Question 1

Acute pancreatitis can be induced experimentally by all the following except:

Accepted Answer

A)  Cholecystectomy 
B)  Obstruction of the main pancreatic duct 
C)  Mechanical disruption of the pancreatic acinar cells 
D)  Drugs that injure pancreatic acinar cells 
E)  Injection of bile into the main pancreatic duct 
A)  Cholecystectomy 
B)  Obstruction of the main pancreatic duct 
C)  Mechanical disruption of the pancreatic acinar cells 
D)  Drugs that injure pancreatic acinar cells 
E)  Injection of bile into the main pancreatic duct A

Question 2

Primary diabetes mellitus is:

Accepted Answer

A)  Caused by viral infection 
B)  Immune mediated 
C)  Multifactorial 
D)  Typically a disease of childhood 
E)  Caused by pancreatic tumors 
A)  Caused by viral infection 
B)  Immune mediated 
C)  Multifactorial 
D)  Typically a disease of childhood 
E)  Caused by pancreatic tumors C

Question 3

Histologically most carcinomas of the pancreas are classified as:

Accepted Answer

A)  Adenocarcinoma 
B)  Oat cell carcinoma 
C)  Squamous cell carcinoma 
D)  Transitional cell carcinoma 
E)  Acinic cell carcinoma 
A)  Adenocarcinoma 
B)  Oat cell carcinoma 
C)  Squamous cell carcinoma 
D)  Transitional cell carcinoma 
E)  Acinic cell carcinoma A

Question 4

Inadequate secretion of pancreatic digestive juices in chronic pancreatitis causes:

Accepted Answer

A)  Constipation 
B)  Dilatation of the intestines 
C)  Atrophy of the mucosa of the small intestine 
D)  Malabsorption 
E)  Jaundice 
A)  Constipation 
B)  Dilatation of the intestines 
C)  Atrophy of the mucosa of the small intestine 
D)  Malabsorption 
E)  Jaundice

Question 5

Which of the following diagnostic approaches is most reliable for visualizing the carcinoma of the pancreas?

Accepted Answer

A)  Plain abdominal film 
B)  Computed tomography (CT)scanning 
C)  Laparoscopy 
D)  Gastroscopy 
E)  Colonoscopy 
A)  Plain abdominal film 
B)  Computed tomography (CT)scanning 
C)  Laparoscopy 
D)  Gastroscopy 
E)  Colonoscopy

Question 6

X-ray examination of patients with chronic pancreatitis typically reveals:

Accepted Answer

A)  Edema of the head of the pancreas 
B)  Swelling of the tail of the pancreas 
C)  Distention of the papilla of Vater 
D)  Calcifications of the pancreas 
E)  Loss of endocrine cells from the pancreas 
A)  Edema of the head of the pancreas 
B)  Swelling of the tail of the pancreas 
C)  Distention of the papilla of Vater 
D)  Calcifications of the pancreas 
E)  Loss of endocrine cells from the pancreas

Question 7

A major biochemical abnormality typical of diabetes mellitus that can be detected by blood analysis is:

Accepted Answer

A)  Hypoglycemia 
B)  Hyperglycemia 
C)  Hyperamylasemia 
D)  Hypoalbuminemia 
E)  Hypercalcemia 
A)  Hypoglycemia 
B)  Hyperglycemia 
C)  Hyperamylasemia 
D)  Hypoalbuminemia 
E)  Hypercalcemia

Question 8

Which of the following tumors has the highest incidence in 60- to 80-year-old American men?

Accepted Answer

A)  Insulinoma 
B)  Somatostatinoma 
C)  Gastrinoma 
D)  Adenocarcinoma of the head of pancreas 
E)  Adenocarcinoma of the papilla of Vater 
A)  Insulinoma 
B)  Somatostatinoma 
C)  Gastrinoma 
D)  Adenocarcinoma of the head of pancreas 
E)  Adenocarcinoma of the papilla of Vater

Question 9

Which of the following is a late complication of acute pancreatitis?

Accepted Answer

A)  Diverticulosis 
B)  Amyloidosis 
C)  Pseudocysts 
D)  Carcinoma of the ducts of pancreas 
E)  Zollinger-Ellison syndrome 
A)  Diverticulosis 
B)  Amyloidosis 
C)  Pseudocysts 
D)  Carcinoma of the ducts of pancreas 
E)  Zollinger-Ellison syndrome

Question 10

Which of the following is an early sign of carcinoma of the head of pancreas?

Accepted Answer

A)  Hiccups 
B)  Gastric regurgitation 
C)  Jaundice 
D)  Pain in the left upper abdominal quadrant 
E)  Ascites 
A)  Hiccups 
B)  Gastric regurgitation 
C)  Jaundice 
D)  Pain in the left upper abdominal quadrant 
E)  Ascites

Question 11

Functionally most pancreatic carcinomas are characterized by:

Accepted Answer

A)  Hyperinsulinism 
B)  Excess of glucagon 
C)  Hypergastrinemia 
D)  Excess of amylase 
E)  No hormonal symptoms 
A)  Hyperinsulinism 
B)  Excess of glucagon 
C)  Hypergastrinemia 
D)  Excess of amylase 
E)  No hormonal symptoms

Question 12

Typical pathologic findings in the pancreas affected by acute pancreatitis include all the following except:

Accepted Answer

A)  Edema of the head of the pancreas 
B)  Hemorrhage into the peripancreatic tissue 
C)  Necrosis of peripancreatic fat tissue 
D)  Foci of saponification around the pancreas 
E)  Bacterial peritonitis 
A)  Edema of the head of the pancreas 
B)  Hemorrhage into the peripancreatic tissue 
C)  Necrosis of peripancreatic fat tissue 
D)  Foci of saponification around the pancreas 
E)  Bacterial peritonitis

Question 13

Which of the following is the most common form of diabetes mellitus?

Accepted Answer

A)  Insulin-dependent diabetes 
B)  Non-insulin-dependent diabetes 
C)  Gestational diabetes 
D)  Autosomal dominant form of diabetes 
E)  Autosomal recessive form of diabetes 
A)  Insulin-dependent diabetes 
B)  Non-insulin-dependent diabetes 
C)  Gestational diabetes 
D)  Autosomal dominant form of diabetes 
E)  Autosomal recessive form of diabetes

Question 14

Fat necrosis typically found in and around the pancreas in acute pancreatitis is caused by a release of:

Accepted Answer

A)  Amylase 
B)  Lipase 
C)  Peptidase 
D)  Pepsin 
E)  Cholecystokinin 
A)  Amylase 
B)  Lipase 
C)  Peptidase 
D)  Pepsin 
E)  Cholecystokinin

Question 15

A small pancreatic benign tumor that causes hypoglycemia and syncope is most likely:

Accepted Answer

A)  Insulinoma 
B)  Glucagonoma 
C)  VIPoma 
D)  Gastrinoma 
E)  Somatostatinoma 
A)  Insulinoma 
B)  Glucagonoma 
C)  VIPoma 
D)  Gastrinoma 
E)  Somatostatinoma

Question 16

Which of the following is a digestive enzyme secreted by the pancreas?

Accepted Answer

A)  Amylase 
B)  Alkaline phosphatase 
C)  Somatostatin 
D)  Cholecystokinin 
E)  Secretin 
A)  Amylase 
B)  Alkaline phosphatase 
C)  Somatostatin 
D)  Cholecystokinin 
E)  Secretin

Question 17

The pancreas can be divided into several parts,the largest of which is the:

Accepted Answer

A)  Endocrine part 
B)  Tail 
C)  Head 
D)  Body 
E)  Accessory part 
A)  Endocrine part 
B)  Tail 
C)  Head 
D)  Body 
E)  Accessory part

Question 18

Which is the most important and most abundant hormone secreted by the pancreas?

Accepted Answer

A)  Insulin 
B)  Glucagon 
C)  Somatostatin 
D)  Gastrin 
E)  Cholecystokinin 
A)  Insulin 
B)  Glucagon 
C)  Somatostatin 
D)  Gastrin 
E)  Cholecystokinin

Question 19

Which of the following is most typical of diabetes mellitus?

Accepted Answer

A)  Oliguria 
B)  Anuria 
C)  Polyuria 
D)  Proteinuria 
E)  Cylindruria 
A)  Oliguria 
B)  Anuria 
C)  Polyuria 
D)  Proteinuria 
E)  Cylindruria

Question 20

Which component of the pancreatic juices acts as a buffer and neutralizes the acidity of the gastric juice?

Accepted Answer

A)  Amylase 
B)  Lipase 
C)  Peptidase 
D)  Gastrin 
E)  Bicarbonate 
A)  Amylase 
B)  Lipase 
C)  Peptidase 
D)  Gastrin 
E)  Bicarbonate

Exam 12: The Pancreas

Acute pancreatitis can be induced experimentally by all the following except:

Primary diabetes mellitus is:

Histologically most carcinomas of the pancreas are classified as:

Inadequate secretion of pancreatic digestive juices in chronic pancreatitis causes:

Which of the following diagnostic approaches is most reliable for visualizing the carcinoma of the pancreas?

X-ray examination of patients with chronic pancreatitis typically reveals:

A major biochemical abnormality typical of diabetes mellitus that can be detected by blood analysis is:

Which of the following tumors has the highest incidence in 60- to 80-year-old American men?

Which of the following is a late complication of acute pancreatitis?

Which of the following is an early sign of carcinoma of the head of pancreas?

Functionally most pancreatic carcinomas are characterized by:

Typical pathologic findings in the pancreas affected by acute pancreatitis include all the following except:

Which of the following is the most common form of diabetes mellitus?

Fat necrosis typically found in and around the pancreas in acute pancreatitis is caused by a release of:

A small pancreatic benign tumor that causes hypoglycemia and syncope is most likely:

Which of the following is a digestive enzyme secreted by the pancreas?

The pancreas can be divided into several parts,the largest of which is the:

Which is the most important and most abundant hormone secreted by the pancreas?

Which of the following is most typical of diabetes mellitus?

Which component of the pancreatic juices acts as a buffer and neutralizes the acidity of the gastric juice?

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