1.
Smaller duct. Drains the head.
Correct Answer
A. Santorini
Explanation
The correct answer is Santorini. Santorini is a smaller duct that drains the head. This suggests that it is a part of the drainage system in the body, specifically related to the head region. The other options, Wirsung, dorsal, and ventral, do not provide any information about their function or relevance to the given context. Therefore, Santorini is the most suitable answer based on the given information.
2.
Duct of Wirsung
Correct Answer
D. A and B
Explanation
The correct answer is A and B. The duct of Wirsung empties into the duodenum at the ampulla of Vader and it also joins the common bile duct (CBD). Additionally, the duct of Wirsung is found in the head of the pancreas. Therefore, both options A and B are correct.
3.
DWhat structure is NOT known to mimic Wirsung or Santorini ducts?
Correct Answer
B. Common bile duct
Explanation
The common bile duct is not known to mimic Wirsung or Santorini ducts. The Wirsung duct is the main pancreatic duct, and the Santorini duct is an accessory pancreatic duct. These ducts are involved in the drainage of pancreatic secretions. The splenic vein or artery, posterior wall of the stomach, and peritoneal fat are not related to the mimicry of these ducts.
4.
Pancreas in relation to stomach and duodenum
Correct Answer
D. Posterior to stomach, anterior to duodenum
Explanation
The pancreas is located posterior to the stomach and anterior to the duodenum. It sits in the retroperitoneal space, running horizontally across the abdomen. Its position relative to the stomach and duodenum plays an important role in the digestive system, as it produces digestive enzymes that are secreted into the duodenum. It also has endocrine functions, such as producing insulin and glucagon, which are crucial for regulating blood glucose levels. This position is essential for the pancreas's interactions with surrounding organs in the digestive system.
5.
Pancreas lies between
Correct Answer
C. Duodenal loop and splenic hilum
Explanation
The pancreas lies between the duodenal loop and the splenic hilum. The duodenal loop is a part of the small intestine located near the stomach, while the splenic hilum is the area where the spleen is attached to the stomach. This positioning of the pancreas allows it to have close proximity to both the digestive system (duodenum) and the circulatory system (spleen).
6.
Which is true about the head of the pancreas, in relation to the vascular structures?
Correct Answer
C. Caudal to portal vein
Explanation
The head of the pancreas is located caudal to the portal vein. This means that it is positioned below the portal vein in relation to the vascular structures.
7.
The endocrine function of pancreas is
Correct Answer
A. Production of insulin
Explanation
The endocrine function of the pancreas involves the production of insulin. Insulin is a hormone that helps regulate blood sugar levels by allowing cells to take in glucose from the bloodstream. Insufficient production of insulin can lead to diabetes, a condition characterized by high blood sugar levels. Therefore, the pancreas plays a crucial role in maintaining proper glucose metabolism through the production of insulin.
8.
Insulin
Correct Answer
E. All of the above
Explanation
Insulin, which is produced by the pancreas, serves multiple functions in the body. One of its roles is to cause glycogen formation, which involves converting excess glucose into glycogen for storage. Additionally, insulin enables cells with insulin receptors to take up glucose from the bloodstream, thereby decreasing blood sugar levels. Therefore, the correct answer is "All of the above" because all the statements mentioned (insulin causing glycogen formation and allowing cells to take up glucose to decrease blood sugar) are true.
9.
What is not true about lipase?
Correct Answer
C. Remains increased for shorter period of time than amylase
Explanation
Lipase is an enzyme that breaks down fat. It is elevated in pancreatitis, a condition characterized by inflammation of the pancreas. However, the statement that lipase remains increased for a shorter period of time than amylase is not true. In fact, lipase levels typically remain elevated for a longer duration than amylase levels in cases of pancreatitis. This is because lipase is more specific to pancreatic damage, while amylase can also be elevated in other conditions such as salivary gland inflammation.
10.
Lies near the hilum of the spleen and upper pole of left kidney
Correct Answer
C. Tail
Explanation
The correct answer is "tail." The statement suggests that the structure being referred to is located near the hilum of the spleen and the upper pole of the left kidney. Among the options given, the tail of the spleen is the most appropriate answer as it is positioned in close proximity to these anatomical landmarks. The head and body of the spleen are not mentioned in the statement, making them less likely to be the correct answer.
11.
How big should the duct of Wirsung measure?
Correct Answer
B. 2mm
Explanation
The duct of Wirsung should measure 2mm.
12.
Normal length of pancreas
Correct Answer
C. 15cm
Explanation
The normal length of the pancreas is 15cm. This measurement is considered to be within the average range for the length of the pancreas.
13.
Which is not a structure commonly mistaken for pancreas?
Correct Answer
D. Posterior wall of stomach
Explanation
The pancreas is an organ located behind the stomach, so the posterior wall of the stomach is not commonly mistaken for the pancreas. The other options, such as parts of the left lobe of the liver, lymph nodes, caudate, and horse shoe kidney, may have similar anatomical locations or characteristics that could lead to confusion with the pancreas.
14.
The pancraes is posterior to all of these structures, except
Correct Answer
B. IVC
Explanation
The correct answer is IVC because the pancreas is located behind the stomach, lesser sac, and duodenum. The IVC (inferior vena cava) is a large vein that carries deoxygenated blood from the lower body to the heart, and it is not positioned posterior to the pancreas.
15.
The pancreas is anterior to all of these structures, except
Correct Answer
B. Splenic artery
Explanation
The pancreas is located in the abdominal cavity and is positioned in front of several structures. However, it is not anterior to the splenic artery. The splenic artery is a branch of the celiac trunk and runs along the upper border of the pancreas. Therefore, the pancreas is not anterior to the splenic artery.
16.
Which is not a branch of celiac axis?
Correct Answer
A. Splenic vein
Explanation
The celiac axis is a major branch of the abdominal aorta that supplies blood to various organs in the abdomen. The branches of the celiac axis include the common hepatic artery (CHA), splenic artery, and left gastric artery. The splenic vein, on the other hand, is not a branch of the celiac axis. It is a vein that drains blood from the spleen and merges with the superior mesenteric vein to form the portal vein.
17.
Which best describes the location of CBD in relation to the pancreatic head?
Correct Answer
C. Posterior and lateral
Explanation
The correct answer is posterior and lateral. The location of the CBD (common bile duct) in relation to the pancreatic head is described as posterior and lateral. This means that the CBD is situated behind and to the side of the pancreatic head.
18.
What forms the anteriolateral border of the pancreatic head?
Correct Answer
A. GDA
Explanation
The anteriolateral border of the pancreatic head is formed by the GDA, or the gastroduodenal artery. The GDA is a branch of the common hepatic artery and it runs along the anterior surface of the head of the pancreas. It supplies blood to the stomach, duodenum, and the head of the pancreas.
19.
Where is the portal vein located in relation to the pancreatic head?
Correct Answer
E. Posterior and superior
Explanation
The portal vein is located behind and above the pancreatic head.
20.
SMV and SMA are ____ to the neck of the pancreas and ____ to the uncinate.
Correct Answer
D. Posterior, anterior
Explanation
The SMV (superior mesenteric vein) and SMA (superior mesenteric artery) are located in relation to the neck of the pancreas and the uncinate. The SMV and SMA are positioned posterior (behind) to the neck of the pancreas and anterior (in front of) to the uncinate.
21.
What is the sonographic appearance of pancreas?
Correct Answer
E. All of the above
Explanation
The sonographic appearance of the pancreas can vary depending on different factors. It can appear homogeneous, meaning it has a uniform echo texture. It can also appear heterogeneous to the liver, meaning it has a different echo texture compared to the liver. In children, the pancreas is often hypoechoic, meaning it appears darker on the ultrasound image. Therefore, the correct answer is "all of the above" as the sonographic appearance of the pancreas can be homogeneous, heterogeneous to the liver, and hypoechoic in children.
22.
Complete or partial duodenal atresia can be caused by
Correct Answer
B. Annular pancreas
Explanation
Annular pancreas is a condition where a band of pancreatic tissue forms a ring around the duodenum, causing a partial or complete blockage. This can lead to duodenal atresia, a congenital condition where the duodenum is narrowed or completely closed off. Agenesis refers to the absence or underdevelopment of a structure, but it is not directly related to duodenal atresia. Pancreas divisum is a common anatomical variation where the pancreatic ducts do not fuse properly, but it is not known to cause duodenal atresia. Von Hippel-Lindau syndrome is a genetic disorder that primarily affects blood vessel growth, and it is not associated with duodenal atresia. Therefore, annular pancreas is the most likely cause of duodenal atresia among the given options.
23.
Which congenital pancreatic anomaly can cause diabetes in late stages?
Correct Answer
A. Fibrocystic disease
Explanation
Fibrocystic disease is a congenital pancreatic anomaly that can cause diabetes in late stages. This condition is characterized by the presence of fibrosis and cysts in the pancreas, which can lead to impaired pancreatic function and insulin production. As the disease progresses, the pancreas becomes more damaged, resulting in the development of diabetes. Therefore, fibrocystic disease is the correct answer for the given question.