ABD 2 — Pancreas

Question 1

What enzyme persists longer with pancreas damage?

Answer 1

Lipase

Question 2

What should be suspected if a patient presents with an elevated insulin level and clinical signs of hypoglycemia?

Answer 2

Insulinoma

Question 3

This autosomal recessive disorder typically gives the pancreas a hyperechoic appearance due to microcystic changes and increased fibrotic and fatty infiltration.

Answer 3

Cystic fibrosis

Question 4

This neoplasia is always benign despite the septa being highly vascular with Doppler interrogation. Most often occurs after the age of 60 and is associated with Von Hippel-Lindau syndrome

Answer 4

Microcystic adenoma

Question 5

**Written

What is the other name for infrainguinal ecchymosis and what pancreatic pathology is it seen with?

Answer 5

The other name is the “Fox sign” and it is seen with hemorrhagic pancreatitis

Question 6

**Written

This pathology has a fibrous capsule and is considered a fluid collection of pancreatic enzymes that arises from inflammatory processes

Answer 6

Pancreatic pseudocyst

Question 7

What are three things that the sonographer can do to help evaluate the tail of the pancreas ?

Answer 7

—Have the patient drink water
—Scan the patient in a semi-erect or erect position
—Scan the patient in a prone position through the left kidney

Note: NOT “turn the patient into LLD position”

Question 8

What are three products of the pancreas?

Answer 8

Glucagon
Somatosatin
Trypsin

Note: NOT albumin

Question 9

What are three risk factors for developing pancreatic cancer?

Answer 9

-Chronic pancreatitis
-Smoking
-Diabetes

Note: NOT “hypertension”

Question 10

What is the most common location for a pancreatic pseudocyst?

Answer 10

The lesser sac

Question 11

What pathology represents a slow growing tumor that is thought to to arise from the ducts and has a greater incidence in African American and East African individuals?

Answer 11

Macrocystic adenoma

Question 12

True/False

An abscess of the pancreas will be reduced with antibiotic therapy and are not drained. This is to eliminate any spillage of the abscess contents into the abdomen.

Answer 12

False

Question 13

Where do islet cell tumors originate from?

Answer 13

Islets of Langerhans

Question 14

What is the 4th leading cause of death from cancer in the United States?

Answer 14

Pancreatic adenocarcinoma

Question 15

***Written

List two risk factors for pancreatitis

Answer 15

Choledocholithiasis &
Metabolic disorders

Question 16

True/False

Gastrinomas have a high malignant potential

Answer 16

True

Question 17

**Written

What is steatorrhea?

Answer 17

Fatty stool