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Chapter 26. Pancreas
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All of the following are true about the anatomy of the pancreas, except
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A. The head is adherent to the medial duodenum.
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B. The body is in contact posteriorly with the left crus of the diaphragm and the left adrenal gland.
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C. The common bile duct passes through a groove in the posterior aspect of the head.
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D. The uncinate process lies anterior to the superior mesenteric artery.
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E. The main pancreatic duct is also known as the duct of Wirsung.
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D. The uncinate process lies anterior to the superior mesenteric artery
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Serum amylase can come from
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A. Is usually caused by acute cholecystitis
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B. Can be complicated by pancreatic abscess
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C. Causes inflammation of the pancreas that is usually not discernible by CT scan
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D. Is associated with common bile duct stones in more than 80% of patients
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E. Progresses to chronic pancreatitis in about 40% of those affected
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B. Can be complicated by pancreatic abscess
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Pancreatic adenocarcinoma
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A. Is unresectable at the time of diagnosis in most people
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B. Is smaller at diagnosis, on average, for tumors in the tail of the pancreas than those in the head
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C. Can be resected by pancreaticoduodenectomy for those tumors limited to the tail
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D. Has a similar prognosis as malignant pancreatic neuroendocrine tumor
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E. Should generally be managed by operative enucleation
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A. Is unresectable at the time of diagnosis in most people
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A. Typically requires emergent operation
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B. Should not include preoperative imaging
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C. Should usually include resection of the primary tumor
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