Biliary system

Question 1

Fuction of gallbladder

Answer 1

Storage and concentration of bile

Question 2

The gall bladder contacts by stimulation with:

Answer 2

Cholecystokinin

Question 3

Where is bile excreted

Answer 3

Into the second part of the duodenum, via the common bile duct and through the ampulla of Vater

Question 4

What are the main types of gallstones?

Answer 4

Cholesterol stones, pigment stones, mixed stones

Question 5

Three commonest causes of bile duct obstruction are:

Answer 5

Gallstones, strictures, tumours

Question 6

Bile stasis secondary to obstruction predisposes to infection of the biliary tract. If the infection spreads proximally into the intrahepatic ducts can lead to the formation of a liver abscess

Answer 6

Ascending cholangitis

Question 7

Inflammation of the bile ducts

Answer 7

Cholangitis

Question 8

Form when there is an imbalance of constituents of bile.

Answer 8

Cholelithiasis(gallstones

Question 9

Inflammation of the gallbladder, almost always associated with gallstones, complications include empyema and/or rupture

Answer 9

Cholecystitis

Question 10

Intestinal obstruction by a gallstone that has entered the gut through a fistulous connection with the gall bladder

Answer 10

Gallstone ileus

Question 11

Congenital failure of biliary tree to develop and anastomose normally with intrahepatic structures. Can be successfully treated with surgery if performed within first 12 weeks of life

Answer 11

Biliary atresia