Ch. 12 Hagen Test Flashcards
A common course of enzyme destruction via the pancreas is the accumulation in the: Select one: a. Greater omentum b. Lesser omentum c. Lesser sac d. Greater sac
c. Lesser sac
A condition that causes increased secretion of abnormal mucus by the endocrine glands is: Select one: a. Cystic fibrosis b. Fibrocystic disease of the pancreas c. Diabetes d. Cystic mucosal disease
a. Cystic fibrosis
A most common cause of acute pancreatitis in the United States is: Select one: a. Colitis b. Alcohol intake c. Biliary tract disease d. Pancreatic malignancy
c. Biliary tract disease
A patient with painless jaundice, weight loss, and a decrease in appetite should be evaluated for: Select one: a. Cholecystitis b. Adenocarcinoma of the pancreas c. Pancreatitis d. Pancreatic pseudocyst
b. Adenocarcinoma of the pancreas
A serum \_\_\_\_\_ level of twice normal usually indicates acute pancreatitis. Select one: a. lipase b. amylase c. alkaline phosphatase d. aspartate aminotransferase (AST)
b. amylase
An older man with a history of alcoholism is recently diagnosed with acute pancreatitis. His hematocrit and hypotension levels are decreased. Your differential diagnosis includes: Select one: a. Hemorrhagic pancreatitis b. Cholecystitis c. Pseudocyst d. Chronic pancreatitis
a. Hemorrhagic pancreatitis
Clinical signs and symptoms in acute pancreatitis include all of the following except:
Select one:
a. Severe abdominal pain radiating to the back
b. Severe abdominal pain radiating to the right shoulder
c. Elevated amylase
d. Nausea and vomiting
b. Severe abdominal pain radiating to the right shoulder
Gallstones are present in 40% to 60% of patients with: Select one: a. Chronic pancreatitis b. Annular pancreas c. Cystic fibrosis d. Acute pancreatitis
d. Acute pancreatitis
If the celiac axis is well visualized, the sonographer should move the transducer in the \_\_\_\_\_\_\_\_\_\_ direction to image the pancreas? Select one: a. Superior b. Anterior c. Inferior d. Posterior
c. Inferior
In cases of acute pancreatitis, the parenchyma of the pancreas generally appears: Select one: a. Homogeneous b. Echogenic c. Calcified d. Hypoechoic
d. Hypoechoic
The duct of Santorini is a(n): Select one: a. Small accessory duct to the gallbladder b. Accessory duct to the cystic duct c. Accessory duct to the pancreas d. Small opening in the duodenum
c. Accessory duct to the pancreas
The head of the pancreas is inferior to the \_\_\_\_\_\_\_\_\_\_\_\_\_ of the liver: Select one: a. Right lobe b. Caudate lobe c. Right lateral fissure d. Left lateral fissure
b. Caudate lobe
The head of the pancreas lies: Select one: a. Anterior to the liver b. Posterior to the aorta c. Medial to the duodenum d. Lateral to the inferior vena cava
c. Medial to the duodenum
The main pancreatic duct joins the \_\_\_\_\_\_\_\_\_\_ before entering the second part of the duodenum. Select one: a. Common bile duct b. Duct of Santolina c. Cystic duct d. Accessory duct
a. Common bile duct
The majority of the pancreas lies within which abdominal cavity? Select one: a. Perineum b. Intraperitoneum c. Retroperitoneum d. Pericardium
c. Retroperitoneum
The microscopic collection of cells within the tissues of the pancreas is called? Select one: a. Glucagon cells b. Islets of Langerhans c. Insulin d. Amylase cells
b. Islets of Langerhans
The normal dimension of the pancreatic head is usually less than \_\_\_\_\_\_\_\_\_\_\_. Select one: a. 2 cm b. 3 cm c. 2.4 cm d. 1 cm
b. 3 cm
The normal size of the pancreatic duct is less than \_\_\_\_\_ mm. Select one: a. 1 b. 3 c. 5 d. 6
b. 3
The pancreas is found behind the \_\_\_\_\_\_\_\_\_\_\_ omental sac. Select one: a. Greater b. Inferior c. Superior d. Lesser
d. Lesser
The pancreas is reflective in its sonographic appearance because of the multiple: Select one: a. Islets of Langerhans b. Cooper ligaments c. Small glands or acini d. Fat between the lobules
d. Fat between the lobules
The persistence of the dorsal and ventral pancreas with the head encircling the duodenum is called: Select one: a. Hypoplasia b. Cystic fibrosis c. Agenesis d. Annular pancreas
d. Annular pancreas
The primary pancreatic duct is the duct of \_\_\_\_\_\_\_\_\_\_\_\_\_\_. Select one: a. Santorini b. Ampulla c. Vater d. Wirsung
d. Wirsung
The splenic artery is considered to be along the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ border of the pancreas. Select one: a. Superior b. Lateral c. Anterior d. Inferior posterior
a. Superior
The splenic vein courses along the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ of the pancreas. Select one: a. Anterior border b. Along the superior border c. Posteromedial border d. Inferior posterior border
c. Posteromedial border
The tail of the pancreas is located:
Select one:
a. Posterior to the left kidney, near the splenic hilum
b. Anterior to the left kidney, near the splenic hilum
c. Posterior to the right kidney, near the liver hilum
d. Anterior to the right kidney, near the liver hilum
b. Anterior to the left kidney, near the splenic hilum
The \_\_\_\_\_\_\_\_\_\_\_ passes through a groove posterior to the pancreatic head. Select one: a. Common bile duct b. Gastroduodenal artery c. Hepatic duct d. Superior mesenteric vein
a. Common bile duct
What vessel runs posterior to the lower neck of the pancreas and anterior to the uncinate process? Select one: a. Splenic vein b. Superior mesenteric vein c. Gastroduodenal artery d. Hepatic artery
b. Superior mesenteric vein
Which one of the following statements is false?
Select one:
a. The head of the pancreas is anterior to the inferior vena cava (IVC).
b. The head of the pancreas is superior to the caudate lobe.
c. The uncinate process is posterior to the superior mesenteric vessels.
d. The gastroduodenal artery is the anterolateral border of the head.
b. The head of the pancreas is superior to the caudate lobe.
Which one of the following structures is located in the anterolateral border of the pancreas? Select one: a. Common bile duct b. Gastroduodenal artery c. Hepatic duct d. Superior mesenteric vein
b. Gastroduodenal artery
Which one of the following veins courses in a sagittal plane and passes posterior to the neck of the pancreas? Select one: a. Splenic b. Superior mesenteric c. Inferior mesenteric d. Main portal
b. Superior mesenteric
