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WorksheetsPancreas & Spleen Exam: Organ Measurements and Major Vessels
Total questions: 67
Worksheet time: 36mins
Normal transverse measurement of the spleen is:
10 cm
3 cm
12 cm
8 cm
The normal length measurement of the spleen is:
10 cm
13 cm
3 cm
6 cm
The normal AP measurement (thickness) of the spleen is:
2 cm
1 cm
4 cm
The normal measurement of the gallbladder wall is:
>6 mm
>3 mm
≤3 mm
Normal liver measurement is:
<13 cm
<15.5 cm
<17 cm
Choose the most accurate normal measurement statement for the common bile duct (CBD).
Up to 6 mm in diameter in adults, increasing slightly with age
Always less than 3 mm regardless of age
Normally 1 cm in diameter
Not measurable by ultrasound
What is the normal measurement of the common hepatic duct (CHD)?
1 cm
0.5 cm
None of the above; typical CHD is up to 4 mm
Which region of the pancreas is normally the thickest on ultrasound?
Head
Body
Neck
What is the normal measurement of the main pancreatic duct?
1 mm
0.5 cm
2 mm
The direct blood supply to the gallbladder is through which vessel?
Cystic artery
Celiac axis
Aorta
The arterial blood supply to the head of the pancreas is primarily via which artery?
Superior mesenteric artery (SMA)
Splenic artery (SA)
Gastroduodenal artery (GDA)
What is the first branch of the abdominal aorta?
Celiac axis (CA)
SMA
GDA
What is the second branch of the abdominal aorta?
SMA
Celiac axis (CA)
GDA
Which vessels supply blood to the caudate lobe of the liver? Select the best answer from the options.
Hepatic artery (HA)
Right portal vein
None of the above
Which vessels supply blood to the liver?
Portal veins
Hepatic artery (HA)
None of the above
Which vessel supplies blood to the spleen?
Splenic artery (SA)
Common hepatic artery (CHA)
SMA
The splenic vein is located on the _________ aspect of the pancreas.
Anterior
Inferior
Posterior
Cephalad
The SMV is to the __________ of the SMA.
Right
Left
Front
Back
Which vessel is the landmark for identifying the spleen?
SMV
CBD
SV
SA
Hartman's pouch involves which part of the gallbladder?
Neck
Body
Fundus
An outpouching found in the neck of the gallbladder is termed:
Phrygian cap
Hartman's pouch
Septate gallbladder
The fold found within the gallbladder neck is termed:
Phrygian cap
Hartman's pouch
Septate gallbladder
The spiral valves of Heister are found within the:
Gallbladder neck
Gallbladder fundus
Cystic duct
Gallbladder body
What is the primary function of the spiral valves of Heister?
Prevent collapse of the cystic duct
Store bile
Collapse the cystic duct
CCK is a hormone that helps the gallbladder to:
Produce bile
Produce pigment
Expand
Contract
All of the following are part of the exocrine function of the pancreas except:
Production of lipase
Production of trypsin
Production of amylase
Which hormone released by the pancreas encourages the body's use of glucagon?
Insulin
Somatostatin
Glycogen
What is the splenic hilum?
The area where spleen meets the kidney
The area where the stomach meets spleen
The area where vascular structures, nerves and lymph nodes are located
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.
retroperitoneal; non-encapsulated; pararenal
intraperitoneal; capsulated; perirenal
retroperitoneal; capsulated; perirenal
The pancreas is __________ in children. Select the best description.
Larger
Smaller
Echogenic
Complete the statement: The pancreas is more __________ in children.
hyperechoic
hypoechoic
The SMA and SMV are __________ to the neck of the pancreas.
Posterior
Inferior
Caudal
Anterior
What is another name for the accessory duct of the pancreas?
Duct of Santorini
Duct of Langerhans
Duct of Oddi
Duct of Wirsung
What is the name for the main pancreatic duct?
Duct of Santorini
Duct of Langerhans
Duct of Oddi
Which portion of the bowel encompasses the head of the pancreas?
Duodenum
Jejunum
The head of the pancreas is ________ to the IVC.
Posterior
Anterior
The pancreatic tail is outlined posteriorly by which vascular structure?
SMA
SV (splenic vein)
Which part of the pancreas is located anterior to the PSC or SMV vessels?
Uncinate
Head
Compared to the liver, the sonographic appearance of the pancreas is typically:
More echogenic (brighter)
Hypoechoic (darker)
Which list correctly identifies the five parts of the pancreas?
The head of the pancreas is ________ the 2nd portion of the duodenum.
Anterior to
Posterior to
The common bile duct (CBD) is located ________ in the head of the pancreas.
Medially
Posteriorly
The gastroduodenal artery (GDA) is located ________ in the head of the pancreas.
Anteriorly
Posteriorly
Which structure represents the medial extension of the pancreatic head that lies behind the superior mesenteric vessels?
Neck
Uncinate process
The tail of the pancreas is _________ to the stomach.
Inferior
Superior
Medial
Lateral
The tail of the pancreas is ____________ to the upper pole of the left kidney.
Inferior
Superior
Medial
Lateral
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 __________.
Gastroduodenal artery and right hepatic artery
Proper hepatic artery and left gastric artery
Gastroduodenal artery and proper hepatic artery
Which vessel follows a tortuous course along the anterior border of the body and tail of the pancreas?
Superior mesenteric vein
Splenic vein
Common hepatic artery
The splenic vein runs from the splenic hilum along the __________ aspect of the pancreas to join the SMV.
Superior
Posterior
The SMV and splenic vein join at the neck of the pancreas to form the __________.
Portal vein
Celiac trunk
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.
first; of Vater; 30
second; of Vater; 60
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.
20
30
The endocrine function of the pancreas is to secrete insulin via the __________.
islets of Langerhans
acinar cells
Which set lists exocrine enzymes of the pancreas?
Amylase, lipase, trypsin
Insulin, glucagon, somatostatin
The statement "The normal liver does not touch the spleen" is:
True
False
The splenic artery marks which aspect of the pancreatic body and tail?
Posterior aspect
Superior aspect
The splenic vein marks which aspect of the pancreatic body and tail?
Posterior aspect
Superior aspect
Relative to the spleen, the stomach is located __________, the pancreas tail is __________, and the left kidney is __________.
anterior; superior; lateral
posterior; inferior; medial
All of the following are functions of the spleen except:
Storage of iron
Defense against disease
The splenic artery originates from the __________.
aorta
celiac axis
At the splenic hilum, the splenic artery __________ the hilum and the splenic vein __________ the hilum.
enters; exits
exits; enters
In a longitudinal ultrasound view labeled “Long Spleen,” which description best matches the normal sonographic appearance of the spleen parenchyma?
Homogeneous, finely echogenic texture
Anechoic with posterior acoustic enhancement
Markedly heterogeneous with multiple shadowing foci
Predominantly hypoechoic relative to renal cortex with coarse septations
On the annotated pancreas ultrasound, which vessel is indicated coursing posterior to the pancreatic body and toward the left?
Aorta
Splenic vein
Superior mesenteric artery
Inferior vena cava
In the same annotated pancreas image, which circular vessel anterior to the aorta is identified by a label pointing inferior to the pancreatic neck?
Splenic vein
Portal vein
Superior mesenteric artery
Common hepatic artery
Considering normal relationships on transverse epigastric ultrasound, where is the aorta typically located relative to the pancreas in the annotated image?
Anterior to the pancreatic body
Posterior to the pancreas, midline/left of midline
Within the pancreatic parenchyma
Lateral to the spleen, right upper quadrant
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?
Medial to the superior mesenteric artery origin
Anterior to the left kidney and approaching the splenic hilum
Posterior to the aorta in the right upper quadrant
Superior to the spleen beneath the diaphragm
On spleen ultrasound, which finding would most reliably distinguish a simple cyst from solid parenchyma?
Heterogeneous internal echoes
Posterior acoustic enhancement with anechoic interior
Strong posterior acoustic shadowing
Isoechoic texture with the pancreas
