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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. Lung

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B. Muscle

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C. Skin

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D. Parotid gland

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E. Red blood cells

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D. Parotid gland

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Acute pancreatitis

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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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Management of insulinoma

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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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