Pancreas

Question 1

What are the cells of the pancreas that carry out the exocrine function and produce amylase, lipase and sodium bicarbonate?

Answer 1

Acinar cells

Question 2

What is chyme?

Answer 2

Partially digested food

Question 3

What is in the double duct sign?

Answer 3

Enlarged CBD and pancreatic duct

Question 4

What’s the accessory duct of the pancreas?

Answer 4

Duct of Santorini

Question 5

A gastrinoma is a:

Answer 5

islet cell tumor

Question 6

What are the islands of tissue found within the pancreas that produce insulin and glucagon?

Answer 6

Isles of Langerhans

Question 7

What’s the most common cancer of the pancreas?

Answer 7

Pancreatic adenocarcinoma

Question 8

Difference between pseudocyst and phlegmon?

Answer 8

Psuedocyst - pancreatic enzymes that have leaked into the tissue surrounding the pancreas
Phlegmon - peripancreatic fluid collect that results in the inflammation of the pancreas

Question 9

What’s von Hippel Lindau disease?

Answer 9

a hereditary disease that includes the development of cysts within the pancreas and other organs

Question 10

What’s Zollinger-Ellison syndrome?

Answer 10

Excessive secretion of acid by the stomach caused by the presence of a functional gastrinoma within the pancreas

Question 11

What supplies the head of the pancreas? What supplies the body and tail?

Answer 11

GDA

SA + SMA

Question 12

Are serous cystadenomas benign or malignant?

Answer 12

Benign

Mucinous cystadenomas have malignant potential

Question 13

Mucinous cystadenomas are found in the body and tail. True or false

Answer 13

True

Question 14

Two types of islet cell tumors:

Answer 14

Gastrinoma

Insulinoma ** (mc)

Question 15

The most common location of focal pancreatitis is:

Answer 15

Head

Question 16

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

Answer 16

Neck

Question 17

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

Answer 17

Head

Question 18

One clinical sign of an insulinoma is?

Answer 18

Low blood sugar signs

Question 19

A gastrinoma of the pancreas can produce:

Answer 19

Zollinger Ellison syndrome

Question 20

Whipple procedure:

Answer 20

A surgical procedure in which the head of the pancreas, the gallbladder, some of the bile ducts and proximal duodenum are removed

Question 21

Phlegmon:

Answer 21

the peripancreatic fluid collection that results from inflammation of the pancreas

Question 22

What are the exocrine functions of the following? Amylase, lipase, sodium bicarbonate and trypsin/chymotrypsin/carboxypolypeptidase

Answer 22

Amylase- carbs
Lipase -fats
Sodium bicarb- neutralize stomach avid
Trypsin, etc. - proteins

Question 23

What’s the functional unit of the endocrine component?

Answer 23

Isles of Langerhans

Question 24

Endocrine functions:

Answer 24

Insulin- stimulates the body to use glucose for energy

Glucagon- promotes release of glucose

Question 25

Panc head blood supply

Answer 25

GDA

Question 26

Panc body & tail blood supply

Answer 26

SMA & SA

Question 27

Which pancreatic enzyme is raised first with acute pancreatitis?

Answer 27

Amylase, but does lipase last longer??

Question 28

Focal pancreatitis is often seen where?

Answer 28

Head

Question 29

What's the more common site for a pseudocyst?

Answer 29

Lesser sac

Question 30

When you see the double duct sign, what could this indicate?

Answer 30

Pancreatic adenocarcinoma | 2 ducts -- CBD + panc duct

Question 31

Cystadenoma's/cystadenocarcinomas are often found in:

Answer 31

Body & tail

Question 32

True pancreatic cysts may be seen with:

Answer 32

Von Hippel-Lindau disease or ADPKD

Question 33

All of the following are sonographic features of chronic pancreatitis except: dilated panc duct, calcifications within the pancreas, pseudocyst, and diffusely hypoechoic panc

Answer 33

Diffusely hypoechoic pancreas

Question 34

Which lab value is more specific for acute pancreatitis?

Answer 34

Lipase

Question 35

Which cells carry out the exocrine function of the pancreas? Whipple cells, Isles of Langerhans, Delta cells or Acinar cells

Answer 35

Acinar

Question 36

A clinical sign of an insulinoma is:

Answer 36

low blood sugar symptoms

Question 37

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

Answer 37

Head

Question 38

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

Answer 38

Neck