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