Ch. 12 Hagen Test Flashcards
1
Q
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
A
c. Lesser sac
2
Q
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
a. Cystic fibrosis
3
Q
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
A
c. Biliary tract disease
4
Q
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
A
b. Adenocarcinoma of the pancreas
5
Q
A serum \_\_\_\_\_ level of twice normal usually indicates acute pancreatitis. Select one: a. lipase b. amylase c. alkaline phosphatase d. aspartate aminotransferase (AST)
A
b. amylase
6
Q
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
a. Hemorrhagic pancreatitis
7
Q
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
A
b. Severe abdominal pain radiating to the right shoulder
8
Q
Gallstones are present in 40% to 60% of patients with: Select one: a. Chronic pancreatitis b. Annular pancreas c. Cystic fibrosis d. Acute pancreatitis
A
d. Acute pancreatitis
9
Q
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
A
c. Inferior
10
Q
In cases of acute pancreatitis, the parenchyma of the pancreas generally appears: Select one: a. Homogeneous b. Echogenic c. Calcified d. Hypoechoic
A
d. Hypoechoic
11
Q
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
A
c. Accessory duct to the pancreas
12
Q
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
A
b. Caudate lobe
13
Q
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
A
c. Medial to the duodenum
14
Q
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
a. Common bile duct
15
Q
The majority of the pancreas lies within which abdominal cavity? Select one: a. Perineum b. Intraperitoneum c. Retroperitoneum d. Pericardium
A
c. Retroperitoneum