddi c) ampulla of vater d) ampulla of oddi
sphincter of oddi
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 main portal vein d) stenosis of the sma
thrombosis of the splenic vein
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
von hippel lindau disease
All of the following are classical clinical features of acute pancreatitis except: a) leukocytosis b) back pain c) weight gain d) fever
weight gain
A gastrinoma of the pancreas can produce : a) autosomal recessive polycystic kidney disease b) von hippel lindau syndrome c) zollinger ellison syndrome d) hyperinsulinoma
zollinger elliso syndrome
What is another name for the accessory duct of the pancreas? a) duct of santorini b) duct of langerhans c) duct of oddi d) duct of wirsung
duct of santorini
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
duct of wirsung
Which type of pancreatic transplantation is more common? a) exocrine enteric drainage b) exocrine bladder drainage c) endocrine bladder drainage d) endocrine enteric drainage
exocrine enteric drainage
The arterial blood supply to the head of the pancreas is via the: a) sma b) splenic artery c) gastroduodenal artery d) hepatic artery
gastroduodenal artery
The most common location of adenocarcinoma of the pancreas is within the : a) head b) neck c) body d) tail
head
The most common location of focal pancreatitis is within the : a) head b) neck c) body d) tail
head
Which of the following would be the least likely cause of acute pancreatitis ? a) alcohol abuse b) hepatitis c) trauma d) gallstones
hepatitis
One clinical sign of an insulinoma is the presence of : a) hypoglycemia b) elevated AFP c) hepatitis d) zollinger ellison syndrome
hypoglycemia
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
insulin
One of the most common locations for a pancreatic pseudocyst is within the : a) paracolic gutters b) groin c) spleen d) lesser sac
lesser sac
Which of the following lab values appears to be more specific for acute pancreatitis? a) amylase b) lipase c) aspartate aminotransferase d) serum glutamic oxaloacetic transminase
lipase
Which part of the pancreas is located anterior to portal confluence? a) uncinate process b) pancreatic body c) pancreatic neck d) pancreatic tail
pancreatic neck
What vascular structure outlines the pancreatic tail posteriorly ? a) SMA b) IMV c) Portal confluence d) splenic vein
splenic vein