Intermediate Tail of the Pancreas Quiz

Q1. How does the peritoneal relationship of the pancreatic tail differ from most of the pancreas?

• The entire pancreas is freely intraperitoneal
• The tail extends within the splenorenal ligament and is more mobile than most of the gland
• The tail lies within the falciform ligament
• The tail is fixed within the hepatoduodenal ligament

Q2. Which structures travel with the pancreatic tail in the splenorenal ligament?

• Splenic vessels
• Common iliac vessels
• Femoral vessels
• Superior thyroid vessels

Q3. Which arterial branches contribute to the blood supply of the pancreatic tail?

• Cystic artery only
• Middle rectal artery
• Inferior mesenteric artery only
• Pancreatic branches of the splenic artery

Q4. Where does venous blood from the pancreatic tail predominantly drain?

• Splenic vein
• Inferior vena cava directly in all cases
• Pulmonary veins
• External iliac vein

Q5. Which lymph nodes commonly receive lymph from the pancreatic tail?

• Superficial inguinal nodes
• Submental nodes
• Popliteal nodes
• Pancreaticosplenic nodes

Q6. Which structure is an important posterior relation of the tail besides the left kidney?

• Cecum
• Urinary bladder
• Right ovary
• Left suprarenal gland

Q7. Why is the splenic hilum an important landmark for the pancreatic tail?

• The main pancreatic duct opens at the splenic hilum
• The portal vein forms within the splenic hilum
• The tail terminates near the splenic hilum
• The common bile duct enters the spleen

Q8. How does the main pancreatic duct course within the tail?

• It runs longitudinally from the tail toward the body and head
• It leaves the tail to enter the left kidney
• It terminates in the spleen
• It joins the splenic vein

Q9. What is the developmental significance of the dorsal pancreatic bud for the tail?

• It forms only the uncinate process
• It forms the tail, body, and much of the head
• It forms the gallbladder
• It forms the common bile duct

Q10. Why can splenic surgery place the pancreatic tail at risk?

• The tail is separated from the spleen by the entire stomach
• The tail lies close to the splenic hilum and splenic vessels
• The tail is located in the pelvis
• The tail lies within the liver