GI Radiology > Pancreas > Quiz

Pancreas Quiz

1.  The main pancreatic duct forms from the union of:
 

A. the distal duct system of the dorsal bud and the ventral bud duct
B. the distal duct system of the superior bud and the inferior bud duct
C. the distal duct system of the lateral bud and the medial bud duct



2.  The accessory pancreatic duct is a remnant of which embryologic duct:
 

A. the duct of the ventral bud
B. the distal duct of the dorsal bud


3.  In pancreas divisum, the ducts of the  dorsal and ventral buds terminate at:
 

A. the dorsal bud duct drains at the minor duodenal papilla, the ventral bud duct drains at the ampulla of Vater
B. the dorsal bud duct drains at the ampulla of Vater, the ventral bud duct drains at the minor duodenal papilla
C. the dorsal bud duct drains at the ampulla of Vater, the ventral bud duct drains at the common bile duct


4.  Annular pancreas is associated with all the following except:
 

A. Trisomy 21
B. GI malrotation
C. Pyloric stenosis
D. GI atresia


5.  All the following are radiographic signs of annular pancreas except:
 

A. Double bubble sign
B. Prenatal hydroamnios
C. Minimal distal bowel gas
D. Crescent sign


6.  The Balthazar CT severity index (CTSI) score for acute pancreatitis is based on:
 

A. Pancreatitis grade and Ranson's score
B. Pancreatitis grade and degree of pancreatic necrosis
C. Pancreatitis grade and AST & LDH elevation


7.  The best imaging modality for acute pancreatitis is:
 

A. US
B. CT, no contrast
C. Contrast enhanced CT (oral & IV)
D. MRI


8.  All the following are CT signs of pancreatitis except:
 

A. Peripancreatic fluid collection & fat stranding
B. Focal non-enhancing regions of the pancreas on contrast-enhanced CT
C. Atrophic or enlarged pancreas with loss of normal internal structure
D. Duct dilatation and strictures
E. All of the above


9.  ERCP signs of pancreatitis may include all of the following except:
 

A. Irregular duct contours: stricture & dilatation
B. Opacified pseudocysts
C. Narrowing of the proximal common bile duct
D. Pistol-shape appearence of main pancreatic duct


10.  All of the following are indications for drainage of a pseudocyst except:
 

A. Size > 5 cm
B. Growing pseudocyst on serial images
C. Persistent for more than 6 weeks
D. Homogenous fluid collection with low attenuation


11.  All of the following are CECT signs of pancreatic adenocarcinoma except:
 

A. Poorly defined pancreatic margins
B. Calcifications
C. Hypoattenuating focal mass
D. Pancreatic or bile duct dilation


 
12.  The most likely diagnosis for this image, in the setting of acute pancreatitis, is:
 

A. Acute fluid collection
B. Pseudocyst 
C. Main pancreatic duct dilation
D. Pancreatic fluid strandin


 


 
13.  This ERCP in the setting of recurrent abdominal pain is indicative of:
 

A. Acute pancreatitis
B. Chronic pancreatitis
C. Pseudocyst
D. Annular pancreas
 

   

 
14.  This ERCP in the setting of recurrent abdominal pain is indicative of:
 

A. Acute pancreatitis
B. Chronic pancreatitis
C. Pseudocyst
D. Annular pancreas


 

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