Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ABD Board Review > Pancreas > Flashcards

Pancreas Flashcards

1
Q

pancreatic adenocarcinoma

A

mean patient age is 55

typically pancreatic head

average survival time is 4-6 months

symptoms: abd/back pain, jaundice, weight loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

branches off the celiac axis

A

left gastric artery, common hepatic, and splenic artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

accumulation of pancreatic fluid and necrotic debris confinded by the retroperitoneum

A

pancreatic pseudocysts

contain high amounts of amylase, lipase, and trypsin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

pancreatic duct measurement

A

<2mm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

which portion of the duodenum does the ampulla of vater open into

A

2nd portion at the major papilla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

complication of acute pancreatitis

A

psuedocyst, abscess, pancreatic necrosis, hemorrhage, venous thrombosis, pseudoaneurysm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what planes are the 4 portion of the duodenum seen

A

1st and 3rd are trans

2nd and 4th are long

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

pancreatic duct dilatation is typically due to what?

A

stones within wirsungs duct from chronic pancreatitis or a stone at the ampulla of vater

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

associated findings of pancreatic adenocarcinoma

A

courvoisier’s GB

bile duct dilatation

dilated pancreatic duct

liver mets

ascites

lymphadenopathy

pseudocyst formation

elevated conjugated bilirubin, alk phospatase, GGT, amylase, lipase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

most common islet tumor, usually benign, hypoglycemic

A

insulinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

exocrine function

A

to secrete trypsin, lipase, and amylase for digestion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

structures that are in contact with the pancreatic head

A

IVC

CBD

ampulla of vater

GDA

c loop of duodenum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

SMA and SMV relationship to pancreas

A

posterior to neck and anterior to uncinate

anterior to the 3rd portion of the duodenum

SMV is to the rt of the SMA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

sono findings of pancreatic adenocarcinoma

A

solid hypoechoic mass

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

most common reason for pancreatic pseudocyst in children

A

abd trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

most common cause of chronic pancreatitis

A

alcoholic chronic pancreatitis

serum amylase and lipase elevation only during acute attacks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

benign, cluster of grape-like cysts and external lobulation. associated with von Hippel-Lindau disease

A

pancreatic serous cystadenoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

inflammatory disease producing temporary changes, enlarged hypoechoic gland

A

acute pancreatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

posterior medial boarder of pancreas

A

splenic vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

aorta, celiac, and SMA relation

A

ao posterior to body

celiac axis arises superior border of pancreas

SMA inferior border of pancreas

21
Q

an inflammatory mass formed by edema and leakage of pancreatic enzymes

A

pancreatic phlegmon

forms as a complication of acute pancreatitis

22
Q

course of GDA

A

travels posterior to the first portion of the duodenum then anterior to pancreas head

divides into right gastroepiploic and superior pancreaticoduodenal artery

23
Q

ultrasound findings in pancreas associated with cystic fibrosis

A

hyperechoic pancreas

cland atrophy

fibrosis and fatty replacement

cysts due to ductal obstruction

meconium ileus is a common associated condition

24
Q

multiple endocrine neoplasia (MEN)

A

inherited endocrine disorder

MEN type 1 and type 2

parathyroids, pancreatic islets cells, pituitary, adrenal, thyroid

25
Q

proper hepatic artery direction

A

travels superiorly toward the liver anterior to the portal vein and left bile duct

right gastric is a branch off

26
Q

which rises later and persists for longer amylase or lipase

A

lipase

27
Q

congenital anomaly where ventral pancreas encircles the second portion of the duodenum

A

annular pancreas

28
Q

failure of dorsal and ventral pancreatic ductal systems to fuse during embryonic development

A

pancreas divisum

29
Q

travels posterior to the 1st portion of duodenum and pancreas head to lie right of the main pancreatic duct

A

CBD

30
Q

common causes of pancreatic pseudocysts

A

acute pancreatitis

chronic pancreatitis

pancreatic trauma

pancreatic ductal obstruction

pancreatic neoplasms

31
Q

head of the pancreas relationship to the IVC and duodenum

A

head anterior to IVC

head medial to duodenum

32
Q

large multicystic mass with numerous septations and debris. uncommon, potentially malignant

A

mucinous cystic neoplasms

33
Q

sonographic findings of chronic pancreatitis

A

small and echogenic gland

calcification

pancreatic duct dilatation

pseudocyst formation

bile duct dilatation

portal vein thrombosis

34
Q

most common causes of acute pancreatitis

A

gallstones 40%

alcohol abuse 35%

35
Q

pancreatic cysts

A

true pancreatic cysts are rare

associated with adult polycystic kidney disease and von Hippel-Lindau syndrome

36
Q

where does the accessory pancreatic duct open into the duodenum

A

2nd portion at the minor papilla 2 cm prox to the ampulla of vater

37
Q

irreversible destruction due to repeated bouts of pancreatic inflammation

A

chronic pancreatitis

38
Q

inferior mesenteric vein

A

drains left lower quadrant sigmoid and descending colon

drains directly into the splenic vein

39
Q

common hepatic divides into

A

proper hepatic and gastroduodenal arteries

40
Q

most common site of pseudocyst

A

lesser peritoneal sac

41
Q

superior border of body and tail

A

splenic artery

42
Q

2nd most common islet cell tumor, gastric acid hypersecretion, ulcer, frequently malignant

A

gastrinoma

(zollinger-ellison syndrome)

43
Q

relational anatomy to body and tail

A

posterior wall of stomach overlies anterior border of tail and body

tail is located anterior and medial to splenic hilum

44
Q

endocrine function

A

non-ductal, to secrete insulin via islets of langerhans

alpha, beta, delta

45
Q

exocrine gland disorder resulting in viscous

secretions causing pancreatic dysfunction

A

cystic fibrosis

46
Q

what percentage of the population has complete regression of the duct of santorini

A

50%

47
Q

relation of CBD and GDA to pancreatic head

A

CBD posterior/lateral to head

GDA anterior/lateral to head

48
Q

pancreas location

A

within anterior pararenal space of retroperitoneum

ABD Board Review (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions