Chapter 5 quiz (pancreas)

13. Which of the following would be the least likely complication of a pancreatic transplant ? a . Hematoma b . Biloma c . Ascites d . Urinoma

B

15. Which of the following laboratory values appears to be more specific for acute pancreatitis ? a . Amylase b . Lipase c . Aspartate aminotransferase d . Serum glutamic oxaloacetic transaminase

B

18. Which of the following would be the least likely cause of acute pancreatitis ? a . Alcohol abuse b . Hepatitis c . Trauma d . Gallstones

B

36. The pancreas is an : a. Intraperitoneal organ b . Retroperitoneal organ

B

10. 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

14. All of the following are classic clinical features of acute pancreatitis except : a . Leukocytosis b . Back pain c . Weight gain d . Fever

C

19. Which of the following is the most common islet cell tumor ? a . Granuloma b . Gastrinoma c . Insulinoma d . Cystadenoma

C

21. 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

22. 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

28. The most common echogenicity of an acutely inflamed pancreas is : a . Anechoic b . Hyperechoic c. Hypoechoic d . Calcified

C

30. The arterial blood supply to the head of the pancreas is via the : a . Superior mesenteric artery b . Splenic artery c . Gastroduodenal artery d . Hepatic artery

C

32. What is the early sonographic appearance of acute pancreatitis ? a . Calcifications within the gland b . Pancreatic pseudocyst c . Normal d . Hyperechoic glandular echotexture

C

39. Which part of the pancreas is located anterior to portal confluence ? a . Uncinate process b . Pancreatic body c. Pancreatic neck d . Pancreatic tail

C

12. 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 pancreas

D

31. One clinical sign of an insulinoma is the presence of : a . Hypoglycemia b . Elevated alpha - fetoprotein c . Hepatitis d . Zollinger - Ellison syndrome

A

7. The Whipple procedure is performed on patients who have : a . Chronic pancreatitis b . Acute pancreatitis c . Pancreatic carcinoma d . Pancreatic transplants

C

1. 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

A

11. 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

16. 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

20. Which of the following laboratory findings elevates first in the presence of acute pancreatitis ? a . Amylase b . ALP c. ALT d Lipase

A

26. The portion of the bowel that encompasses the head of the pancreas is the : a . Duodenum b . Jejunum c . lleum d . Cecum

A

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

A

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

A

40. 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

A

9. The most common location of adenocarcinoma of the pancreas is within the : a . Head of the pancreas b . Neck of the pancreas c . Body of the pancreas d . Tail of the pancreas

A

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

A

2. 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

23. The muscle that controls the emptying of 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

35. Courvoisier 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 ob struction 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 that is the re sult of chronic cholecystitis

B

5. 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

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

B

33. 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

C

17. One of the most common locations for a pancreatic pseudocyst is within the : a . Paracolic gutters b . Groin c . Spleen d . Lesser sac

D

24. 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

25. 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

27. Which cells perform the exocrine function of the pancreas ? a . Whipple cells b . Islets of Langerhans c . Delta cells d . Acinar cells

D

34. Coexisting and pancreatic duct may be obstruction of the common bile duct referred to as the : a . Double - barrel shotgun sign b . Courvoisier sign c . Mirizzi sign d . Double duct sign

D

38. What vascular structure outlines the pancreatic tail posteriorly ? a . Superior mesenteric artery b . Inferior mesenteric vein c . Portal confluence d . Splenic vein

D

8. 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

cholangiopancreatography 6. The most common form of malignancy of the pancreas is : a . Cystadenocarcinoma b . Islet cell tumors c . Cystadenoma d . Adenocarcinoma

D