Bile Ducts

Question 1

What causes acute pancreatitis?

Answer 1

Leakage of pancreatic enzymes from the acinar cells into the parenchyma of the organ

Question 2

Ampulla of Vater:

Answer 2

merging point of the pancreatic duct and the CBD just before the sphincter of Oddi

Question 3

What’s Caroli’s disease?

Answer 3

a congenital disorder characterized by segmental dilatation of intrahepatic ducts

Question 4

What is partially digested food called?

Answer 4

Chyme

Question 5

Where are the Klatskin tumors located?

Answer 5

In between the junction of the left and right hepatic ducts

Question 6

What is the Mirizzi triad?

Answer 6

Jaundice, pain and fever

caused by a stone lodged in the cystic duct

Question 7

Where is the most common location for a stone in the CBD?

Answer 7

dst portion

Question 8

What’ the measurement for a thickened bile duct wall?

Answer 8

> 5mm

Question 9

If a gallstone causing obstruction is located within the distal CHD, which would become dilated?

Answer 9

Intrahepatic ducts

Question 10

Which is considered the most proximal portion of the biliary tree?

Answer 10

Intrahepatic radicles

Question 11

All of the following are clinical findings consistent with cholangiocarcinoma except:
pruritis, weight loss, elevated bilirubin and dilation of the intrahepatic ducts

Answer 11

dilation of the intrahepatic ducts

Question 12

Which of the following is not associated with the development of pneumobilia? Cholangiopneumonia, gastric surgery, acute cholecystitis, fistula formation

Answer 12

Cholangiopneumonia

Question 13

Do intra or extrahepatic ducts dilated first with obstruction?

Answer 13

extrahepatic

Question 14

Which of the following is not a plausible cause of CBD obstruction in adults?
choledocholithiasis, chronic pancreatitis, choledochal cyst or pancreatic carcinoma

Answer 14

choledochal cyst

Question 15

When do you find a choledochal cyst?

Answer 15

Infancy or first decade of life

Question 16

A 64yr old man presents to the sonography department for a RUQ sonogram. He is compaining of abdominal pain, weight loss, and pruritis. Sonographically, you visualize an area of dilated ducts that abruptly end. What is the most likely diagnosis?

Answer 16

Cholangiocarcinoma

Question 17

A Klatskin’s tumor is a form of:

Answer 17

cholangiocarcinoma

Question 18

The biliary duct wall should never measure more than:

Answer 18

5mm

Question 19

All of the following fare forms of cholangitis except for: acute bacterial, AIDS, oriental or parabolic

Answer 19

Parabolic

Question 20

What is Caroli’s disease?

Answer 20

A congenital disorder characterized by segmental dilatation of the intrahepatic ducts

Question 21

Biliary dilatation will occur ________ to the site of obstruction.

Answer 21

Proximal

Question 22

What are the most common causes of CBD obstruction?

Answer 22

Choledocholithiasis, chronic pancreatitis, acute pancreatitis, and carcinoma

Question 23

Can Mirizzi syndrome be diagnosed with US?

Answer 23

No, it can be suspected but must be confirmed with cholangiography and endoscopic retrograde cholangiopancreatography

Question 24

What are the types of cholangitis?

Answer 24

acute bacterial, AIDS, Oriental (recurrent pyogenic cholangitis) and sclerosing

Question 25

What lab value will be elevated with a Klatskin’s tumor?

Answer 25

bilirubin