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
