Penny Abdomen - Ch. 5 Pancreas Quiz

Which cells perform the exocrine function of the pancreas?

acinar cells

The most common echogenicity of an acutely inflamed pancreas is

hypoechoic

One clinical sign of an insulinoma is the presence of

hypoglycemia

What is the most common islet cell tumor?

insulinoma

The Whipple procedure is performed on patients who have

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

What is a peripancreatic fluid collection that results from the inflammation of the pancreas?

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

Which of the following is the enzyme released by the pancreas that neutralizes stomach acid?

sodium bicarbonate

Which of the following would be the most likely vascular complication of acute pancreatitis?

thrombosis in the splenic vein

What is the name of the main pancreatic duct?

Duct of Wirsung

Which lab finding elevates first in acute pancreatitis?

amalyse

Which laboratory value appears to be more specific for acute pancreatitis?

Lipase

A gastrinoma of the pancreas can produce

Zollinger-Ellison syndrome

The most common form of malignancy of the pancreas is

adenocarcinoma

Courvoisier gallbladder is found in the presence of

adenocarcinoma in the head of the pancreas

Which of the following results from the maldevelopment of the 2 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?

body & tail

All of the following are clinical findings associated w/ pancreatic adenocarcinoma except: -epigastric pain -weight loss -jaundice -decrease amylase & lipase

decrease amylase & lipase

All of the following are sonographic features of chronic pancreatitis except: -dilated pancreatic duct -calcifications w/in the pancreas -pancreatic pseudocyst -diffusely hypoechoic pancreas

diffusely hypoechoic pancreas

Coexisting obstruction of the CBD and pancreatic duct may be referred to as the

double-duct sign

What is another name for the accessory duct of the pancreas?

duct of Santorini

The portion of the bowel that encompasses the head of the pancreas is the

duodenum

Which type of pancreatic transplantation is more common?

exocrine enteric drainage

The arterial blood supply to the head of the pancreas is via the

gastroduodenal artery

Which part of the pancreas is located right lateral to SMV, anterior to IVC and inferior to portal vein?

head

The most common location of adenocarcinoma of the pancreas is in the

head of the pancreas

The most common location of focal pancreatitis is w/in the

head of the pancreas

Which of the following would be the least likely cause of acute pancreatitis? -alcohol abuse -hepatitis -trauma -gallstones

hepatitis

Which of the following is the hormone released by the pancreas that encourages the body's use of glucagon?

insulin

One of the most common locations for a pancreatic pseudocyst is within the

lesser sac

Which part of the pancreas is located anterior to the portal confluence?

neck

What is the early sonographic sign of acute pancreatitis?

normal

Courvoisier gallballder is the

palpable GB caused by a biliary obstruction in the area of the pancreatic head

The pancreas is a

retroperitoneal organ

The muscle that controls the emptying of bile and pancreatic juices into the duodenum is the

sphincter of Oddi

What vascular structure outlines the pancreatic tail posteriorly?

splenic vein

Which of the following is associated w/ development of cysts w/in the pancreas? -autosomal recessive polycystic kidney dx -von Hippel-Lindau dx -Zollinger-Ellison syndrome -endoscopic retrograde cholangiopancreatography

von Hippel-Lindau dx

All of the following are classic clinical features of acute pancreatitis except: -leukocytosis -back pain -weight gain -fever

weight gain