Abdomen Review- Quiz #4 (Pancreas)

Demonstration of the pancreatic head surrounding the duodenum is consistent with which anatomical variant?

annular pancreas

Common clinical findings associated with acute pancreatitis include what?

epigastric pain

paralytic ileus

elevated lipase

Which enzyme is responsible for the breakdown of proteins into amino acids?

trypsin

The most common complication associated with acute pancreatitis is what?

pseudocyst

Islet cells of Langerhans secrete hormones directly into where?

the bloodstream

In a Whipple procedure, normal pancreatic tissue is attached to where?

duodenum

the uncinate process is ________ to the SMV

posterior

Extension of pancreatic inflammation into the peripancreatic tissues is known as what patho?

phlegmon

what is the most common cause of acute pancreatitis?

biliary disease

A 59-year-old male inpatient presents with a history of acute pancreatitis. His clinical symptoms include abdominal pain, palpable left upper quadrant mass, and extreme elevation in pancreatic enzymes. Based on this clinical history, what is the patho most likely?

pseudocyst

A 91-year-old woman presents to the ultrasound department complaining of severe back pain, weight loss, and jaundice. Based on this clinical history, what is most likely the patho?

adenocarcinoma

Pseudocyst formation is most commonly located in which abdominal recesses?

lesser sac

Which enzyme changes fats into fatty acids and glycerol?

lipase

Which part of the pancreas is located most superiorly?

tail

Ectopic pancreatic tissue is most commonly located in which organ?

stomach

Which pathology accounts for half of the cystic neoplasms involving the pancreas?

cystadenomas

In acute pancreatitis, which laboratory test remains elevated longest?

lipase

The main pancreatic duct is most commonly visualized in which section of the pancreas?

body

Are the majority of nonfunctioning islet cell tumors benign or malignant?

malignant

what does chronic pancreatitis look like on US?

shrunken echogenic panc

prominent duct

calcifications

what is a clinical finding commonly associated with pancreatic carcinoma?

new onset of diabetes

An endocrine function of the pancreas includes secretion of which substance?

insulin

what vascular landmark is located superior to the pancreas?

celiac trunk

Which vascular structure is used as a sonographic landmark in locating the tail of the pancreas?

splenic vein

The diameter of the pancreatic duct in the head/ neck region should not exceed what measurement?

3mm

The majority of pancreatic malignancies involve which portion of the pancreas?

the head

In which section of the pancreas are islet cell tumors most commonly located?

body and tail

what is the name for the accessory pancreatic duct?

duct of santorini

The largest and most anterior section of the pancreas is which portion?

the body

Rapid progression of pancreatic inflammation is a complication associated with which patho?

acute pancreatitis

A sheath of muscle fibers surrounding the distal common bile duct describes which structure?

sphincter of oddi

The leakage of pancreatic enzymes into the surrounding peritoneal space describes what patho?

pseudocyst