pancreas

Question 1

length of pancreas

Answer 1

15-20 cm

Question 2

weight pancreas

Answer 2

75 to 100g

Question 3

duct fron the dorsal anlage

often absent

Answer 3

accessory duct (santorini)

Question 4

duct from ventral anlage; opens to 2nd part of duodenum with bile duct

Answer 4

main pancreatic duct (wirsung)

Question 5

mc congenital anomaly of the pancreas
predispose to acute and chronic pancreatitis
functional obstruction of duct of Santorini

Answer 5

pancreas divisum

Question 6

2nd part of duodenum surrounded by a rim of pancreatic tissue
common i children with DS

Answer 6

Annular pancreas

Question 7

acute pancreatitis:

flank ecchymosis

Answer 7

grey turner syndrome

Question 8

acute pancreatitis:

periumbilical ecchymosis

Answer 8

cullen sign

Question 9

acute pancreatitis:

ecchymosis of inguinal ligament

Answer 9

fox sign

Question 10

acute pancreatitis:

bluish discoloration of scrotum

Answer 10

bryan sign

Question 11

cut off sign

reversed 3 or inverted 3 sign

Answer 11

acute pancreatitis

Question 12

colonic spasm adjacent to the inflamed pancreas

Answer 12

cut off sign

Question 13

diagnostic gold standard of acute pancreatitis

Answer 13

abd CT scan

Question 14

+ interstitial edema

Answer 14

mild pancreatitis

Question 15

+ necrosis

Answer 15

severe pancreatitis

Question 16

abnormal extraluminal gas bubbles

Answer 16

pathognomonic of pancreatic infection

Question 17

standard tx for px with infected necrotizing pancreatitis

Answer 17

open necrosectomy

Question 18

progressive inflammatory d/o that leads to irreversible destruction of the exocrine and endocrine tissue of the pancreas

Answer 18

chronic pancreatitis

Question 19

mc cause of chonic pancreatitis

Answer 19

alcohol

Question 20

tropical calcific and fibrocalculous pancreatic diabetes

Answer 20

tropical pancreatitis

Question 21

interventional procedure for pancreatic pain

Answer 21

decompression ( endoscopic stenting, puestow procedure)

resection ( whipple frey procedure)

Question 22

total pancreatectomy

Answer 22

priestly

Question 23

duodenum preserving pancreatic head resection

Answer 23

Beger

Question 24

local resection of head w/ pancreaticoduodenostomy

Answer 24

frey and smith

Question 25

modified LR-LP; SIDE TO SIDE PANCJEJUNO

Answer 25

Hamburg

Question 26

modified beger

excavation of the cental portion of the head w/o formal division of the pancreatic neck

Answer 26

Berne

Question 27

mc location of pseudocyst

Answer 27

lesser sac

Question 28

most useful diagnostic imaging for pseudocyst

Answer 28

CT scan

Question 29

best tx for pseudocyst

Answer 29

internal drainage

Question 30

mc malignancy of pancreas

Answer 30

adenocarcinoma

Question 31

mc site of adenoca of pancreas

Answer 31

head

Question 32

the only definitive tx of periampullary ca

Answer 32

whipple’s

Question 33

exhibits whipples triad

Answer 33

insulinoma

Question 34

what comprises whipples triad

Answer 34

symptomatic fasting hypoglycemia
serum glucose <50mg/dl
relief w/ glucose administration

Question 35

tx of insulinoma

Answer 35

enucleation

Question 36

for insulinoma >2cm and close to main pancreatic duct

Answer 36

whipples

Question 37

WDHA syndrome/ verner morrison syndrome

Answer 37

VIPoma

Question 38

mc location of VIPoma

Answer 38

tail

Question 39

most sensitive imaging modality

Answer 39

EUS

Question 40

tx of VIPoma

Answer 40

debulking as palliative tx

Question 41

presence of necrolytic migratory erythema

Answer 41

glucagonoma

> 500 pg/ml
metastatic usually

Question 42

tx of glucagonoma

Answer 42

debulking as palliative tx

Question 43

2nd most common islet cell tumor
elevated PP as marker
usually malignant

Answer 43

non functioning islet cell tumor