ALL THINGS PANCREAS & GB- FINAL

Question 1

possible complication of acute pancreatitis

Answer 1

abscess formation

Question 2

gross appearance of acute pancreatitis

Answer 2

loss of the normal lobular surface markings

Question 3

gross appearance of chronic pancreatitis

Answer 3

shrunken and fibrotic. The main duct is dilated and filled with calcified secretions

Question 4

complications of acute pancreatitis

Answer 4

pseudocyst- NO EPITHELIAL LINING
Infected necrosis (lethal)

Question 5

Benign tumors of the exocrine pancreas include

Answer 5

pseudopapillary tumor, serous cystadenoma and mucinous cystadenoma

Question 6

Solid pseudopapillary tumors

gross:

Answer 6

round, well-demarcated, with solid and cystic areas, often with hemorrhage noted on cut sections

Question 7

the most frequent cystic tumors of the pancreas (50% of all cystic tumors)

Answer 7

Mucinous cystadenomas

Question 8

Mucinous cystadenomas are usu benign but may transform into

Answer 8

a malignant tumor

Question 9

second most common cystic tumor of the pancreas

Answer 9

Serous cystadenoma

Question 10

serous cystadenoma
gross:
histo:

Answer 10

honeycombed appearance on pathology is also characteristically seen on the CT scan

a bx reveals small cysts which are lined by ciliated cuboidal epithelium

Question 11

serous cystadenoma is known to be associated with

Answer 11

Von Hippel-Lindau syndrome

a genetic condition in which cysts often develop in the pancreas, liver and kidney and hemangioblastomas are found in different organs including the cerebellum, spinal cord, kidney and retina as well as cafe o’lay spots

Question 12

The most common type of pancreatic cancer

(90 - 95% of all malignant pancreatic tumors) _______

Answer 12

pancreatic adenocarcinoma

generally has a very poor prognosis

Question 13

stones are formed in the gallbladder but may pass distally into other parts of the biliary tract

Answer 13

cholelithiasis

Question 14

if gallstones migrate into the ducts of the biliary tract, the condition is referred to as

Answer 14

choledocholithiasis

Question 15

the presence of stones in the gallbladder (cholelithiasis) can lead to an inflammatory condition called

Answer 15

cholecystitis

Question 16

Infectious agents that cause cholecystitis include

Answer 16

E. coli, Klebsiella, Pseudomonas, B. fragilis and Enterococcus

Question 17

gallstone can be divided into 3 types

Answer 17

cholesterol stones
pigment stones
mixed stones

Question 18

to be classified as cholesterol stones they must be at least

Answer 18

80% cholesterol by weight

Question 19

what percent of cholesterol stones are radiolucent on XRAY’s?

Answer 19

10%

the other 90% will be negative for cholelithiasis

Question 20

mixed gallstone typically contain __-__% cholesterol

Answer 20

20-80%

Question 21

pigment gallstones contain the least cholesterol, with less than ______% cholesterol

Answer 21

20%

Question 22

_________ is characterized by abnormal deposition of cholesterol and triglyceride fill macrophages in the lamina propria of the gallbladder

Answer 22

cholesterolosis

Question 23

foci of cholesterol filled macrophages. Diffuse involvement of the mucosa such as in this specimen is referred to as a “strawberry gallbladder”.

Answer 23

cholesterolosis

Question 24

Rokitansky-Aschoff sinuses are seen in the muscularis for which condition?

Answer 24

chronic cholecystitis

Question 25

a calcification of the gallbladder believed to be brought on by persistent inflammation due to the presence of gallstones is the pathphysiology for which condition?

Answer 25

porcelain gall bladder

Question 26

the term used to describe a gall stone that has passed into the common bile duct

Answer 26

choledocholithiasis

Question 27

concentric (onion skin–like) peri-ductal fibrosis is seen in what two conditions?

Answer 27

ascending cholangitis (secondary sclerosing cholangitis)
primary sclerosing cholangitis

Question 28

The majority of all carcinomas of the gallbladder are found to be well differentiated

Answer 28

adenocarcinomas

Question 29

adenocarcinoma of the gall bladder shows what types of cells?

Answer 29

intestinal type