Pancreas

Question 1

Most commonly performed surgery to remove tumors in the pancreas

Answer 1

Whipples procedure

Question 2

Surgical maneuver to expose structures in the retroperitoneum behind the duodenum and pancreas

Answer 2

Kochers maneuver

Question 3

Pancreas weight in adult

Answer 3

75-100g

Question 4

Pancreas length in adult

Answer 4

15-20 cm

Question 5

Just behind the head of the pancreas lie

Answer 5

• the vena cava,
• the right renal artery,
• and both renal veins

Question 6

Neck lies directly over the

Answer 6

Portal vein

Question 7

Neck overlies in vertebral body of

Answer 7

L1 and L2

Question 8

At the inferior border of the neck

Answer 8

superior mesenteric vein joins the splenicvein as the portal vein

Question 9

Body and tail lie just anterior to the

Answer 9

Splenic artery and vein

Question 10

Uncinate process wrap around the right side of the

Answer 10

Portal vein

Question 11

Uncinate process end posteriorlynear the space betweenthe ____________ and ____________

Answer 11

Superior messentery artery and vein

Question 12

Venous draining the pancreatic head and uncinateprocess enter along the ___________ and ____________ of the portal vein

Answer 12

Right lateral

Posterior sides

Question 13

from the ventral bud connects to the bile duct

Answer 13

Ducts of wirsung

Question 14

from the larger dorsal bud connects to the duodenum

Answer 14

Ducts of santorini

Question 15

persist as a blind accessory duct -or drain through the lesser papilla

Answer 15

Ducts of santorini

Question 16

Majority drains in to the major papilla

Answer 16

Ducts of wirsung

Question 17

In a minority, ducts remain separate, and the majority of the pancreas drains through the duct of Santorini, a condition referred to as

Answer 17

Pancreas divisum

Question 18

Inferior part of the pancreatic head and posterior to the superior messenteric artery

Answer 18

Uncinate process

Question 19

Posterosuperior surface of the head

Answer 19

Bile duct

Question 20

Adjacent to the pylorus of the stomach

Answer 20

Neck of pancreas

Question 21

Lies to the left of the superior mesenteric vessels.

Posterior to the omental bursa

Answer 21

Body of the pancreas

Question 22

Anterior to the left kidney

Answer 22

Tail of the pancreas

Question 23

Begins in the tail of the pancreas and runs through the parenchyma to the pancreatic head

Answer 23

Main pancreatic duct

Question 24

Pancreatic duct and bile duct unite

Answer 24

Hepatopancreatic ampulla

Question 25

Blood supply of the body and tail

Answer 25

Splenic artery

Question 26

Blodd supply of the head

Answer 26

Anterior and posterior superior pancreaticoduodenal artery. | Anterio and posterior inferior pancreaticoduodenal artery.

Question 27

Origin of anterior and posterior superior pancreaticoduodenal artery

Answer 27

Gastroduodenal artery then from common hepatic artey from celiac trunk

Question 28

Origin of anterior and posterior inferior pancreaticoduodenal artery

Answer 28

SMA

Question 29

Drainage of pancreas

Answer 29

Splenic vein and superior messenteric vein from portal vein

Question 30

Lymphnodes of pancreas

Answer 30

``` Pancreaticosplenic lymphnodes(most) Pyloric lymph ode( some) ```

Question 31

Drainage of lymphnodes

Answer 31

Superior messenteric lyph nodes, celiac lymphnodes ia hepatic lymph node

Question 32

Nerves of pancreas

Answer 32

Vagus and abdomini pelvic splanchnic nerve

Question 33

Para and sympa fibers of pancreas

Answer 33

Celiac plexus | Superior messenteric plexus

Question 34

From the splenic artery

Answer 34

Dorsal Pancreatic artery, •Great Pancreatic artery •Caudal pancreatic artery

Question 35

Veins usually ________ to the arteries

Answer 35

Superficial

Question 36

Venous branches draining the pancreatic head and uncinateprocess enter along the ____________ and _______________ of the portal vein

Answer 36

Right lateral | Posterior side

Question 37

Antero/posterosuperior pancreaticoduodenal vein to

Answer 37

Portal vein

Question 38

Antero/poster0inferior pancreaticoduodenal vein to

Answer 38

Superir messenteric vein

Question 39

Lymphaticscommunicate with lymph nodes in the transverse mesocolonand mesentery of

Answer 39

Proximal jejunum

Question 40

rich supply of afferent sensory fibers that travel superiorly to the

Answer 40

Celiac ganglia

Question 41

Interruption of these somatic fibers with a ________________ can interfere with transmission of pancreatic pain

Answer 41

Celiac plexus block

Question 42

Ultrasound •Pancreas is anterior to the two vessels identified

Answer 42

Portal vein and splenic vein

Question 43

PARASYMPATHETIC INCREASES SECRETION OF

Answer 43

Insulin and glucagon

Question 44

SYMPATHETIC INCREASES

Answer 44

Glucagon but inhibit insulin