Pancreas A&P Flashcards

1
Q

is the pancreas an intraperitoneal or retroperitoneal organ?

A

retroperitoneal

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2
Q

where is the pancreas located?

A

between the C-loop of the duodenum and splenic hilum

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3
Q

normal size of a pancreas is

A

15 to 20 cm long

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4
Q

T/F: the pancreas increases in size with age

A

FALSE, it decreases in size with age

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5
Q

what are the 4 segments of the pancreas?

A
  1. head
  2. neck
  3. body
  4. tail
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6
Q

the head is the most __________ part of the pancreas

A

inferior

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7
Q

what is the uncinate process?

A

medial projection of the pancreatic head that lies immediately posterior to the SMV

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8
Q

the ___ is just posterior to the pancreas neck

A

portal-splenic confluence

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9
Q

the pancreatic body is anterior to the ______ and ______

A

SMA and AO

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10
Q

the pancreatic tail is the most ________ portion

A

superior

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11
Q

the pancreas tail is anterior to the _________

A

splenic vein

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12
Q

what is the duct of wirsung?

A

the main duct of the pancreas

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13
Q

diameter of the duct of wirsung is

A

2 to 3 mm

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14
Q

the duct of wirsung meets the __________ at the pancreas head

A

CBD

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15
Q

what is the duct of santorini?

A

accessory duct
branch of the main pancreatic duct

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16
Q

T/F: the pancreas is an exocrine and endocrine gland

A

TRUE

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17
Q

_________ cells make up 99% of pancreatic tissue and produce digestive enzymes

A

acinar

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18
Q

enzyme that digests carbohydrates

A

amylase

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19
Q

enzyme that digests fats

A

lipase

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20
Q

enzyme that neutralizes stomach acid

A

sodium bicarbonate

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21
Q

enzymes (3) that digest proteins

A
  1. trypsin
  2. chymotrypsin
  3. carboxypolypeptidase
22
Q

________ secrete hormones from the pancreas

A

islets of langerhans

23
Q

alpha cells of the pancreas secrete

A

glucagon

24
Q

beta cells of the pancreas secrete

A

insulin

25
Q

delta cells of the pancreas secrete

A

somatostatin

26
Q

the ________ provides blood to the pancreas head

A

gastroduodenal artery (GDA)

27
Q

the ___ and ____ provide blood to the body and tail of the pancreas

A

splenic artery and SMA

28
Q

venous drainage of the pancreas consists of (4)

A
  1. splenic vein
  2. SMV
  3. IMV
  4. portal vein
29
Q

pancreatic tissue that surrounds the C-loop of the duodenum

A

annular pancreas

30
Q

abnormal fusion of the pancreatic ducts

A

pancreas divisum

31
Q

The most common congenital variant of the pancreas is _____

A

pancreas divisum

32
Q

patients with pancreas divisum have a shortened ______ and are prone to suffer from ______

A

duct of wirsung
pancreatitis

33
Q

what is the best transducer to scan the pancreas?

A

2.5 to 5.0 MHz curved

34
Q

indications for a pancreas ultrasound (4)

A
  1. epigastric pain
  2. pancreatitis
  3. jaundice (head tumor)
  4. newly developed diabetes
35
Q

the pancreas is isoechoic to hyperechoic than the

A

liver

36
Q

the head of the pancreas is _____ to the IVC

A

anterior

37
Q

the head of the pancreas is ____ to the duodenum

A

medial

38
Q

CBD is _______ to the pancreatic head
gastroduodenal artery is _____ to the pancreatic head

A

CBD is posterolateral
gastroduodenal artery is anterolateral

39
Q

SMA and SMV are ___ to the pancreatic neck and ____ to the uncinate process

A

posterior to neck
anterior to uncinate process

40
Q

the AO is ___ to the body of the pancreas

A

posterior

41
Q

celiac axis arises from the AO at the ____ border of the pancreas

A

superior

42
Q

SMA arises from the AO at the ____ border of the pancreas

A

inferior

43
Q

what vessel is the main landmark for the pancreas?

A

splenic vein

44
Q

the SMV is to the ___ of the SMA

A

right

45
Q

structures in contact with the pancreatic head (5)

A

IVC
CBD
ampulla of vater
gastroduodenal artery
C-loop of duodenum (2nd portion)

46
Q

the uncinate process is ____ to the SMA and SMV

A

posterior

47
Q

the splenic vein is ____ to the pancreas

A

posteroinferior

48
Q

the stomach is ____ to the pancreatic body and tail and ___ to the splenic hilum

A

anterior to the pancreatic body and tail
anterior/medial to the splenic hilum

49
Q

tail of the pancreas is ___ to the stomach and ___ to the upper pole of the left kidney

A

posterior to stomach
anterior to upper pole of the left kidney

50
Q

the splenic artery is ____ to the pancreas

A

superior/anterior