Biliary

Question 1

What is the name of the type of sludge that can mimic a solid lesion

Answer 1

Tumefactive sludge

Question 2

m/c cause of acute cholecystitis?

Answer 2

obstruction/stones in the cystic duct/GB neck

Question 3

acalculus cholecystitis may be caused by

Answer 3

trauma, surgery, burns, sepsis, prolonged fasting, diabetes

Question 4

enlarged, distended, palpable, non-tender GB in a jaundice patient is termed

Answer 4

Courvoisier GB

Question 5

what is Mirizzi syndrome

Answer 5

when a stone obstructs the cystic duct, causing inflammation and obstruction of the common duct and causing erosion of the duct wall by a gallstone

Question 6

Segmental, saccular, or beaded appearance of the intrahepatic bile ducts
Multiple cystic structures in the liver that communicate with the biliary tree, describes….

Answer 6

Caroli’s disease

Question 7

common SF of cholangitis

Answer 7

duct wall thickening

Question 8

Spaghetti-like echogenic structure within a bile duct

Answer 8

ascariasis

Question 9

True or false: With Mirrizi syndrome the CBD is dilated in size

Answer 9

FALSE - the CBD is normal, IHD are dilated

Question 10

porcelain GB increases or decreases risk of GB cancer?

Answer 10

increases

Question 11

increases SAP and increased serum bilirubin suggests?

Answer 11

acute cholecystitis

Question 12

which cholecystitis complication causes a decrease in a positive Murphy’s sign

Answer 12

Gangrenous

Question 13

intraluminal membranes are associated with which cholecystitis complication?

Answer 13

Gangrenous

Question 14

emphasymatous cholecystitis is more common in patients with which disease?

Answer 14

diabetes

Question 15

describe xanthogranulomatous cholecystitis

Answer 15

• rare form of chronic cholecystitis

- hypoechoic bands withing thickened GB wall

Question 16

which cancer is most likely to metastasize in the GB

Answer 16

Melanoma

Question 17

Describe Rigler’s triad, what is it found with

Answer 17

1. small bowel obstruction
2. pneumobilia
3. ectopic gallstones
   Found with Bouveret Syndrome aka Gallston Ileus

Question 18

What is Bouveret Syndrome

Answer 18

small bowel obstruction caused by gallstone

aka Gallston Ileus

Question 19

liver flukes referes to which type of parasite?

Answer 19

Clonorchis sinensis

Question 20

SF of clonorchis sinensis/liver flukes

Answer 20

liver flukes not seen, dilated IHD

Question 21

Charcot’s triad is:

Answer 21

1. Fever
2. RUQ pain
3. Jaundice

Question 22

Cholangitis SF:

Answer 22

thick GB wall, thick duct walls, sludge, dilated ducts

Question 23

Bloody stool related to which biliary pathology?

Answer 23

PSC

Question 24

true or false: Congestive heart failure is a cause of GB wall thickening?

Answer 24

TRUE

Question 25

m/c gb variant?

Answer 25

junctional folds