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Pancreas & Spleen Exam: Organ Measurements and Major Vessels

Total questions: 67

Worksheet time: 36mins

Name
Class
Date
1.

Normal transverse measurement of the spleen is:

a)

10 cm

b)

3 cm

c)

12 cm

d)

8 cm

2.

The normal length measurement of the spleen is:

a)

10 cm

b)

13 cm

c)

3 cm

d)

6 cm

3.

The normal AP measurement (thickness) of the spleen is:

a)

2 cm

b)

1 cm

c)

4 cm

4.

The normal measurement of the gallbladder wall is:

a)

>6 mm

b)

>3 mm

c)

≤3 mm

5.

Normal liver measurement is:

a)

<13 cm

b)

<15.5 cm

c)

<17 cm

6.

Choose the most accurate normal measurement statement for the common bile duct (CBD).

a)

Up to 6 mm in diameter in adults, increasing slightly with age

b)

Always less than 3 mm regardless of age

c)

Normally 1 cm in diameter

d)

Not measurable by ultrasound

7.

What is the normal measurement of the common hepatic duct (CHD)?

a)

1 cm

b)

0.5 cm

c)

None of the above; typical CHD is up to 4 mm

8.

Which region of the pancreas is normally the thickest on ultrasound?

a)

Head

b)

Body

c)

Neck

9.

What is the normal measurement of the main pancreatic duct?

a)

1 mm

b)

0.5 cm

c)

2 mm

10.

The direct blood supply to the gallbladder is through which vessel?

a)

Cystic artery

b)

Celiac axis

c)

Aorta

11.

The arterial blood supply to the head of the pancreas is primarily via which artery?

a)

Superior mesenteric artery (SMA)

b)

Splenic artery (SA)

c)

Gastroduodenal artery (GDA)

12.

What is the first branch of the abdominal aorta?

a)

Celiac axis (CA)

b)

SMA

c)

GDA

13.

What is the second branch of the abdominal aorta?

a)

SMA

b)

Celiac axis (CA)

c)

GDA

14.

Which vessels supply blood to the caudate lobe of the liver? Select the best answer from the options.

a)

Hepatic artery (HA)

b)

Right portal vein

c)

None of the above

15.

Which vessels supply blood to the liver?

a)

Portal veins

b)

Hepatic artery (HA)

c)

None of the above

16.

Which vessel supplies blood to the spleen?

a)

Splenic artery (SA)

b)

Common hepatic artery (CHA)

c)

SMA

17.

The splenic vein is located on the _________ aspect of the pancreas.

a)

Anterior

b)

Inferior

c)

Posterior

d)

Cephalad

18.

The SMV is to the __________ of the SMA.

a)

Right

b)

Left

c)

Front

d)

Back

19.

Which vessel is the landmark for identifying the spleen?

a)

SMV

b)

CBD

c)

SV

d)

SA

20.

Hartman's pouch involves which part of the gallbladder?

a)

Neck

b)

Body

c)

Fundus

21.

An outpouching found in the neck of the gallbladder is termed:

a)

Phrygian cap

b)

Hartman's pouch

c)

Septate gallbladder

22.

The fold found within the gallbladder neck is termed:

a)

Phrygian cap

b)

Hartman's pouch

c)

Septate gallbladder

23.

The spiral valves of Heister are found within the:

a)

Gallbladder neck

b)

Gallbladder fundus

c)

Cystic duct

d)

Gallbladder body

24.

What is the primary function of the spiral valves of Heister?

a)

Prevent collapse of the cystic duct

b)

Store bile

c)

Collapse the cystic duct

25.

CCK is a hormone that helps the gallbladder to:

a)

Produce bile

b)

Produce pigment

c)

Expand

d)

Contract

26.

All of the following are part of the exocrine function of the pancreas except:

a)

Production of lipase

b)

Production of trypsin

c)

Production of amylase

27.

Which hormone released by the pancreas encourages the body's use of glucagon?

a)

Insulin

b)

Somatostatin

c)

Glycogen

28.

What is the splenic hilum?

a)

The area where spleen meets the kidney

b)

The area where the stomach meets spleen

c)

The area where vascular structures, nerves and lymph nodes are located

29.

Choose the most accurate completion: The pancreas is a __________, (capsulated) or (non-encapsulated) __________ structure that lies in the __________ (pararenal/perirenal) space between the duodenal loop and the splenic hilum.

a)

retroperitoneal; non-encapsulated; pararenal

b)

intraperitoneal; capsulated; perirenal

c)

retroperitoneal; capsulated; perirenal

30.

The pancreas is __________ in children. Select the best description.

a)

Larger

b)

Smaller

c)

Echogenic

31.

Complete the statement: The pancreas is more __________ in children.

a)

hyperechoic

b)

hypoechoic

32.

The SMA and SMV are __________ to the neck of the pancreas.

a)

Posterior

b)

Inferior

c)

Caudal

d)

Anterior

33.

What is another name for the accessory duct of the pancreas?

a)

Duct of Santorini

b)

Duct of Langerhans

c)

Duct of Oddi

d)

Duct of Wirsung

34.

What is the name for the main pancreatic duct?

a)

Duct of Santorini

b)

Duct of Langerhans

c)

Duct of Oddi

35.

Which portion of the bowel encompasses the head of the pancreas?

a)

Duodenum

b)

Jejunum

36.

The head of the pancreas is ________ to the IVC.

a)

Posterior

b)

Anterior

37.

The pancreatic tail is outlined posteriorly by which vascular structure?

a)

SMA

b)

SV (splenic vein)

38.

Which part of the pancreas is located anterior to the PSC or SMV vessels?

a)

Uncinate

b)

Head

39.

Compared to the liver, the sonographic appearance of the pancreas is typically:

a)

More echogenic (brighter)

b)

Hypoechoic (darker)

40.

Which list correctly identifies the five parts of the pancreas?

4 lines
41.

The head of the pancreas is ________ the 2nd portion of the duodenum.

a)

Anterior to

b)

Posterior to

42.

The common bile duct (CBD) is located ________ in the head of the pancreas.

a)

Medially

b)

Posteriorly

43.

The gastroduodenal artery (GDA) is located ________ in the head of the pancreas.

a)

Anteriorly

b)

Posteriorly

44.

Which structure represents the medial extension of the pancreatic head that lies behind the superior mesenteric vessels?

a)

Neck

b)

Uncinate process

45.

The tail of the pancreas is _________ to the stomach.

a)

Inferior

b)

Superior

c)

Medial

d)

Lateral

46.

The tail of the pancreas is ____________ to the upper pole of the left kidney.

a)

Inferior

b)

Superior

c)

Medial

d)

Lateral

47.

Which pair lists the terminal branches of the common hepatic artery as described: it proceeds anteriorly/posteriorly and to the right cephalad to the head of the pancreas to the inferior border of the epiploic foramen, then divides into two terminal branches—the __________ and the __________.

a)

Gastroduodenal artery and right hepatic artery

b)

Proper hepatic artery and left gastric artery

c)

Gastroduodenal artery and proper hepatic artery

48.

Which vessel follows a tortuous course along the anterior border of the body and tail of the pancreas?

a)

Superior mesenteric vein

b)

Splenic vein

c)

Common hepatic artery

49.

The splenic vein runs from the splenic hilum along the __________ aspect of the pancreas to join the SMV.

a)

Superior

b)

Posterior

50.

The SMV and splenic vein join at the neck of the pancreas to form the __________.

a)

Portal vein

b)

Celiac trunk

51.

The common bile duct (CBD) opens into the __________ portion of the duodenum at the ampulla __________ on the summit of the major papilla after forming a common trunk with the pancreatic duct in __________% of the population.

a)

first; of Vater; 30

b)

second; of Vater; 60

52.

In __________% of the population, the CBD has its own separate ampulla but still enters the duodenum at the major papilla; it courses behind the head of the pancreas in a groove on its posterior aspect.

a)

20

b)

30

53.

The endocrine function of the pancreas is to secrete insulin via the __________.

a)

islets of Langerhans

b)

acinar cells

54.

Which set lists exocrine enzymes of the pancreas?

a)

Amylase, lipase, trypsin

b)

Insulin, glucagon, somatostatin

55.

The statement "The normal liver does not touch the spleen" is:

a)

True

b)

False

56.

The splenic artery marks which aspect of the pancreatic body and tail?

a)

Posterior aspect

b)

Superior aspect

57.

The splenic vein marks which aspect of the pancreatic body and tail?

a)

Posterior aspect

b)

Superior aspect

58.

Relative to the spleen, the stomach is located __________, the pancreas tail is __________, and the left kidney is __________.

a)

anterior; superior; lateral

b)

posterior; inferior; medial

59.

All of the following are functions of the spleen except:

a)

Storage of iron

b)

Defense against disease

60.

The splenic artery originates from the __________.

a)

aorta

b)

celiac axis

61.

At the splenic hilum, the splenic artery __________ the hilum and the splenic vein __________ the hilum.

a)

enters; exits

b)

exits; enters

62.

In a longitudinal ultrasound view labeled “Long Spleen,” which description best matches the normal sonographic appearance of the spleen parenchyma?

a)

Homogeneous, finely echogenic texture

b)

Anechoic with posterior acoustic enhancement

c)

Markedly heterogeneous with multiple shadowing foci

d)

Predominantly hypoechoic relative to renal cortex with coarse septations

63.

On the annotated pancreas ultrasound, which vessel is indicated coursing posterior to the pancreatic body and toward the left?

a)

Aorta

b)

Splenic vein

c)

Superior mesenteric artery

d)

Inferior vena cava

64.

In the same annotated pancreas image, which circular vessel anterior to the aorta is identified by a label pointing inferior to the pancreatic neck?

a)

Splenic vein

b)

Portal vein

c)

Superior mesenteric artery

d)

Common hepatic artery

65.

Considering normal relationships on transverse epigastric ultrasound, where is the aorta typically located relative to the pancreas in the annotated image?

a)

Anterior to the pancreatic body

b)

Posterior to the pancreas, midline/left of midline

c)

Within the pancreatic parenchyma

d)

Lateral to the spleen, right upper quadrant

66.

An ultrasound clip labeled “PAN TAIL” shows a rounded structure near the splenic hilum. Which option best identifies the pancreatic tail’s general location on ultrasound?

a)

Medial to the superior mesenteric artery origin

b)

Anterior to the left kidney and approaching the splenic hilum

c)

Posterior to the aorta in the right upper quadrant

d)

Superior to the spleen beneath the diaphragm

67.

On spleen ultrasound, which finding would most reliably distinguish a simple cyst from solid parenchyma?

a)

Heterogeneous internal echoes

b)

Posterior acoustic enhancement with anechoic interior

c)

Strong posterior acoustic shadowing

d)

Isoechoic texture with the pancreas