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Random Q's- A > Pancreas > Flashcards

Pancreas Flashcards

1
Q

What are the cells of the pancreas that carry out the exocrine function and produce amylase, lipase and sodium bicarbonate?

A

Acinar cells

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2
Q

What is chyme?

A

Partially digested food

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3
Q

What is in the double duct sign?

A

Enlarged CBD and pancreatic duct

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4
Q

What’s the accessory duct of the pancreas?

A

Duct of Santorini

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5
Q

A gastrinoma is a:

A

islet cell tumor

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6
Q

What are the islands of tissue found within the pancreas that produce insulin and glucagon?

A

Isles of Langerhans

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7
Q

What’s the most common cancer of the pancreas?

A

Pancreatic adenocarcinoma

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8
Q

Difference between pseudocyst and phlegmon?

A

Psuedocyst - pancreatic enzymes that have leaked into the tissue surrounding the pancreas
Phlegmon - peripancreatic fluid collect that results in the inflammation of the pancreas

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9
Q

What’s von Hippel Lindau disease?

A

a hereditary disease that includes the development of cysts within the pancreas and other organs

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10
Q

What’s Zollinger-Ellison syndrome?

A

Excessive secretion of acid by the stomach caused by the presence of a functional gastrinoma within the pancreas

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11
Q

What supplies the head of the pancreas? What supplies the body and tail?

A

GDA

SA + SMA

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12
Q

Are serous cystadenomas benign or malignant?

A

Benign

Mucinous cystadenomas have malignant potential

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13
Q

Mucinous cystadenomas are found in the body and tail. True or false

A

True

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14
Q

Two types of islet cell tumors:

A

Gastrinoma

Insulinoma ** (mc)

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15
Q

The most common location of focal pancreatitis is:

A

Head

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16
Q

Which part of the pancreas is located anteriorly to the portal confluence?

A

Neck

17
Q

Which part of the pancreas is located right lateral to the SMV, anterior to IVC and inferior to PV?

A

Head

18
Q

One clinical sign of an insulinoma is?

A

Low blood sugar signs

19
Q

A gastrinoma of the pancreas can produce:

A

Zollinger Ellison syndrome

20
Q

Whipple procedure:

A

A surgical procedure in which the head of the pancreas, the gallbladder, some of the bile ducts and proximal duodenum are removed

21
Q

Phlegmon:

A

the peripancreatic fluid collection that results from inflammation of the pancreas

22
Q

What are the exocrine functions of the following? Amylase, lipase, sodium bicarbonate and trypsin/chymotrypsin/carboxypolypeptidase

A

Amylase- carbs
Lipase -fats
Sodium bicarb- neutralize stomach avid
Trypsin, etc. - proteins

23
Q

What’s the functional unit of the endocrine component?

A

Isles of Langerhans

24
Q

Endocrine functions:

A

Insulin- stimulates the body to use glucose for energy

Glucagon- promotes release of glucose

25
Q

Panc head blood supply

A

GDA

26
Q

Panc body & tail blood supply

A

SMA & SA

27
Q

Which pancreatic enzyme is raised first with acute pancreatitis?

A

Amylase, but does lipase last longer??

28
Q

Focal pancreatitis is often seen where?

A

Head

29
Q

What’s the more common site for a pseudocyst?

A

Lesser sac

30
Q

When you see the double duct sign, what could this indicate?

A

Pancreatic adenocarcinoma

2 ducts – CBD + panc duct

31
Q

Cystadenoma’s/cystadenocarcinomas are often found in:

A

Body & tail

32
Q

True pancreatic cysts may be seen with:

A

Von Hippel-Lindau disease or ADPKD

33
Q

All of the following are sonographic features of chronic pancreatitis except: dilated panc duct, calcifications within the pancreas, pseudocyst, and diffusely hypoechoic panc

A

Diffusely hypoechoic pancreas

34
Q

Which lab value is more specific for acute pancreatitis?

A

Lipase

35
Q

Which cells carry out the exocrine function of the pancreas? Whipple cells, Isles of Langerhans, Delta cells or Acinar cells

A

Acinar

36
Q

A clinical sign of an insulinoma is:

A

low blood sugar symptoms

37
Q

Which part of the pancreas is located right lateral to the SMV, anterior to IVC, and inferior to PV?

A

Head

38
Q

Which part of the pancreas is located anterior to the portal confluence?

A

Neck

Random Q's- A (11 decks)

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