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Spring 2014 - ABD TEST 3 - GALLBLADDER ✔️ > A & P > Flashcards

A & P Flashcards

0
Q

The first part of the CBD course lies in the right free edge of the __________.

A

Lesser omentum

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1
Q

What is the size of the common hepatic duct?

A

Approximately 4 mm

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2
Q

The second part of the CBD is situated posterior to the first part of the __________.

A

Duodenum

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3
Q

The ends of both ducts and the ampulla are surrounded by circular muscle fibers known as the __________.

A

Sphincter of Oddi

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4
Q

The GB is a …

A

Pear shaped sac in the anterior aspect of the RUQ, closely related to the visceral surface of the liver with fossa

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5
Q

The __________ of the GB projects below the inferior margin of the liver and comes into contact with the anterior __________.

A

Fundus

ABD wall

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6
Q

The __________ of the GB lies in contact with the visceral surface of the liver.

A

Body

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7
Q

The __________ of the GB becomes continuous with the __________, which turns to join the right side of the __________ to form the __________.

A

Neck

Cystic duct

CHD

CBD

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8
Q

List 2 names for the outer layer of the GB wall…

A

Outer serosal

Rokitanksy-Aschoff sinus

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9
Q

What are the 4 layers of the GB wall?

A

Outer serosal
Subserous
Muscular
Inner mucosal

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10
Q

The cystic vein drains directly into the __________.

A

Portal vein

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11
Q

What tends to collect in Hartmann’s Pouch?

A

Gallstones

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12
Q

Where do junctional folds normally appear?

A

Between the neck and body of the GB

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13
Q

Along with Phrygian’s cap and junctional folds, what are 2 other variants that can occur?

A

Partial septations

Complete septations or double GB

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14
Q

The primary functions of the extrahepatic biliary tract is the __________ from the liver to the intestine and __________ of its flow.

A

Transportation of bile

Regulation

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15
Q

Concentration of bile in the GB occurs during a state of __________.

A

Fasting

16
Q

Stimulation produced by the influence of food causes the GB to __________, resulting in an outpouring of __________ into the __________.

A

Contract

Bile

Duodenum

17
Q

Dilation of the extrahepatic bile ducts, which is usually __________, occurs after a cholecystectomy.

A

Less than 1 cm

18
Q

Patients older than __________ can have ducts that are up to __________ and still be considered normal.

A

60

10 mm

19
Q

When scanning, begin with patient __________, then roll the patient into a steep __________ or __________ to separate small stones from the GB wall or cystic duct.

A

Supine

Decubitus

Upright position

20
Q

Indications for GB exam…

A 
RUQ pain
\+ Murphy's sign
Pain radiating to shoulder (mimics a heart attack)
Nausea & vomiting
Loss of appetite
Jaundice
21
Q

What is the size of the GB?

A

5 cm x 10 cm

22
Q

The lumen of the GB is __________.

A

Anechoic

23
Q

The location of the GB is the RUQ, more specifically between the __________.

A

Right and left lobes of the liver

24
Q

The CBD lies anterior and to the right of the __________ in the region of the __________.

A

Portal vein

Porta hepatis

25
Q

Within the portal triad, the HA lies __________ and __________ to the PV.

A

Anterior and medial

26
Q

Within the portal triad, the CBD lies __________ and __________ to the PV.

A

Anterior and lateral

27
Q

The parenchyma cells of the liver excrete this bile pigment into the ___________.

A

Bile canaliculi

28
Q

After food is consumed, three functions occur:

A

Bile enters the small bowel

GB contracts

Increase in liver secretions

29
Q

Bile is made of what 3 things?

A

Water

Bile salts

Other organic substances

30
Q

Bile has 2 major functions in the body:

A

Break down the fats you eat so that your body can utilize them

Acts as a very powerful antioxidant

31
Q

With cholecystitis, what lab value is increased?

A

WBC count

32
Q

What are the 2 types of serum bilirubin?

A

Unconjugated/indirect - pre hepatic or hepatic abnormality, elevate for hematologic disease

Conjugated/direct - post hepatic abnormality, elevate hepatocellular disease, elevate for biliary obstruction

33
Q

What lab value is elevated if there is an obstruction?

A

Alk Phos

34
Q

What lab values indicate liver problems?

A

AST and ALT

35
Q

What is PT?

A

Clotting time

Spring 2014 - ABD TEST 3 - GALLBLADDER ✔️ (3 decks)

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