Pancreas Path

Question 1

The pancreatic duct is also known as?

Answer 1

Duct of wirsung

Question 2

The pancreatic duct is considered dilated when it exceeds?

Answer 2

2 mm

Question 3

Cystic fibrosis is most common in which population?

Answer 3

Caucasians

Question 4

Cystic fibrosis causes what in children?

Answer 4

Pancreatic exocrine failure

Question 5

A simple cyst in the pancreas should not be confused with?

Answer 5

GDA or CBD

Question 6

Pseudocyst

Answer 6

enzymes leak out of tissue causing cystic appearance

Question 7

Pseudocysts are always?

Answer 7

acquired

Question 8

Pseudocysts occur with?

Answer 8

Pancreatitis or trauma

Question 9

Signs and symptoms of a pseudocyst

Answer 9

epigastric pain, may have jaundice

Question 10

What values are elevated with a pseudocyst?

Answer 10

amylase and lipase

Question 11

Most common locations of a pseudocyst

Answer 11

lesser sac and pancreatic tail

Question 12

Congenital cysts are associated with which disorders?

Answer 12

Von-Hippel Lindau and Polycystic disease

Question 13

Von-Hippel Lindau

Answer 13

Autosomal dominant disorder that involves CNS with multiple cysts

Question 14

Which lesions are associated with Von-Hippel Lindau?

Answer 14

cysts, adenomas, islet cell tumors

Question 15

Macrocystic adenocarcinoma

Answer 15

malignant, large cysts that are both cystic and solid

Question 16

Macrocystic adenocarcinoma is also called?

Answer 16

macrocystic adenoma, mucinous cystadenoma, cystadenocarcinoma

Question 17

Mucinous cystadenoma is more common in?

Answer 17

women

Question 18

Where are cystadenocarcinomas most often found on the pancreas?

Answer 18

body and tail

Question 19

Sonographic appearance of macrocystic adenocarcinoma

Answer 19

unilocular, large (>5 cm) masses with peripheral calcifications

Question 20

Microcystic adenoma

Answer 20

masses of tiny cysts

Question 21

Microcystic adenoma is also called?

Answer 21

Serous adenoma

Question 22

Serous adenoma is more common in?

Answer 22

females

Question 23

Microcystic adenoma is most commonly found in which area of the pancreas?

Answer 23

head

Question 24

Sonographic appearance of serous adenoma

Answer 24

masses that contain many small cysts ( <2 cm)

Question 25

Islet cell tumors are most commonly located on which part of the pancreas?

Answer 25

body and tail

Question 26

60-70% of malignant islet cell tumors

Answer 26

Gastrinoma

Question 27

90% benign of islet cell tumors

Answer 27

Insulinoma

Question 28

What is the most common beta cell tumor?

Answer 28

Insulinoma

Question 29

Sonographic appearance of Islet cell tumors

Answer 29

hypoechoic, solid, small masses (<1-2 cm)

Question 30

What is the most common primary pancreatic cancer?

Answer 30

Adenocarcinoma

Question 31

Adenocarcinoma is common in?

Answer 31

older male smokers

Question 32

Adenocarcinoma is most frequently found on which part of the pancreas?

Answer 32

Head

Question 33

True or False: Adenocarcinoma appears symptomatic immediately

Answer 33

False

Question 34

Risk factors of adenocarcinoma

Answer 34

Smoking, high fat diet, cirrhosis, chronic pancreatitis, diabetes

Question 35

What can be a sign of adenocarcinoma of the pancreas?

Answer 35

Courvoisier gallbladder (due to mass on pancreatic head)

Question 36

What is elevated with adenocarcinoma?

Answer 36

Amylase and lipase

Question 37

Acute pancreatitis is commonly caused by?

Answer 37

**alcoholism** or biliary tract disease

Question 38

What is commonly found with pancreatitis?

Answer 38

pseudocysts

Question 39

signs and symptoms of acute pancreatitis

Answer 39

sudden onset epigastric pain, nausea, vomiting, mild fever

Question 40

Sonographic appearance of acute pancreatitis

Answer 40

hypoechoic, enlarged, irregular borders, pseudocysts

Question 41

Amylase is elevated by when with acute pancreatitis?

Answer 41

within 24 hours

Question 42

Is amylase or lipase elevated longer with acute pancreatitis?

Answer 42

Lipase

Question 43

Which lab values are elevated with acute pancreatitis?

Answer 43

amylase, lipase, bilirubin, proteinuria, WBC

Question 44

Chronic pancreatitis is caused by?

Answer 44

recurring acute pancreatitis

Question 45

Chronic pancreatitis causes an increased risk in developing?

Answer 45

pancreatic cancer

Question 46

Signs and symptoms of chronic pancreatitis

Answer 46

persistent epigastric pain,nausea, vomiting, weight loss, jaundice

Question 47

Sonographic appearance of chronic pancreatitis

Answer 47

Atrophied, echogenic, heterogenous, pseudocysts, pancreatic duct dilation

Question 48

What is elevated with chronic pancreatitis?

Answer 48

amylase and bilirubin