Abdominal Sonography Review: Quiz #5: PANCREAS

Which cells perform the exocrine function of the pancreas? Whipple cells Islets of Langerhans Delta cells Acinar cells

Acinar cells

The most common form of malignancy of the pancreas is: Cystadenocarcinoma Islet cell tumors Cystadenoma Adenocarcinoma

Adenocarcinoma

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

Adenocarcinoma in the head of the pancreas

Which of the following laboratory findings elevates first in the presence of acute pancreatitis? Amylase ALP ALT Lipase

Amylase

Which of the following results from the maldevelopment of the two embryologic elements of the pancreas and consequent obstruction of the duodenum? Pancreatic divisum Annular pancreas Whipple syndrome Zollinger-Ellison syndrome

Annular pancreas

Which of the following would be the least likely complication of a pancreatic transplant? Hematoma Biloma Ascites Urinoma

Biloma

Within which parts of the pancreas are mucinous cystadenocarcinomas most often located? Uncinate process and neck Head and neck Body and tail Fundus and neck

Body and tail

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

Decrease amylase and lipase

All of the following are sonographic features of chronic pancreatitis except: Dilated pancreatic duct Calcifications within the pancreas Pancreatic pseudocyst Diffusely hypoechoic pancreas

Diffusely hypoechoic pancreas

Coexisting obstruction of the common bile duct and pancreatic duct may be referred to as the: Double-barrel shotgun sign Courvoisier sign Mirizzi sign Double-duct sign

Double-duct sign

What is another name for the accessory duct of the pancreas? Duct of Santorini Duct of Langerhans Duct of Oddi Duct of Wirsung

Duct of Santorini

What is the name of the main pancreatic duct? Duct of Santorini Duct of Langerhans Duct of Oddi Duct of Wirsung

Duct of Wirsung

The portion of the bowel that encompasses the head of the pancreas is the: Duodenum Jejunum Ileum Cecum

Duodenum

Which type of pancreatic transplantation is more common? Exocrine enteric drainage Exocrine bladder drainage Endocrine bladder drainage Endocrine enteric drainage

Exocrine enteric drainage

The arterial blood supply to the head of the pancreas is via the: Superior mesenteric artery Splenic artery Gastroduodenal artery Hepatic artery

Gastroduodenal artery

Which part of the pancreas is located right lateral to superior mesenteric vein, anterior to inferior vena cava, and inferior to portal vein? Head Neck Body Tail

Head

The most common location of adenocarcinoma of the pancreas is within the: Head of the pancreas Neck of the pancreas Body of the pancreas Tail of the pancreas

Head of the pancreas

The most common location of focal pancreatitis is within the: Head of the pancreas Neck of the pancreas Body of the pancreas Tail of the pancreas

Head of the pancreas

Which of the following would be the least likely cause of acute pancreatitis? Alcohol abuse Hepatitis Trauma Gallstones

Hepatitis

The most common echogenicity of an acutely inflamed pancreas is: Anechoic Hyperechoic Hypoechoic Calcified

Hypoechoic

One clinical sign of an insulinoma is the presence of: Hypoglycemia Elevated alpha-fetoprotein Hepatitis Zollinger-Ellison syndrome

Hypoglycemia

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

Insulin

Which of the following is the most common islet cell tumor? Granuloma Gastrinoma Insulinoma Cystadenoma

Insulinoma

One of the most common locations for a pancreatic pseudocyst is within the: Paracolic gutters Groin Spleen Lesser sac

Lesser sac

Which of the following laboratory values appears to be more specific for acute pancreatitis? Amylase Lipase Aspartate aminotransferase Serum glutamic oxaloacetic transaminase

Lipase

What is the early sonographic appearance of acute pancreatitis? Calcifications within the gland Pancreatic pseudocyst Normal Hyperechoic glandular echotexture

Normal

Courvoisier gallbladder is the: Enlargement of the pancreatic duct secondary to coexisting masses within the pancreatic body and gallbladder Palpable gallbladder caused by a biliary obstruction in the area of the pancreatic head Gallbladder disorder associated with the buildup of cholesterol crystals within the gallbladder wall Type of gallbladder carcinoma that 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: Chronic pancreatitis Acute pancreatitis Pancreatic carcinoma 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? Pancreatic divisum Annular pancreas Acute pancreatitis Zollinger-Ellison syndrome

Pancreatic divisum

Which part of the pancreas is located anterior to portal confluence? Uncinate process Pancreatic body Pancreatic neck Pancreatic tail

Pancreatic neck

Which of the following is a peripancreatic fluid collection that results from the inflammation of the pancreas? Pus Trypsin Phlegmon Chyme

Phlegmon

All of the following are part of the exocrine function of the pancreas except for the: Production of lipase Production of glucagon Production of amylase Production of sodium bicarbonate

Production of glucagon

The pancreas is an: Intraperitoneal organ Retroperitoneal organ

Retroperitoneal organ

Which of the following is the enzyme released by the pancreas that neutralizes stomach acid? Insulin Somatostatin Glycogen Sodium bicarbonate

Sodium bicarbonate

The muscle that controls the emptying of bile and pancreatic juices into the duodenum is the: Sphincter of Vater Sphincter of Oddi Ampulla of Vater Ampulla of Oddi

Sphincter of Oddi

What vascular structure outlines the pancreatic tail posteriorly? Superior mesenteric artery Inferior mesenteric vein Portal confluence Splenic vein

Splenic vein

Which of the following would be the most likely vascular complication of acute pancreatitis? Thrombosis in the splenic vein Pseudoaneurysm of the superior mesenteric artery Thrombosis of the main portal vein Stenosis of the superior mesenteric artery

Thrombosis in the splenic vein

All of the following are classic clinical features of acute pancreatitis except: Leukocytosis Back pain Weight gain Fever

Weight gain

A gastrinoma of the pancreas can produce: Autosomal recessive polycystic kidney disease Von Hippel-Lindau disease Zollinger-Ellison syndrome Hyperinsulinemia

Zollinger-Ellison syndrome

Which of the following is associated with development of cysts within the pancreas? Autosomal recessive polycystic kidney disease von Hippel-Lindau disease Zollinger-Ellison syndrome Endoscopic retrograde cholangiopancreatography

von Hippel-Lindau disease