Section 1 test study guide reverse

Question 1

reverse

Duct of Wirsung

Answer 1

Main pancreatic duct

Question 2

reverse

duct of santorini

Answer 2

accessory pancreatic duct

Question 3

reverse

n/v

pain abd

mild fever

amylase/lipase up

leukocytes up

Answer 3

pancreatitis signs

Question 4

reverse

weight loss

decresed appetite

n/v

pain radiating to back

stool changes

painless jaundice

Answer 4

adenocarcinoma signs

Question 5

reverse

alpha

beta

delta

Answer 5

pancreatic cells

Question 6

reverse

produce up to 2 liters of pancreatic juice per day

arranged in sac-like structures

juice converges into the two ducts which drain into the duodenum for digestion

juice enzymes capable of completeing almost all of the digestoin of our food

Answer 6

acini cells

Question 7

reverse

retroperitoneal organ

lies posterior to the stomach, duodenum, proximal jejunum of the small bowel, also the transverse colon run horizontallyh acraoss the ab

contained in the anterior pararenal space

drapes across the mid aspect of the ab, just under the xyphoid process

Answer 7

Pancreas Anatomy

Question 8

reverse

right lateral to SMV

anterior to IVC

inferior to portal vein

Answer 8

Vascular structure pancreatic head

Question 9

reverse

posterior to SMV

may completely surround SMV

anterior to aorta

Answer 9

Vascular structure Uncinate process

Question 10

reverse

anterior to portal confluence

Answer 10

vascular structure neck

Question 11

reverse

anterior to SMV

splenic vein

SMA

Answer 11

vascular structure body

Question 12

reverse

splenic vein marks posterior border

Answer 12

vascular structure tail

Question 13

reverse

head

Neck

Body

tail

Answer 13

Pancrease main parts

Question 14

reverse

echogenicity is caompared to liver

echo intensity is slightly less than surrounding retroperitoneum and slightly greater than liver

texture depends on amount of fat dispersed between the lobules

fat is strongly echogenic so may be isoechoic with surround retroperitoneal fat

echotexture-homogeneous

surface smooth to slightly lobular

Answer 14

normal pancreatic tissue sonographically

Question 15

reverse

carries blood from heart

enclosed in sheath containing nerve and vein

3 layers

tunica intima

tunica media

tunicat adventitia

Answer 15

Aorta

Question 16

reverse

inner vessel wall

Answer 16

tunica intima

Question 17

reverse

middle vessel wall

arteries have thicker to allow for great elasticity

Answer 17

tunica media

Question 18

reverse

outer vessel wall

Answer 18

tunica adventitia

Question 19

reverse

brachiocephalic

commom carotid

subclavian

Answer 19

Arteries arising from aortic arch

Question 20

reverse

endters through aortic hiatus of diaphragm

descends anteriorly and slightly left of vertebral bodies

posterior and left of gastroesophogeal junction

flanked on either side by diaphragmatic crura

Answer 20

Anatomy of Abdominal aorta

Question 21

reverse

Celiac Trunk

SMA

Left & Right Renal A

Left & Right Gonadal A

Root of IMA

Left & Right Common Iliac

Answer 21

Aortic branches

Question 22

reverse

incidence increases with age

affects more men than women

smoking

hyperlipidemia

diabetes

HBP

Answer 22

Atheromatous disease factors

Question 23

reverse

swelling in bloos vessel with focal or diffuse

2 types

true

false (pseudo)

Answer 23

Aneurysm

Question 24

reverse

95% are infrarenal

30-60% are assymptomatic

may have ab, leg or back pain

higher ince=idence in Men over 60

incidence of AAAis 70-90% in men over 65

Answer 24

abdomial aorta aneurysm

AAA

Question 25

reverse

focal dilation of aorta larger than 3cm

elongate as the grow

most deflect to left or kink anteriorly or both

aventitia is generallly echogenic from adjacent fibrofatty tissue

mural thrombus is usually low to med echogenicity and makes up most of wall

intimal lining may be smooth or irregula with calcifications

Answer 25

Sonographic appearance of AAA

Question 26

reverse

measure outer to outer

maximum true lenght and width and transvers dimensions

document locatoin include suprarenal extension or iliac involvement

document wall type: calcified plaque, flowing blood, soft plaque or well established plaque

Answer 26

AAA measurement

Question 27

reverse

Bulbous

fusiform

saccular

dumbell

berry

Answer 27

Descriptive terms for AAA

Question 28

reverse

sharp junction between normal and abnormal

Answer 28

Bulbous AAA

Question 29

reverse

gradual transition between normal and abnormal

Answer 29

Fusiform AAA

Question 30

reverse

sharp sudden transition between normal and abnormal

Answer 30

Saccular AAA

Question 31

reverse

figure 8 appearance

Answer 31

Dumbell AAA

Question 32

reverse

rippled appearcance

mostly in cephalic region

Answer 32

berry