Podcast
Questions and Answers
Which cells of the pancreas secrete glucagon?
Which cells of the pancreas secrete glucagon?
Which pancreatic artery supplies the body of the pancreas?
Which pancreatic artery supplies the body of the pancreas?
What is the primary function of ductal cells in the pancreas?
What is the primary function of ductal cells in the pancreas?
Which vein forms behind the neck of the pancreas?
Which vein forms behind the neck of the pancreas?
Signup and view all the answers
Where do the uncinate process of the pancreas rest?
Where do the uncinate process of the pancreas rest?
Signup and view all the answers
Which of the following is NOT an endocrine cell type in the pancreas?
Which of the following is NOT an endocrine cell type in the pancreas?
Signup and view all the answers
What is the primary function of acinar cells in the pancreas?
What is the primary function of acinar cells in the pancreas?
Signup and view all the answers
Which artery supplies the head of the pancreas?
Which artery supplies the head of the pancreas?
Signup and view all the answers
Caudal pancreatic arteries supply which part of the pancreas?
Caudal pancreatic arteries supply which part of the pancreas?
Signup and view all the answers
Which nodes receive lymphatics from the pancreas?
Which nodes receive lymphatics from the pancreas?
Signup and view all the answers
Which of the following is a common symptom of pancreatic pseudocysts?
Which of the following is a common symptom of pancreatic pseudocysts?
Signup and view all the answers
What is the most appropriate initial management for pancreatic pseudocysts that are < 5 cm in size?
What is the most appropriate initial management for pancreatic pseudocysts that are < 5 cm in size?
Signup and view all the answers
Pancreatic pseudocysts may need to be surgically intervened if:
Pancreatic pseudocysts may need to be surgically intervened if:
Signup and view all the answers
Which of the following is a complication associated with pancreatic pseudocysts?
Which of the following is a complication associated with pancreatic pseudocysts?
Signup and view all the answers
What is the main cause of chronic pancreatitis?
What is the main cause of chronic pancreatitis?
Signup and view all the answers
Which diagnostic imaging modality is best for confirming chronic pancreatitis?
Which diagnostic imaging modality is best for confirming chronic pancreatitis?
Signup and view all the answers
What is the mainstay of treatment for patients with chronic pancreatitis?
What is the mainstay of treatment for patients with chronic pancreatitis?
Signup and view all the answers
Which procedure is indicated for patients with chronic pancreatitis who have enlarged pancreatic ducts (> 6 mm) and a disease-free pancreatic head?
Which procedure is indicated for patients with chronic pancreatitis who have enlarged pancreatic ducts (> 6 mm) and a disease-free pancreatic head?
Signup and view all the answers
"Minimal change" chronic pancreatitis may be treated with:
"Minimal change" chronic pancreatitis may be treated with:
Signup and view all the answers
"Jaundice workup" involves which initial imaging study?
"Jaundice workup" involves which initial imaging study?
Signup and view all the answers
What is the most appropriate initial management for a pleural effusion caused by retroperitoneal leakage of pancreatic fluid?
What is the most appropriate initial management for a pleural effusion caused by retroperitoneal leakage of pancreatic fluid?
Signup and view all the answers
What is the main purpose of MRCP in the diagnosis of pancreatic cystic neoplasms?
What is the main purpose of MRCP in the diagnosis of pancreatic cystic neoplasms?
Signup and view all the answers
In a patient with suspected Munchausen's syndrome and absence of sulfonylureas, what is the next step in localization?
In a patient with suspected Munchausen's syndrome and absence of sulfonylureas, what is the next step in localization?
Signup and view all the answers
What is the preferred method for localization if a pancreatic neuroendocrine tumor (PNET) is not localized with triple phase CT scan or MRI?
What is the preferred method for localization if a pancreatic neuroendocrine tumor (PNET) is not localized with triple phase CT scan or MRI?
Signup and view all the answers
What is the treatment approach for metastatic disease of a PNET?
What is the treatment approach for metastatic disease of a PNET?
Signup and view all the answers
Which diagnostic test is used to confirm Zollinger–Ellison syndrome (ZES)?
Which diagnostic test is used to confirm Zollinger–Ellison syndrome (ZES)?
Signup and view all the answers
What is the most common site for finding gastrinomas?
What is the most common site for finding gastrinomas?
Signup and view all the answers
What is the single best study for localizing a gastrinoma?
What is the single best study for localizing a gastrinoma?
Signup and view all the answers
What is the recommended treatment for sporadic gastrinoma if the tumor size is less than 2 cm?
What is the recommended treatment for sporadic gastrinoma if the tumor size is less than 2 cm?
Signup and view all the answers
In MEN-1 patients with gastrinoma, what is the aim of medical therapy if the tumor size is less than 2 cm?
In MEN-1 patients with gastrinoma, what is the aim of medical therapy if the tumor size is less than 2 cm?
Signup and view all the answers
Which symptoms are associated with glucagonoma?
Which symptoms are associated with glucagonoma?
Signup and view all the answers
What is the most malignant form of pancreatic neuroendocrine tumors?
What is the most malignant form of pancreatic neuroendocrine tumors?
Signup and view all the answers
What is the preferred method for localizing a VIPoma?
What is the preferred method for localizing a VIPoma?
Signup and view all the answers
Which treatment approach is recommended for VIPoma?
Which treatment approach is recommended for VIPoma?
Signup and view all the answers
What activates trypsinogen to trypsin?
What activates trypsinogen to trypsin?
Signup and view all the answers
Which hormone primarily increases pancreatic enzymes?
Which hormone primarily increases pancreatic enzymes?
Signup and view all the answers
Which duct is the major pancreatic duct that merges with the common bile duct before entering the duodenum?
Which duct is the major pancreatic duct that merges with the common bile duct before entering the duodenum?
Signup and view all the answers
What is the most common cause of acute pancreatitis in the United States?
What is the most common cause of acute pancreatitis in the United States?
Signup and view all the answers
Which sign is characterized by flank ecchymosis and is associated with hemorrhagic pancreatitis?
Which sign is characterized by flank ecchymosis and is associated with hemorrhagic pancreatitis?
Signup and view all the answers
What is the most important risk factor for necrotizing pancreatitis?
What is the most important risk factor for necrotizing pancreatitis?
Signup and view all the answers
Which criteria includes age > 55, WBC > 16, glucose > 200, and AST > 250 as indicators of severe pancreatitis?
Which criteria includes age > 55, WBC > 16, glucose > 200, and AST > 250 as indicators of severe pancreatitis?
Signup and view all the answers
Which drug is considered the best for severe pancreatitis?
Which drug is considered the best for severe pancreatitis?
Signup and view all the answers
What is the first-line treatment for infected necrosis in severe pancreatitis?
What is the first-line treatment for infected necrosis in severe pancreatitis?
Signup and view all the answers
Which of the following is a high-risk feature for branch duct IPMN, indicating the need for surgical resection?
Which of the following is a high-risk feature for branch duct IPMN, indicating the need for surgical resection?
Signup and view all the answers
What is the most common symptom of pancreatic adenocarcinoma?
What is the most common symptom of pancreatic adenocarcinoma?
Signup and view all the answers
What is the serum marker for pancreatic adenocarcinoma?
What is the serum marker for pancreatic adenocarcinoma?
Signup and view all the answers
What is the most common site of metastasis for pancreatic adenocarcinoma?
What is the most common site of metastasis for pancreatic adenocarcinoma?
Signup and view all the answers
What is the first line of treatment for non-functional pancreatic neuroendocrine tumors?
What is the first line of treatment for non-functional pancreatic neuroendocrine tumors?
Signup and view all the answers
Which functional pancreatic neuroendocrine tumor commonly responds to treatment with octreotide?
Which functional pancreatic neuroendocrine tumor commonly responds to treatment with octreotide?
Signup and view all the answers
What is the most common functional pancreatic neuroendocrine tumor?
What is the most common functional pancreatic neuroendocrine tumor?
Signup and view all the answers
What is the characteristic symptom of insulinoma?
What is the characteristic symptom of insulinoma?
Signup and view all the answers
Which enzyme marker is elevated in insulinoma?
Which enzyme marker is elevated in insulinoma?
Signup and view all the answers
What is the first-line postoperative chemotherapy regimen for patients with pancreatic adenocarcinoma?
What is the first-line postoperative chemotherapy regimen for patients with pancreatic adenocarcinoma?
Signup and view all the answers
What is the most significant risk factor for necrotizing pancreatitis?
What is the most significant risk factor for necrotizing pancreatitis?
Signup and view all the answers
Which imaging study is used to differentiate dilated ducts due to chronic pancreatitis from carcinoma on the basis of its ability to detect vessel involvement?
Which imaging study is used to differentiate dilated ducts due to chronic pancreatitis from carcinoma on the basis of its ability to detect vessel involvement?
Signup and view all the answers