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Chapter 26. Pancreas

All of the following are true about the anatomy of the pancreas, except

A. The head is adherent to the medial duodenum.

B. The body is in contact posteriorly with the left crus of the diaphragm and the left adrenal gland.

C. The common bile duct passes through a groove in the posterior aspect of the head.

D. The uncinate process lies anterior to the superior mesenteric artery.

E. The main pancreatic duct is also known as the duct of Wirsung.

D. The uncinate process lies anterior to the superior mesenteric artery

Serum amylase can come from

A. Lung

B. Muscle

C. Skin

D. Parotid gland

E. Red blood cells

D. Parotid gland

Acute pancreatitis

A. Is usually caused by acute cholecystitis

B. Can be complicated by pancreatic abscess

C. Causes inflammation of the pancreas that is usually not discernible by CT scan

D. Is associated with common bile duct stones in more than 80% of patients

E. Progresses to chronic pancreatitis in about 40% of those affected

B. Can be complicated by pancreatic abscess

Pancreatic adenocarcinoma

A. Is unresectable at the time of diagnosis in most people

B. Is smaller at diagnosis, on average, for tumors in the tail of the pancreas than those in the head

C. Can be resected by pancreaticoduodenectomy for those tumors limited to the tail

D. Has a similar prognosis as malignant pancreatic neuroendocrine tumor

E. Should generally be managed by operative enucleation

A. Is unresectable at the time of diagnosis in most people

Management of insulinoma

A. Typically requires emergent operation

B. Should not include preoperative imaging

C. Should usually include resection of the primary tumor

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